Vein Problems


Spider Veins
Spider Veins

Spider veins (or telangiectasia) are dilated very superficial veins which appear like reddish or bluish lines, “starburst” clusters or a web-like maze. Reticular veins are larger and slightly deeper and appear as long bluish, usually flat veins.

Spider and reticular veins can exist in legs of patients with larger varicose veins, as part of a general venous reflux disorder, or they can occur in isolation. While they are most common on the legs, they can also occur on the face and body.

Although spider veins can be associated with aching pain and heaviness in the legs, most patients seek treatment for spider veins because they are unsightly. Generally speaking, spider veins do not have any significant circulatory risks, unlike varicose veins.

Injection sclerotherapy
has been the main stay of treatment of spider and reticular veins. It is fairly effective method. About 60 to 70 % of these veins will disappear after one injection session, but often multiple session (usually 2 to 3) may be needed to clear these veins satisfactorily. *

Treatment of the very fine spiders has proven difficult with sclerotherapy (even with microsclerotherapy) because it can be difficult of inject the chemical into such fine veins. The use of lasers and intense pulse light has been tried but has not been very effective till recently. At the The Vein Centre, we now have a laser (see Transcutaneous Laser Treatment) which treats all spiders and even reticular veins very effectively. No anesthesia is required. Like sclerotherapy, multiple treatment sessions may be needed to achieve satisfactory results.

Surgery and EVLT are not used for treatment of spiders or reticular veins.

* Individual results may vary