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New Horizons in the Treatment of Spider Veins Spider Veins Small blue or purple veins just beneath the skin Affect millions of Americans Typically progressive Often inherited Affect ankles, calves, thighs, nose Symptoms Visual - Small blue or purple veins can be seen just beneath the surface of the skin Stinging Itching Causes Heredity Excessive body weight Prolonged standing or sitting Pregnancy Hormonal changes Advancing Age Injury or trauma to vein Sun exposure Treatment Options Conservative Treatment Sclerotherapy Laser Treatment / Double-Injury Technique Conservative Treatment Weight loss Exercise Elevation Compression stockings Compression Stockings Prevent pooling of blood in veins Promotes healthy blood flow by compressing veins Ideally worn during long-periods of standing or sitting Reduces discomfort and progression Expensive Hot Difficult to put on Sclerotherapy Alone Most popular treatment Tiny needles FDA-approved medication Irritates lining of vein, causing it to collapse Two to four 20 minute sessions Minimal discomfort Can cause discoloration or staining of skin Laser & Sclerotherapy Treatment “Double-Injury Technique” By using laser first, vein is damaged, allowing small amount of solution in the vein. Decreased risk of skin staining Faster resolution than sclerotherapy alone Recovery Period? Walking encouraged day of procedure Return to normal activities next day Strenuous exercise (running or step aerobics e.g.) after three weeks Return to work next day Summary Spider veins cause discomfort and embarrassment Exercise, weight loss, elevation and compression stockings may alleviate symptoms Current treatment options have significantly improved over recent years Laser vein therapy and Sclerotherapy are effective treatment options Low risk and minimal associated recovery