Spider veins are small, damaged veins that can appear on the surface of the legs or face. They are usually not painful or harmful, but some people may wish to treat them for cosmetic reasons.
Spider veins can be blue, purple, or red and may appear in the form of thin lines, webs, or branches. People sometimes also refer to them as thread veins.

A range of treatments can remove spider veins or reduce their appearance.

Causes

In the legs, spider veins can occur when the valves inside the veins stop working properly.

Veins carry blood back to the heart. To prevent blood from flowing backward, they contain a one-way valve that closes once the blood passes through it.

If this valve weakens or becomes damaged, the blood may struggle to flow in the correct direction, and it can begin to pool inside the vein. Over time, this can cause a bulge in the vein that branches out, resulting in spider veins.

Spider veins on the face are often the result of tiny blood vessels bursting. Increased pressure or sun damage can cause this to occur.

Risk factors

Factors that can increase a person’s risk of developing spider veins include:

Treatment

Although generally harmless, spider veins can cause discomfort, and some people may wish to treat or remove them for cosmetic reasons. Several different treatment options are available:

Compression stockings or socks

Types of compression stocking include:

Sclerotherapy and closure system

Sclerotherapy involves injecting an irritant directly into the affected vein. When the walls of the vein become irritated, they stick together and keep blood from flowing into the area

This procedure can reduce swelling and cause the vein to shrink. Over time, the spider vein fades or vanishes. Several treatments may be necessary to obtain the desired results.

Similar to sclerotherapy, closure system treatment involves injecting a substance into the affected veins. This substance is sticky, and it closes the vein off from blood flow, causing the spider vein to fade or disappear with time.

As with sclerotherapy, a person may require several treatments before they are happy with the outcome.
Healthcare professionals who can perform sclerotherapy or closure system include:

These professionals can carry out sclerotherapy or closure system in their office as the procedure does not usually require anesthesia.

After undergoing sclerotherapy or closure system, the person usually wears compression stockings for several days or weeks. Spider veins will gradually start to disappear after these procedures, but the process may take up to 6 weeks.

Some people need multiple treatments to get rid of spider veins.

Arthroscopic shoulder surgery is recommended for shoulder dislocations, shoulder tendonitis, certain rotator cuff problems, soft tissue (muscle) repairs, frozen shoulder, and the repair of torn cartilage or ligaments.
The types of shoulder surgery procedures include:

Laser treatment

A healthcare professional can use a laser to treat spider veins that are smaller than 3 millimeters and close to the surface of the skin. The laser is a strong, focused beam of light that causes the spider vein to clot and dry up. Laser treatments are less invasive than sclerotherapy or closure system because there is no injection.
EVLT involves the use of local anesthesia.

Surgery

Although some surgical treatments can be effective for larger varicose veins, doctors usually do not perform them on spider veins. The reason for this is that spider veins are small, so they often respond well to the less invasive treatments above

Pain control is important for complete healing and a smooth recovery. Your doctor will plan your pain management with medications and you may seek assistance if it causes discomfort or it’s not helping.

Hospitals

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Fortis Memorial Research Institute (FMRI), Gurgaon

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W Pratiksha Hospital, Gurgaon

Endovenous laser therapy (EVLT)

EVLT is a newer procedure for the treatment of spider veins and small varicose veins.
A healthcare professional makes a small incision in the affected vein and then inserts a laser fiber. The laser applies heat directly to the vein and causes it to collapse. The vein may take several months or up to a year to disappear.
Recovery time varies depending on the procedure, type of anesthesia, general health, age, and other factors. You will most likely be required to wear a sling for several weeks after surgery. Your doctor will recommend an exercise rehabilitation program to help you recover. Full recovery takes a few weeks to several months.
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