Depending on the case minor surgery to remove the clot or the hemorrhoid itself can be used. Thrombosed hemorrhoid treatment is done through a multitude of options that are available depending on the doctor or hospital. Sclerotherapy uses injections of hardening agent on hemorrhoids that harden the veins and causes the hemorrhoid to shrivel up. "Grade III" or "Grade IV" hemorrhoids, usually the largest ones, are usually treated with hemorrhoidectomy, which is a true surgical procedure in which the hemorrhoid is lanced of the area. This is most effective in cases where non-surgical therapy has not worked or with large hemorrhoids with severe symptoms. Post-operative pain is the most common major complication of this procedure. It may require two to four weeks before the patient can return to normal activities after the surgery.

Thrombosed hemorrhoid treatments are numerous and varied but it still remains a fact that conservative medical therapy and natural methods are best when dealing with early stage and new hemorrhoids. One should keep in mind that one must ask consent from their doctor before taking or applying these remedies to avoid conflicts or other possible drug interactions that may harm the patient. Natural astringents like witch hazel, cranesbill, honey, and aloe vera are used to sooth the affected area and reduce swelling. Ice packs can relieve inflammation and irritation of hemorrhoids. Dietary supplements like Billberry extract, Horse-Chesnut extract, Butcher's broom and other bioflavonoids can help treat hemorrhoids by helping strengthening, protecting and, relieving vein problems. An effective and well balanced fiber enriched diet will not only help with your current hemorrhoid but will also prevent future ones.

Other physical techniques have also proved effective in relieving hemorrhoid pain. Using the squat position during bowel movements have been tested, though inconclusively, against hemorrhoid occurrence and had somewhat proved effectiveness. Thrombosed hemorrhoid treatment techniques like raised legs during sleep may help enlarged veins return to normal size. Hot baths can also help relax the veins and help with the pain. Wearing loose clothing and light underwear may help the sufferer as tight clothes can often add to the irritation and pain. Kegel exercises used to strengthen the pelvic floor muscles can also help with the pain.