Spider veins, or telangiectasias, are unhealthy veins just underneath the skin, most commonly located on the lower extremities. When they occur in clusters, they may have a spidery appearance, giving them their name. Spider veins are usually blue, red, or purple in color and are often found in clusters that spread outward. They can appear anywhere on the legs, but tend to show most commonly on the sides and back of the legs. In more advanced cases, dense clusters can form around the ankles (corona phlebectatica). Spider veins can often be the first indication of an underlying condition called chronic venous insufficiency.
What are the Symptoms of Spider Veins?
Spider vеіnѕ often cause few symptoms beyond an undеѕіrаblе cosmetic appearance. Hоwеvеr, ѕоmе individuals may experience ѕеvеrе ѕуmрtоmѕ including leg hеаvіnеѕѕ, ѕwеllіng, асhіng, thrоbbіng, restless legs, burning, itching, or сrаmріng оf thе lеgѕ. Many times, the symptoms are worse with prolonged standing or sitting and can affect daily work activities.
In more advanced cases of vein disease, people may develop skin changes and ulcerations with limited healing despite various measures directed by their primary physicians.
What Causes Spider Veins?
Spider veins are caused when tiny, one-way valves in the veins stop working properly, causing blood to pool and back up in the veins. This can occur both at the skin level and from feeder veins below the surface of the skin, as seen in venous insufficiency.
How Do I Get Rid of Spider Veins?
There are multiple treatment options available to remove spider veins. Most importantly is treating the underlying cause of the spider veins. Before deciding on a treatment, it’s best to consult with the experienced vein doctors and vascular specialists of New Jersey.
Spider vein treatment options available at our vein clinics in NJ are:
Do Spider Veins Come Back?
Most spider veins will require two or more sessions of treatment for complete elimination. However, over time, new spider veins can develop, even in close proximity to previously treated areas. Patients may think the same spider veins came back, but they are actually different veins. Unfortunately, the tendency for spider veins to recur is linked to heredity. Evaluating and treating underlying venous insufficiency is important, especially when there are symptoms or difficult to treat veins. Spider vein removal will not be truly successful if the underlying causes are not addressed. For example, having continuous pressure built up from underneath due to untreated venous disease can lead to early recurrences.
Ultimately, both spider vein treatments are well accepted and have positive outcomes. Most patients benefit from 2 to 3 sessions of sclerotherapy or laser ablation for optimal results. However, in the presence of symptoms such as leg heaviness, leg cramps, swelling, the possibility of venous insufficiency should be explored prior to simply treating the spider veins.
At the Princeton Vascular Center, our double board-certified vein doctors and vascular specialists perform cutting-edge spider vein treatments and removals to eligible candidates in the following areas:
Before visiting one of our five vein clinics, complete the virtual consultation, or schedule an initial appointment by calling (609) 257-2095.
Spider veins and varicose veins are often the sign of poor circulation within the superficial, and sometimes even the deep veins in the legs.
What are treatment options for underlying venous insufficiency?