| Venous Diseases and Methods Of Treatment - Spider Veins
Spider
veins are tiny red and blue veins that only rarely
cause discomfort but are commonly noted as a sign
of aging. As such, many people find them cosmetically
displeasing. Like many vein problems they are
commonly passed down as a genetic trait from parents
to children. Their development is promoted by
the presence of underlying varicose veins (with
higher than normal venous pressure in the legs),
as well as by minor local injuries. They are particularly
promoted by estrogen, which is why they occur
much more frequently in women than in men, especially
after pregnancy.
Treatment: Spider
veins can frequently be eliminated or improved
by the safe and simple office procedure of sclerotherapy.
This involves the injection of a sclerosing agent
directly into the vein using a tiny needle. The
solution irritates the lining of the vein and
a clot forms, causing the vein walls to stick
together. Thus, the vein does not carry blood.
There is no useful function to these veins and
therefore eliminating them will have no effect
on leg circulation. Multiple treatment sessions
may be needed depending on the size and number
of veins to be treated.
Post Treatment Care:
Following the injections in the office, the patient
is asked to wear support hose immediately and
to avoid any strenuous activities, aerobics, or
weight lifting for a 24 hour period. Bathing is
allowed the following day in the usual fashion.
Driving and work is also allowed. Support hose
should be worn until any bruising has resolved.
Side Effects:
- In some people there can
be a brownish stain in the skin along the line
where the vein used to be. This can be permanent
although most of the time it fades over a few
months.
- Mild itching in the area
of the injection for a few hours immediately
following treatment.
- A condition called telangiectatic
matting. This is the appearance of miniscule
veins in the area of the injection. This occurs
in a very small percentage of patients and generally
goes away on its own. Its cause is unknown but
is probably related to the injection itself.
- Mild pain might be noticed
but it is easily treated with Tylenol.
- Bruising does occur and
it is wise to avoid aspirin and ibuprofen for
about ten days prior to the injections and for
two to three days thereafter. It is important
to note that most insurance companies do not
cover this procedure because it is considered
a cosmetic treatment.
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