What Are the Treatments for Spider Veins?

Spider veins are tiny veins (capillaries) that appear as red or blue squiggle lines on the skin. Also called, telangiectasias, these veins are commonly found on the surface of the thighs, ankles and feet. They may also appear on the face. Although not dangerous, people often seek treatment for spider veins because of cosmetic concern.

Causes

Spider veins can occur in both men and women, although women seem to be affected the most especially during the childbearing years. Certain factors can contribute to the appearance of spider veins, including heredity, pregnancy, weight gain, activities that require prolonged sitting or standing, hormone changes and trauma to the area.

Types of Treatment

One common form of treatment for spider veins is called sclerotherapy, a method that has been used since the 1920s. This can be done in a doctor's office where the physician injects a solution with a small needle into the vein. This causes the vein to collapse and fade away. There is no anesthesia given. A few sessions may be necessary to obtain the maximum benefit. The procedure takes from 5-30 minutes, depending on how many spider veins are treated. There may be some discomfort as the chemical (Sotradecol) may cause a feeling of burning as the solution is injected. The treatment area will be wrapped in compression bandages for several days.

Laser treatment is another option for treating spider veins. During this type treatment, an intense light is directed to the veins. This laser energy causes the veins to coagulate and shrink. Laser treatment is best to treat small spider veins when a needle cannot be used. There may be some bruising that will disappear in a few weeks.

Side Effects

Sclerotherapy is generally safe for most people undergoing treatment for spider veins. In about 10 percent and 30 percent of patients, a dark discoloration (hyperpigmentation) may occur and this will fade away within six months. Another issue may be the formation of new spider veins near the area that was injected. This happens in about 20 percent of cases and these new veins also disappear. A rare complication is when an ulcer forms around the injection site or very small blood clots form in the small surface veins (superficial thrombophlebitis).

Costs

Costs may vary in different regions; however in general, sclerotherapy costs between $100 and $400 per session. Laser treatment costs a bit more, from $300 to $450 per session. Expect to pay more if you have an extensive case of spider veins.

Considerations

If you are prone to spider veins, new ones can recur over time. For example, with each new pregnancy spider veins can develop. Therapy treats the current spider veins, however, cannot prevent new ones from developing.

Resources

• National Women's Health Information Center
• MedicineNet