Sclerotherapy is the injection of a special chemical, called a sclerosant, into a vein to cause it to collapse and disappear. Sclerotherapy is a simple in-office procedure that is the most common treatment for spider veins. Spider veins are dilated blood vessels that form just under the skin and result in red, blue, or purple clusters of veins visible on the skin’s surface. Some people describe them as looking like a road map. Besides the appearance of these veins, other symptoms may include skin redness, itching, and a firm, tender, and warm vein. Some patients may experience pain and swelling as well. Spider veins can be caused by pregnancy, heredity, weight gain, and standing or sitting for long periods. These are the same factors that contribute to larger varicose veins.
Depending upon the severity, we may recommend walking, anti-inflammatory medications, cold compresses, and compression stockings as conservative treatment approaches for spider veins. However, in most cases, sclerotherapy is the best option to eliminate spider veins.