Dr. Parish introduced Ultrasound Guided Sclerotherapy to Alabama in 1995.-

“I brought this technique back from Europe and my patients enjoy this non painful and time saving procedure that gives them wonderful results.”-Dr. Parish


Ultrasound Guided Sclerotherapy is a technique using ultrasound mapping to inject the varicose vein at the highest source of reflux. This may be some distance from the visible veins on the skin’s surface. Dr. Parish uses color flow Doppler Ultrasound to map the veins and find the highest point of reflux.  The injection is then administered under ultrasound guidance.

Results may vary

You should allow approximately one hour for the duration of this procedure. No sedation is necessary, therefore you are able to leave the center by yourself. On arrival to our vein clinic a confirmatory duplex ultrasound is performed. By way of a butterfly needle the medication is directed under visual guidance into the pathological vein. Several injections may be performed in the same session. The area treated is then dressed with bandages and in indicated cases compression hosiery is applied on top.

Ultrasound Guided Sclerotherapy is essentially a painless procedure. Bandages and compression hosiery should be worn for a period of five days. Further instructions will be given to you at the time of the procedure. Once the procedure is finished, you are able to resume normal activities.

This is a very well tolerated procedure and effectively replaces stripping operations in certain patients. One to three visits may be needed depending upon the size of the vessel, the extent of the reflux, and number of vessels involved.

Follow-up visits to Dr. Parish are scheduled on a monthly basis until the treatment is complete and then only yearly maintenance is recommended.

Ultrasound Guided Sclerotherapy is not covered under most insurance plans.