Telangiectasia is the medical term, but they are most often called “spider veins.”  Close to the skin surface, these tiny thin, red, blue or purple-colored veins may appear in fine lines, clusters or in a web-like shapes. For those struggling with their personal appearance due to spider veins, treatments can be a great advantage for them.  Most people do not know that spider veins can also be an indication of early stages of venous disease;  treatment can improve appearance and also stop venous disease progression at its source. Are Your Spider Veins a Symptom of Venous Disease? Vein Evaluations and Treatments should be comprehensive.   While spider veins may appear to be a superficial issue, there could be a larger vein that is ‘backing up’ underneath. Understanding the function of veins can help to understand what causes disorders like spider veins.  Veins return blood from the legs and arms back to the heart.  The blood in the legs travel up – against gravity, if vein walls widen or valves become damaged, blood then may flow backwards, leaking down into the legs and create a “pooling” effect. Treatment – A Comprehensive Plan  Effective treatment of spider veins begins with a thorough evaluation from a qualified phlebologist who will look for the source of the problem:  the leaky valve or valves.  An ultrasound is the best way to accurately determine the problem.  The physician may then recommend an appropriate and comprehensive treatment plan. Sclerotherapy is frequently used to treat spider veins.  Tiny needles provide access to tiny veins and a sclerosing agent is gently injected to irritate the vein walls.  The solution results in the closing of the vessel, allowing it to disappear over time.  Blood then finds a healthy path back to the heart. While this treatment, for many, can result in improved appearance, it’s important to remember that a comprehensive treatment plan can maintain good health as well. To learn more about spider veins visit: www.phlebology.org/patient-information   Here you can read about Vein Conditions and Treatment.  You may also get answers to questions about vein disorders at Minnesota Vein Center or request an appointment with Dr. Pal an experienced Vein Specialist (Phlebologist.)