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How can we ensure that people for Microsclerotherapy are appropriately selected, consented and treated in a safe environment with oversight by a healthcare professional?
Competence is more important than qualifications
You might think that the question of who can inject leg spider veins is a battle between doctors, nurses and aesthetic practitioners.
Well it’s not and I am going to tell you why.  
I am going to tell you who I think can inject leg spider veins and if you read to the end, I’ll tell you why I think the current system in the United Kingdom may change…soon...and for the better.
But before that, let me point you to the latest expert guidance on <a href="https://journals.sagepub.com/doi/10.1177/02683555231222678?utm_source=podia&utm_medium=broadcast&utm_campaign=1817383" target="_blank" rel="noopener">Microsclerotherapy</a>. It was published at the end of 2023, so it’s really up to date. 
I've read it carefully and I agree with following:
<blockquote>
-1) “If C1 disease is not accompanied with symptoms consistent with venous disease, duplex ultrasound is not required and investigation of abnormal venous haemodynamics with duplex ultrasound should be reserved for symptomatic patients only.”
</blockquote>
This means that if your patient only has spider veins, a duplex scan is not required. I agree and I cover this in detail in my course.
<blockquote>
-2) “...it is advised that the minimum effective concentration and lowest volume of sclerosant is used at each injection site.”
</blockquote>
Again, this is something I totally agree with.
<blockquote>
-3) "The suggested concentrations of sclerosant are 0.25% polidocanol and 0.1% sodium tetradecyl sulfate for spider veins."
</blockquote>
Again, I totally agree.

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Order	Change	Type - Title	Update
1	↑ ↓	Banner Image-thread vein	EDIT
2	↑ ↓	Text Block-thread veins on legs	EDIT
3	↑ ↓	Banner Image-microsclerotheray	EDIT
4	↑ ↓	Text Block-how to treat leg veins	EDIT
5	↑ ↓	Text Block-FAQ	EDIT
6	↑ ↓	Left Aligned Image-Thanks	EDIT

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