What Are Spider Veins?

Spider veins (medically known as telangiectasias) are tiny (1-2mm) surface veins that resemble a spider web on the skin surface. Patients may have isolated surface spider veins, although in some patients the presence of spider veins may be an indication of underlying vein disease. Spider veins may not be bulging or painful like larger varicose veins, but they are still unsightly and cause for concern for many people. If you suffer from spider veins, it is important to be evaluated by a vein specialists in order to evaluate for underlying venous disease.

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What Causes Spider Veins?

Spider veins are the mildest form of venous disease and are small, web-like, veins located just under the skin surface. The most common causes of spider veins is family history, age, prolonged standing, pregnancy, hormonal changes related to ovulation or menopause, or an underlying vein condition. Spider veins may just be an isolated cosmetic issue, but may be a clue to underlying venous disease.

What are Symptoms of Spider Veins?

Spider veins typically do not cause major symptoms and are thus usually considered a cosmetic issue. Some patients may complain of itching/burning at site of spider veins. Most patients will only have isolated spider veins, without any underlying venous disease, however spider veins may be an indication of presence of additional venous disease in the legs.

  • Tingling at site of veins
  • Leg itching/burning/numbness
  • Skin changes/discoloration
  • Skin bruising

Spider Vein Diagnosis and Treatment

Spider veins are treated with sclerotherapy (injecting tiny amount of irritant into the vein cause it to close). Treatment sessions usually take around 30-45 minutes and usually 2-3 treatment sessions are needed for complete removal of these veins. Both liquid and foam sclerotherapy will likely be used for complete treatment, as the underlying blue/green “feeder” vein usually also needs to be treated. Typically, spider veins are purely a cosmetic issue and usually not covered by insurance.

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