Spider Veins | Vein Disease | Vein Specialist Centers

Spider Veins

Spider Veins

What are Spider Veins?

Spider veins, or telangiectasias, are unhealthy veins just underneath the skin, most commonly located on the lower extremities. When they occur in clusters, they may have a spidery appearance, giving them their name. Spider veins are usually blue, red, or purple in color and are often found in clusters that spread outward. They can appear anywhere on the legs, but tend to show most commonly on the sides and back of the legs. In more advanced cases, dense clusters can form around the ankles (corona phlebectatica). Spider veins can often be the first indication of an underlying condition called chronic venous insufficiency.

What are the Symptoms of Spider Veins?

Spider vеіnѕ often cause few symptoms beyond an undеѕіrаblе cosmetic appearance. Hоwеvеr, ѕоmе individuals may experience ѕеvеrе ѕуmрtоmѕ including leg hеаvіnеѕѕ, ѕwеllіng, асhіng, thrоbbіng, restless legs, burning, itching, or сrаmріng оf thе lеgѕ. Many times, the symptoms are worse with prolonged standing or sitting and can affect daily work activities.

In more advanced cases of vein disease, people may develop skin changes and ulcerations with limited healing despite various measures directed by their primary physicians.

What Causes Spider Veins?

Spider veins are caused when tiny, one-way valves in the veins stop working properly, causing blood to pool and back up in the veins. This can occur both at the skin level and from feeder veins below the surface of the skin, as seen in venous insufficiency.

How Do I Get Rid of Spider Veins?

There are multiple treatment options available to remove spider veins. Most importantly is treating the underlying cause of the spider veins. Before deciding on a treatment, it’s best to consult with the experienced vein doctors and vascular specialists of New York and New Jersey.

Spider vein treatment options available at our vein clinics in New York and New Jersey are:

  1. Sclerotherapy. Sclerosant medication is injected directly into the vessels, irritating the walls, leading to the collapse of the targeted veins.
  2. Laser treatment. Commonly used in the treatment of spider veins, laser energy is aimed at the vessels, and energy is absorbed causing the affected veins to collapse.

Do Spider Veins Come Back?

Most spider veins will require two or more sessions of treatment for complete elimination. However, over time, new spider veins can develop, even in close proximity to previously treated areas. Patients may think the same spider veins came back, but they are actually different veins.  Unfortunately, the tendency for spider veins to recur is linked to heredity. Evaluating and treating underlying venous insufficiency is important, especially when there are symptoms or difficult to treat veins. Spider vein removal will not be truly successful if the underlying causes are not addressed. For example, having continuous pressure built up from underneath due to untreated venous disease can lead to early recurrences.

Ultimately, both spider vein treatments are well accepted and have positive outcomes. Most patients benefit from 2 to 3 sessions of sclerotherapy or laser ablation for optimal results. However, in the presence of symptoms such as leg heaviness, leg cramps, swelling, the possibility of venous insufficiency should be explored prior to simply treating the spider veins. 

At Vein Specialist Centers, our double board-certified vein doctors and vascular specialists perform cutting-edge spider vein treatments and removals to eligible candidates in the following areas:

  • East Brunswick
  • Edison
  • Ewing
  • Hamilton
  • Hopewell
  • Monroe
  • New Brunswick
  • Plainsboro
  • Princeton
  • Robbinsville
  • South Brunswick
  • Trenton
  • West Windsor

  • Burlington
  • Camden
  • Cherry Hill
  • Cinnaminson
  • Delran
  • Haddonfield
  • Highland Park
  • Moorestown
  • Mount Holly
  • Mt. Laurel
  • Pennsauken
  • Voorhees
  • Willingboro

Before visiting one of our vein clinics, complete the virtual consultation, or schedule an initial appointment by calling (609) 257-2095.

Who is at Risk for Spider Veins?

Spider veins and varicose veins are often the sign of poor circulation within the superficial, and sometimes even the deep veins in the legs.

Treatment Options

What are treatment options for underlying venous insufficiency? 


Sсlеrоthеrару іѕ a mеdісаl рrосеdurе thаt involves thе іnjесtіоn оf a sclerosant іntо a vеіn tо соmрlеtеlу оblіtеrаtе іt. This is the most common technique for spider vein removal.


The standard of today’s treatments for venous insufficiency, radiofrequency ablation (RFA) involves a small catheter that delivers heat energy to close down the abnormal vein. The procedure is minimally-invasive and can be done directly in the office.


VenaSeal™ is a procedure that uses a special glue to close off damaged veins. The procedure is safe and equally as effective as RF ablation.


This treatment combines two techniques to treat underlying venous insufficiency. A small catheter is used to both chemically and mechanically treat the diseased vein.

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A brief procedure that is only offered by skilled vein clinics and remains one of the best options for treating bulging varicose veins. Done under local anesthesia in an office setting, the vein is removed in small sections through tiny incisions.

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