In general sclerotherapy is well tolerated with very minimal discomfort. Tiny pinches may be felt as we use a small 32 gauge needle. Icing and vibration may be used for those with a lower pain threshold. Some patients pretreat with EMLA cream under occlusion with Saran Wrap. We are happy to provide a prescription for EMLA. Please note that EMLA must my applied One Hour before your appointment.