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BackTable / VI / Podcast / Episode #111

Underutilization of Foam Sclerotherapy

with Dr. Chris Pittman

We talk with Dr. Chris Pittman, founder of Vein911 and LinkedIn Foam Sclerotherapy Experts, about Foam Sclerotherapy for the treatment of superficial venous disease, including technique, patient workup, and some of the reasons why foam is underutilized.

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Underutilization of Foam Sclerotherapy with Dr. Chris Pittman on the BackTable VI Podcast)
Ep 111 Underutilization of Foam Sclerotherapy with Dr. Chris Pittman
00:00 / 01:04

BackTable, LLC (Producer). (2021, February 15). Ep. 111 – Underutilization of Foam Sclerotherapy [Audio podcast]. Retrieved from

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Podcast Contributors

Dr. Chris Pittman discusses Underutilization of Foam Sclerotherapy on the BackTable 111 Podcast

Dr. Chris Pittman

Dr. Chris Pittman is a practicing Interventional Radiologist, CEO, and CMO with Vein 911 in Tampa, Florida.

Dr. Aaron Fritts discusses Underutilization of Foam Sclerotherapy on the BackTable 111 Podcast

Dr. Aaron Fritts

Dr. Aaron Fritts is a Co-Founder of BackTable and a practicing interventional radiologist in Dallas, Texas.


In this episode, Dr. Chris Pittman joins Dr. Aaron Fritts to discuss the underutilization of foam sclerotherapy. Dr. Pittman tells us about how he started his vein treatment centers and about his upcoming reality TV show. We introduce the basics of foam sclerotherapy for varicose veins and how the procedure has been developed. Dr. Pittman shares some reasons why he thinks foam sclerotherapy is not as popular in the United States.

We review when to use the three types of sclerosants, hypertonic saline, sotradecol, and polidocanol as well as the difference between compounded and non-compounded sclerosants. Dr. Pittman tells us the best way to get foam sclerotherapy training. We discuss the four components for evaluating a patient who may have venous disease, and we explain how to do a hose trial and make the proper notes for insurance claims. We discuss the treatment process from when the patient arrives and some of the details of thermal ablation.

We discuss the importance of an effective treatment and why there should be at least two rounds of foam treatment. We explain some of the key points to discuss with patients to manage expectations prior to treatment. We discuss the fundamentals of foam sclerotherapy, what post-procedure follow-up looks like, and how long after to wear stockings after the treatment. We explain how the shift from fee-for-service to fee-for-value has changed some of the ways treatments are done.


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Disclaimer: The Materials available on are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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Chronic Venous Insufficiency (CVI) Condition Overview
Sclerotherapy Procedure Prep
Ultrasound Guided Foam Sclerotherapy (UGFS) Procedure Prep
Varicose Veins Condition Overview
Vein Ablation Procedure Prep

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