A large number of people have small, red, blue, or purple veins near the surface of the skin. These are called spider veins. They are typically harmless and do not presage serious medical conditions. Nonetheless, many people would like to have them treated, often for cosmetic reasons. If you are concerned about spider veins, Oghenerukevwe Odiete, MD, FACC, at Peachstate Advanced Cardiac and Endovascular (PACE), offers treatments for spider veins. With offices throughout Georgia, you can schedule an appointment at the office nearest you by phone or use the online booking tool.
Spider veins are small, thin, red, blue, or purple veins close to the skin's surface. Spider veins can appear anywhere on the body. However, they are most common on the legs or face.
Spider veins affect slightly more women than men.
What causes spider veins isn't known. Veins have one-way valves that regulate blood flow back to the heart.
If damaged, it can disrupt these valves and the one-way flow. Blood can back up, or even pool, in the veins, weakening the vessel walls and causing the veins to enlarge and distort.
Several risk factors increase your chances of developing spider veins. These factors include:
While spider veins may only be a cosmetic issue, you should not ignore them in case they require treatment. See Dr. Odiete at PACE for an evaluation.
Spider veins usually appear on the thighs or legs but sometimes on the face, forearms, or hands. Aside from cosmetic issues, there are typically no symptoms, but mild discomfort or burning sensations can occur at the site.
If symptoms do occur, they may worsen upon standing or sitting for long periods. Symptoms are generally relieved by resting and putting your legs up.
Dr. Odiete starts with a physical exam and a review of your symptoms, risks, and family history. He may order additional tests, like an ultrasound or other imaging tests, to check on the health of your veins.
The treatment goals are to improve the veins' appearance and relieve symptoms. Dr. Odiete may recommend a combination of therapies to achieve these goals, including:
Patients are encouraged to consider weight management, increasing physical activity, and avoiding standing or sitting for long periods.
These procedures include endovenous laser therapy (EVLT), which uses high-energy lasers to destroy the veins, or ultrasound-guided sclerotherapy, which injects medication to close the affected veins.
These are generally same-day outpatient procedures, are well tolerated, and do not have significant side effects or long post-treatment downtimes.
It is possible that spider veins may reappear, and you may need more than one treatment.
This involves using compression socks/stockings or bandages to help relieve pain and discomfort.
If you are troubled by spider veins, call the office or use the online tool to make an appointment at PACE for a consultation and determine the best treatments for you.