Spider vein treatment

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About Spider veins

Spider veins are small, damaged blood vessels that commonly appear on the surface of the legs or the face. These broken blood vessels are usually blue, purple, or red in appearance. Spider veins are similar to varicose veins, but are smaller in appearance and only raise slightly from the skin.

Weakened valves in the legs make it difficult for veins to carry blood from the lower body back to the heart. Blood begins to pool in the vein, causing it to bulge. Spider veins are generally painless, and cause few - if any - symptoms. Individuals usually choose to treat spider veins based on appearance, not a medical emergency.

Spider veins are highly common.

Risk factors for spider veins include:

- Genetics: Nearly 90% of people with spider veins have a family history of them.

- Age: Valves in blood vessels weaken as you get older. Weakened valves can result in a lack of blood flow from the legs back to the heart, causing spider veins.

- Sex: Women generally are affected by spider veins more than men.

- Weight: Being overweight can put extra pressure on veins in the lower body, weakening valves in the blood vessels.

- Pregnancy: Hormone changes during pregnancy, and the extra pressure put on the legs through added weight can affect blood flow from the lower body. In many cases, spider veins go away after pregnancy.

- Prolonged sitting: Veins have to work extra hard to push blood back to the heart when you sit for a long period of time. Because of this, you may begin to notice spider veins appearing in the legs if you spend too much time sitting.

- Blood clots: If you have a history of blood clots, you may experience blood flow problems. This can result in spider veins.

- Hormone changes: Hormone changes caused by pregnancy, menstruation, or birth control medication can increase the risk of spider veins.

Most individuals seek treatment for spider veins based on their appearance. However, swollen blood vessels can lead to complications if they burst or cause pain in the legs. If spider veins begin to feel tender, itch, or if you experience swelling in the legs or feet, contact your health care provider right away. If left untreated, severe spider veins can result in infection and inflammation.

Below are common treatment options for spider veins. During your appointment, talk to your health care provider about the treatment plan that’s right for you.

Compression stockings place pressure on the lower legs, which helps improve blood flow. These stockings can be purchased at medical supply stores, pharmacies, or specialist stores. In some cases, your provider may recommend prescription-strength compression stockings. These stockings can put increased pressure on the lower body but are not recommended for individuals with heart problems.

Sclerotherapy is a simple procedure that involves injecting an irritating solution into damaged veins, which closes the vessel to blood flow. This causes the spider vein to collapse and die. Sclerotherapy reduces the swelling and pain caused by damaged blood vessels.

The injection procedure can be performed at doctor’s offices, dermatologist offices, and plastic surgery offices. Multiple sclerotherapy procedures may be needed for the desired results to be achieved.

Laser treatment is the most effective treatment for spider veins. This therapy uses a laser to heat affected veins, causing them to collapse and die. Laser therapy is generally used when other forms of treatment have failed to effectively treat spider veins.

Endovenous laser therapy is a newer version of this therapy that involves creating a small incision in the skin to insert a small tube into the leg. Local anesthesia is applied to numb the area being operated on. The tube that is inserted into the leg uses a heat source (usually a laser) to heat the vein, which kills it. The dead vein is left in place to avoid bleeding and bruising but may take several months to fully disappear. Endovenous laser therapy requires minimal recovery and is less painful than other forms of treatment.

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