Is There a Treatment for Bunch of Veins on the Foot?

Doctor Answers 6

VNUS Closure or EVLT for venus reflux, lasers for the corona

A fan-shaped pattern of small intradermal veins on the medial (inside) or lateral (outside) aspect of the ankle and foot is called corona phlebectatica, or corona phlebectasia. Corona implies that they "crown" the ankle.

Corona phlebectasia is thought to be an early sign af advanced venous reflux disease. This reflux typically originates at the saphenofemoral junction with venous blood refluxing into the great saphenous vein. Less commonly, saphenopopliteal reflux into the lesser (short) saphenous vein is the underlying cause of corona phlebectatsia.

Other names for corona phlebectasia include "malleolar flare" and "ankle flare". Once the venous reflux is treated with VNUS Closure or EVLT, then the corona is treated with lasers, and rarely sclerotherapy.

Buffalo Phlebologist
4.8 out of 5 stars 41 reviews

Excellent question.

This area of the body is notoriously difficult to treat with either superficial lasers or sclerotherapy although the latter would be a lot less painful and less likely to result in brown pigmentation and scarring.

You probably need an assessment for your whole venous system first.  Then the MD will decide on what larger veins need to be treated and then you can focus on those not-so-nice ones around the ankle.  Sclerotherapy is still the gold standard but should be approached with caution.


Craig Crippen, MD
Kelowna Physician

Spider veins and varicose veins on the foot

A large network of spider and varicose veins on the foot is often referred to as corona phlebectatica. This may occur from genetic influences, hormones, environmental and occupational factors, and most importantly, ambulatory venous hypertension. Treatment should address the underlying cause of the distal extremity veins, rather than the spider veins themselves.

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Yes but make sure you consult a specialist

First of all, you would need to schedule an appointment with a vascular specialist.

During the first consultation, an ultrasound should be done to eliminate any problems with the main vein. Knowing that there is a healthy blood flow in your leg, the surgeon may suggest the sclerotherapy treatment - a series of injections of the solution to close off and shrink the diseased veins.

For large varicosities, ultrasound is often used to guide the injections into underlying vessels not seen on the surface of the skin. This delivers medication into a precise location safely and accurately to achieve superior long-lasting results.

In case there is a problem with the main vein, the laser surgery (EVLT) should be done first. Endovascular laser therapy (EVLT) is the most effective and least invasive procedure to treat many symptoms.

Ambulatory phlebectomy is also known as a successful treatment for varicose veins of the foot. Under local anesthesia, the diseased veins are delicately extracted using specially designed hooks. The incisions are truly stab wounds and are so small, no stitches are required and there is virtually no scarring.

With any alarming symptoms, it is always important to seek a medical advice and get help.

Gregory Turowski, MD, PhD, FACS
Chicago Plastic Surgeon
4.5 out of 5 stars 58 reviews

Treatment for veins on foot

Veins on the foot that are bothersome sometimes cna be treated. If you are specificlaly talking about small spider type veins, then there are an assortment of lasers than can treat this very easily.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Veins on foot

This can be signs of more serious venous disease higher up on the leg.

Just like a drip from your sealing may mean there is a pipe leaking somewhere, you need to identify and seal the leak in oder to stop the drip.

In venous disease this is often performed with an ultrasound machine. Once the proper diagnosis and source is made then the appropriate treatment can be initiated.

Ask your internist for a referral to a physician specializing in treatment of venous disease.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.