If the anti-inflammatory medication doesn’t work, it means your phleboliths get more severe, and you can take a try with the endovenous laser therapy, sclerotherapy, or surgical excision.
Endovenous Laser Therapy: The most recent development in treating phleboliths, this treatment involves closing off problematic veins using tiny diode laser fibers. Endovenous laser therapy has already been in use for treating varicose veins. This minimally-invasive procedure can be performed in a hospital or outpatient clinic in about one hour.
Sclerotherapy: In this procedure, the vein that contains the phlebolith is closed off. A health care provider inserts a needle into the vein and injects a radioactive dye called a sclerosant. The vein shrinks and eventually closes off. However, veins that are closed off using this method may eventually form again and the procedure will have to be repeated. Repeated treatments may cause the vein to shrink and close permanently.
Surgical Excision: This method is the most extreme and is used only in rare cases. In surgical excision, the surgeon opens up the area around the affected vein and removes both the affected vein and the tissue surrounding it. Because this is the most invasive method and requires the longest recovery time, it is only used as a last resort.