Varicose Veins and Spider Veins

  • Medical Author:
    Gary W. Cole, MD, FAAD

    Dr. Cole is board certified in dermatology. He obtained his BA degree in bacteriology, his MA degree in microbiology, and his MD at the University of California, Los Angeles. He trained in dermatology at the University of Oregon, where he completed his residency.

  • Medical Author: Siamak N. Nabili, MD, MPH
    Siamak N. Nabili, MD, MPH

    Dr. Nabili received his undergraduate degree from the University of California, San Diego (UCSD), majoring in chemistry and biochemistry. He then completed his graduate degree at the University of California, Los Angeles (UCLA). His graduate training included a specialized fellowship in public health where his research focused on environmental health and health-care delivery and management.

  • Medical Editor: Steven Doerr, MD
    Steven Doerr, MD

    Steven Doerr, MD

    Steven Doerr, MD, is a U.S. board-certified Emergency Medicine Physician. Dr. Doerr received his undergraduate degree in Spanish from the University of Colorado at Boulder. He graduated with his Medical Degree from the University Of Colorado Health Sciences Center in Denver, Colorado in 1998 and completed his residency training in Emergency Medicine from Denver Health Medical Center in Denver, Colorado in 2002, where he also served as Chief Resident.

  • Medical Editor: Melissa Conrad Stöppler, MD
    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

Spider and Varicose Veins Slideshow Pictures

Quick GuideSpider and Varicose Veins Pictures Slideshow: Causes, Before-and-After Treatment Images

Spider and Varicose Veins Pictures Slideshow: Causes, Before-and-After Treatment Images

What is sclerotherapy?

"Sclerotherapy" involves using a fine needle to inject a substance directly into the vein. This solution irritates the lining of the vein, causing the vein to swell and the blood to clot. The vein then turns into scar tissue that may eventually fade from view. Sclerotherapy is typically used for spider veins and varicose veins. Veins up to 15 millimeters in diameter have been treated successfully. This is generally offered to patients who have tried compression stockings and leg elevation without much success. Today, the substances most commonly used in the United States for sclerotherapy are hypertonic saline and sodium tetradecyl sulfate (Sotradecol), and polidocanol (Aethoxysklerol, Asclera) is now also approved in the U.S. for sclerotherapy.

With sclerotherapy, after the solution is injected, the vein's surrounding tissue is generally wrapped in compression bandages for several days, causing the vein walls to stick together. Patients whose legs have been treated are put on walking regimens, which forces the blood to flow into other veins and prevents the development of blood clots. This method and variations of it have been used since the 1920's. In most cases, more than one treatment session will be required.

Pictures of sclerotherapy treatment

Below are pictures of varicose vein and spider vein treatment.

Picture of Spider Veins Being Treated with Sclerotherapy
Picture of Varicose Veins Being Treated with Sclerotherapy

Picture of Spider Veins Being Treated with Sclerotherapy
Picture of Spider Veins Being Treated with Sclerotherapy

Medically Reviewed by a Doctor on 10/15/2014

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