Spider Veins

Spider Veins

Spider veins, medically known as telangiectasias, are tiny dilated blood vessels that can be seen near the surface of the skin. They often appear as thin, red, blue, or purple web-like networks of veins, usually on the legs and face. While generally not harmful, many people seek treatment for spider veins for cosmetic reasons or due to discomfort.

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Treatment Options

Conservative Approaches: This includes lifestyle changes like exercising, elevating the legs and weight loss.

  • Compression stockings: This improves blood flow, reduces swelling and improves symptoms. Compression increases the external pressure, assisting the veins in pushing blood back up to the heart.
  • VenaSeal: This procedure closes the vein by sealing it with a combination of adhesive and external compression.
  • ClosureFast: (Radiofrequency Ablation, RFA): This method uses radiofrequency energy to heat the walls of the vein, causing it to collapse and seal shut.
  • Sclerotherapy: A procedure where a solution (sclerosant) is injected into the veins, causing them to scar, close, and eventually fade. Multiple treatments might be needed.

Regular check-ups are crucial to monitor and manage the progression of the condition.

Symptoms

  • Visible veins: Red, blue, or purple veins visible on the skin’s surface, often in a web-like pattern.
  • Mild swelling: Around the veins, especially after prolonged standing.
  • Aching or burning sensation: In the affected area, particularly after prolonged periods of standing.
  • Itching: Around one or more veins.

Causes

  • Heredity: Having a family member with vein disorders can increase one’s risk.
  • Age: The risk increases as one gets older, due to reduced elasticity in the veins.
  • Hormonal changes: Occurring during puberty, pregnancy, and menopause, as well as from taking certain medications like birth control pills.
  • Pregnancy: Increased blood volume can cause veins to enlarge. The growing uterus also puts pressure on the veins.
  • Sun exposure: Can lead to spider veins on the cheeks or nose of fair-skinned people.
  • Injury: Trauma to the skin can sometimes cause the development of spider veins.
  • Obesity: Adds pressure to the veins.
  • Prolonged standing or sitting: This can put pressure on the veins, leading to the development of spider veins.

Always consult a medical professional to discuss concerns about spider veins and to determine the most suitable treatment options.

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Anwar Mack, MD

Double Board Certified Physician