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How To Inject Small Leg Spider Veins by Microsclerotherapy: A Guide for Healthcare Professionals You are a healthcare professional and you want to know how to inject leg spider veins and blue veins by Microsclerotherapy. You're in the right place. FREE DOWNLOAD: How to Inject Leg Spider Veins and Blue Veins by Microsclerotherapy https://www.veincare.academy/free-gui... LINKS-- FREE Mini-Course on How to Inject Leg Spider Veins https://www.veincare.academy/free-gui... Fastest and most effective way to learn how to treat leg spider veins https://www.veincare.academy/hands-on... Your free website checklist - supercharge your website into a magnet for high quality clients and high paying patients https://www.veincare.academy/checklis... Think of your private practice and clinic as a machine for treating patients and generating profit https://www.veincare.academy/blueprin... Find all my free guides here https://www.veincare.academy/freebies Stay informed by allowing me to send you my newsletter - no spam, just high quality content straight to you and you can reply directly into my personal inbox https://www.veincare.academy/subscrib... Disclaimer: Health professionals should only provide treatments for which they have proper training and knowledge. This video serves only as a source of additional information to healthcare professionals and the public How To Inject Small Leg Spider Veins by Microsclerotherapy: A Guide for Healthcare Professionals You are a healthcare professional and you want to know how to inject leg spider veins and blue veins by Microsclerotherapy. You're in the right place. Place the skin under tension to provide a flat surface to facilitate needle puncture. This is accomplished by spreading the fingers and thumb of the non-injecting hand and applying counter-traction with the little finger and hypothenar eminence of the injecting hand. Use a 30-gauge 1⁄2 inch needle and inject with the bevel of the needle turned upward Place the needle flat on the skin The injection should be performed slowly, and intravenous injection should be confirmed while the injection is in progress.Only inject when you are watching the needle tip. Successful intravenous injection results in blanching along the course of the thread vein. Blanch no more than 2cm x 2cm area of telangiectasias at a time. The solution is most active close to the site of injection Let me repeat: The needle tip should be observed at all times. The injection must be stopped immediately if a bleb appears which indicates extravasation, or if there is blanching of the skin (in contrast to blanching of the vessels) which indicates veno-arteriolar reflex venospasm or injection directly into a small arteriole. Injection must be stopped immediately if the patient experiences pain. Injection of small volumes of low concentration sclerosant under low pressure minimises the risk of post-sclerotherapy telangiectatic matting Injection of Reticular Veins also called Blue Veins Reticular veins lie just deep to the skin at the junction of the dermis so when injecting blue veins, the needle is not flat on the skin, instead, it is angled by 5-10 degrees. Blue reticular veins in association with the telangiectasias are treated first. The sclerosant is injected slowly up to a maximum of 0.5ml for any single injection site. Injection must be stopped if resistance is felt, the tissue around the injection site becomes raised or if the skin around the vein blanches. At regular intervals, the patient should be asked to bend the ankle up and down to promote the flow of blood through the deeper veins to minimise the risk of gastrocnemius vein thrombosis. Let me know if you have any tips for Microsclerotherapy in the comments section