Spider Veins – What are they?

Spider veins, or telangiectasias, are tiny visible vessels or broken capillaries just underneath the skin. They develop most commonly on the face and legs and can cause discomfort as well as have an unsightly appearance. These veins are purple, blue or red and usually appear in three basic shapes: spider or sunburst, linear pattern and branch-like shaped.
Spider veins are common vascular abnormalities, present in up to 30 % of men and 50% of women in the United States.

Spider veins can be identified by examining the skin and will usually form in one of three basic shapes or patterns. 1.) Spider – They may appear in a spider shape (hence the name) with a group of veins extending out from a dark center much like a sunburst. 2.) Linear – They may appear as simple thin linear or reasonably straight lines. 3.) Branch – They may appear as tiny tree-branch like patterns. Linear spider veins are often discovered on the inner knee while spider and branch patterns can occur on the face and leg with regularity.

Spider veins can develop anywhere on the body from a small mostly unnoticed area to a larger area that may be unattractive. Commonly they are seen on the face around the nose, cheeks, and chin. They can also develop on the legs, specifically on the upper thigh, below the knee joint, and around the ankles.

Occasionally, patients may have pain associated with spider viens that may run from a dull, throbbing pain to a larger burning sensation. The larger veins will typically cause more discomfort than the smaller variety.

If spider veins become bothersome, they can be treated with; sclerotherapy (injection of a special solution), the laser, electrodesication, or intense pulsed light. They can disappear or become much smaller and there is about an 80 – 90% chance for a greatly improved appearance.

Spider veins are not the same as varicose veins. Spider veins are not necessary for the body, while varicose veins are necessary. In addition, spider veins are smaller and sometimes less noticeable than varicose veins. Varicose veins, much larger and darker in color, are often painful and can be related to a more serious medical condition. Separate treatment is usually necessary for varicose veins.

Spider veins can occur because of genetics, hormonal changes, pregnancy, weight gain, prolonged exposure to the sun, repeated and prolonged sitting or standing, minor trauma, contraceptives and the use of certain medications. Spider veins resulting from pregnancy usually disappear three months after delivery. (It is recommended to delay treatment if you decide to breastfeed.)

Spider veins are known to burn, swell, itch and ache. They can be unsightly and interfere with your lifestyle but there are some prevention steps that can be used to reduce the risk of developing spider veins.

What is Laser Therapy?

Laser Therapy is a method for treating spider veins and small varicose veins. A laser is pulsed on to the targeted vein. The laser heats the vein causing it to swell shut. It then clots and eventually turns into invisible scar tissue.

What causes Spider Veins?

Like Varicose Veins, Spider Veins are heriditary. Beyond heridity, there are four predominant causes: age, gender, pregnancy and lifestyle/occupation.

Age: Spider Veins may develop at any age, but generally occur between the ages of 18 and 35, peaking between 50 and 60.

Gender: Woman are much more likely to develop spider veins, by a factor of four to one.

Pregnancy: Changes in hormone levels and increased weight cause an increase in blood volume, which can cause veins to malfunction causing spider veins.

Lifestyle/Occupation: Prolonged sitting or standing on a regular basis can increase the risk of developing spider veins. The lack of movement can cause blood to pool in the legs, which may lead to valves malfunctioning, leading in turn to vein distention.

What is Intense Pulsed Light?

Intense Pulsed Light is a method for treating spider veins. Light is directed on to the vein which causes it to heat up and collapse. The vein turns into invisible scar tissue.

Video about Varicose Vein Procedures

There’s a pretty cool video on youtube about varicose vein procedures. It does contain some graphic medical images.

Dr. Gerant Rivera, Associate Professor of Radiology at UCSD describes how new minimaly invasive techniques in interventional radiology are being used to treat a variety of conditions from aortic aneurysms to varicose veins.

Diagnosing Varicose Veins

I thought this was interesting. It’s from the National Heart Lung and Blood Institute.

How Are Varicose Veins Diagnosed?
Doctors often diagnose varicose veins based on a physical exam alone. Sometimes tests or procedures are done to find out the extent of the problem and to rule out other disorders.

Specialists Involved
If you have varicose veins, you may see a vascular medicine specialist or vascular surgeon. These are doctors who specialize in blood vessel conditions. You also may see a dermatologist. This is a doctor who specializes in skin conditions.

Physical Exam
To check for varicose veins in your legs, your doctor will look at your legs while you’re standing or sitting with your legs dangling. He or she may ask you about your signs and symptoms, including any pain you’re having.

Diagnostic Tests and Procedures
Doppler Ultrasound
Your doctor may recommend a Doppler ultrasound to check blood flow in your veins and to look for blood clots. A Doppler ultrasound uses sound waves to create pictures of structures in your body.

During this test, a handheld device will be placed on your body and passed back and forth over the affected area. A computer will convert the sound waves into a picture of the blood flow in your arteries and veins.

Angiogram
Although rare, your doctor may order an angiogram to get a more detailed look at the blood flow through your blood vessels. For this procedure, dye is injected into your veins. The dye outlines your veins on x-ray images.

An angiogram can help your doctor confirm whether you have varicose veins or another problem.

What is Endovenous Radiofrequency Ablation ?

Endovenous Radiofrequency Ablation is a non-surgical method of treating varicose veins. A catheter is inserted into the vein and pulled along its route to seal it with heat. It treats the underlying veins that cause varicose veins without the side-effects of traditional surgery. VNUS Closure™ and VNUS ClosureFAST™ are two methods commonly in use.

What are the signs of varicose veins?

Common symptoms are swelling in the legs, numbness in the legs, and aching pain, tired and heavy leg feeling, persistent itching or irritated rash on the legs, legs ulcers or open wounds that won’t heal, bulging veins, or small, spider looking veins. You should always seek the advice of a doctor if any of these symptoms are present.

How do Compression Stockings Work?

Medical compression stockings provide graduated compression to the leg (meaning it is highest at the ankle and gradually decreases going up the leg), helping to decrease the swelling or pooling of fluids. These stockings are worn daily and come in a variety of styles and colors.

Treatment Options

What are the treatment options for varicose and spider veins?
A variety of treatments are available to manage each vein condition. Determination of the appropriate treatment is best achieved by a trained vein specialitst. Current treatments available are:

Compression Stockings – Helps to reduce the swelling and increases circulation.

Sclerotherapy – A chemical solution is injected directly into the vein to close it down.

Endovenous Laser Treatments (EVLT) – Laser or radio waves are used to close off the vein so the body can clear it away like a scab or a bruise.

Vein Surgery – Rarely used except in certain cases where removal of the vein is the best solution.