How to Get Rid of a Lot of Little Spider Veins?

When we see patients with lots of spider veins in the legs, it's often part of a bigger circulatory problem. When these small veins are very numerous and very close together it can indicate that the main vein structure is not working as well as it should be. Before performing laser treatments in this situation (we treat only spider veins using only lasers at our facility) we recommend visiting a vascular surgeon for an ultrasound to determine how the main vein structure looks. We suggest you do the same.

If you have a lot of spider veins you may have an underlying reason for this.  One of the most common causes of both spider veins and varicose veins is malfunctioning of the valves in the saphenous vein system which is essentially the trunk feeding the superficial leg veins.  If the valves don't close properly(reflux), then this can lead to back up of blood into the skin to cause both spider and varicose veins.  A large number of spider veins would suggest valvular reflux.  You should have a venous reflux ultrasound to evaluate the valves which will then help to determine treatment such as sclerotherapy alone or in combination with closure of the leaking valves.  Often times many of the spider veins interconnect and, therefore, you may not need as many injections as you may think.  Also we now have better sclerotherapy solutions and small needles which make the treatment much more tolerable.