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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