varicose veins are large, raised, swollen blood vessels that twist and turn. they usually develop in the legs and can be seen through the skin.
spider veins are smaller, red, purple, and blue vessels that also twist and turn.
spider veins are easily visible through the skin, as well. they are typically visible on the legs and face.
a number of factors predispose a person to varicose veins and
spider veins. these include:
● heredity
● occupations that involve a lot of standing, such as nurses, hair stylists, teachers, and factory workers
● obesity
● hormonal influences of pregnancy, puberty, and menopause
● the use of birth control pills
● postmenopausal hormonal replacement
● a history of blood clots
● conditions that cause increased pressure in the abdomen, such as tumors, constipation, and externally worn garments like girdles girdles.
varicose veins and
spider veins develop more often in women than in men. they increase in frequency with age. an estimated 30% to 60% of adults have varicose veins or
spider veins.
many people with varicose veins complain of pain, described as an aching or cramping in the legs. other common symptoms include tiredness, restlessness, burning, throbbing, tingling, or heaviness in the legs. pain from these veins is usually relieved by elevating the legs or by wearing a support hose.
in women, symptoms may be worse during certain parts of the menstrual cycle or during pregnancy. less common is
swelling, ulcers and a darkening of the skin, especially in the ankle region. occasionally, varicose veins can form a painful blood clot with inflammation of the vein, a condition called thrombophlebitis.
causes
in the legs,
spider veins can occur when the valves inside the veins stop working properly.
veins carry blood back to the heart. to prevent blood from flowing backward, they contain a one-way valve that closes once the blood passes through it.
if this valve weakens or becomes damaged, the blood may struggle to flow in the correct direction, and it can begin to pool inside the vein. over time, this can cause a bulge in the vein that branches out, resulting in
spider veins.
spider veins on the face are often the result of tiny blood vessels bursting. increased pressure or sun damage can cause this to occur.
spider veins are usually small, thin lines that may be flat or only slightly raised. they are often blue, red, or purple. although they can cause some discomfort, they are painless most of the time.
varicose veins are larger and deeper than
spider veins. they may also appear lumpy or twisted and are usually flesh-colored or red.
depending on their severity, varicose veins can cause a variety of symptoms. these may include:
● pain
● itching
● bleeding
● an achy or heavy feeling in the legs
varicose veins may also increase a person’s risk of blood clots and circulation problems.
risk factors
factors that can increase a person’s risk of developing
spider veins include:
●
genetics: up to 90 percent of people with
spider veins have a family history of them.
●
pregnancy: increased blood moving through the body in addition to the extra weight of the fetus places more pressure on leg veins during pregnancy. some women notice that
spider veins disappear after pregnancy, but they can be permanent.
●
being female:
spider veins tend to affect women more often than men.
● being older:the valves in veins tend to get weaker over time. the calf muscles, which help support the veins in the legs and enable them to pump blood upward, may also lose some of their strength as a person ages.
●
being
overweight: extra body weight can place added pressure on leg veins.
●
hormones: hormonal birth control and hormonal treatments for menopause may increase the risk of
spider veins because estrogen can weaken vein valves.
● sitting or standing for extended periods:veins in the legs have to work harder to pump blood up toward the heart when a person remains in the same position for several hours at a time.
● a previous blood clot or vein damage: this can damage the valves and make them unable to work properly.
●
excess pressure in the face: this can be due to forceful coughing, sneezing, or vomiting. some women may get
spider veins on their face after pushing during childbirth.
●
sun damage: ultraviolet light from the sun can damage the skin and cause broken blood vessels or
spider veins, especially on the face.
treatment
although generally harmless,
spider veins can cause discomfort, and some people may wish to treat or remove them for cosmetic reasons.
several different treatment options are available:
compression stockings or socks
compression stockings support healthy blood flow in the legs.
wearing compression stockings or socks places pressure on the veins in the lower legs. this pressure can help improve blood flow and prevent further spider or varicose veins. compression stockings may also help relieve leg
swelling and lower the risk of blood clots in the legs. types of compression stocking include:
● support pantyhose:these provide only light pressure but are available in many stores. it is also possible to buy a range of support pantyhose online.
● gradient compression stockings and socks: these provide medium pressure around the feet, ankles, and calves. they are often available from specialist stores and pharmacies. a range of gradient compression stockings and socks is also available to purchase online.
● prescription compression stockings: these provide the most pressure to the feet and legs. they are only available on prescription and come in various sizes and strengths as well as footless varieties. prescription compression stockings are not suitable for some people, including those who have heart failure or other heart problems.
sclerotherapy and closure system
sclerotherapy involves injecting an irritant directly into the affected vein. when the walls of the vein become irritated, they stick together and keep blood from flowing into the area.
this procedure can reduce
swelling and cause the vein to shrink. over time, the
spider vein fades or vanishes. several treatments may be necessary to obtain the desired results.
similar to sclerotherapy, closure system treatment involves injecting a substance into the affected veins. this substance is sticky, and it closes the vein off from blood flow, causing the
spider vein to fade or disappear with time.
as with sclerotherapy, a person may require several treatments before they are happy with the outcome.
healthcare professionals who can perform sclerotherapy or closure system include:
● dermatologists
● vein specialists
● plastic surgeons
● cosmetic surgeons
● trained nurses
these professionals can carry out sclerotherapy or closure systems in their office as the procedure does not usually require anesthesia.
laser treatment
a healthcare professional can use a laser to treat
spider veins that are smaller than 3 millimeters and close to the surface of the skin. the laser is a strong, focused beam of light that causes the
spider vein to clot and dry up.
laser treatments are less invasive than sclerotherapy or closure systems because there is no injection.
endovenous laser therapy (evlt)
evlt is a newer procedure for the treatment of
spider veins and small varicose veins.
a healthcare professional makes a small incision in the affected vein and then inserts a laser
fiber. the laser applies heat directly to the vein and causes it to collapse. the vein may take
several months or up to a year to disappear.
evlt involves the use of local anesthesia.
prevention
certain lifestyle changes and self-care tips can help prevent new
spider veins appearing or stop existing ones from getting worse. these include:
●
wearing
sunscreen: applying
sunscreen every day can help prevent some
spider veins, particularly on the face. use sun-protective hats and clothing when outdoors for extended periods.
● maintaining a healthy weight: this helps reduce pressure on the veins and keeps blood flowing well.
●
wearing compression stockings: if
spider veins or varicose veins are a concern or run in the family, considering using compression stockings or socks.
● staying mobile:avoid sitting or standing for extended periods without taking a break. get up and walk around every 30 minutes.
●
avoiding tight clothing: clothing that is too tight around the waist, legs, or pelvis can restrict blood flow and may increase the risk of
spider veins.
● avoiding the overuse of hot tubs and saunas: excessive heat can cause veins to swell, increasing the risk of dilated and bulging veins in the legs.
● limiting alcohol consumption: drinking alcohol can cause flushing in the face and broken blood vessels in some people.
● getting regular exercise: physical activity can help improve circulation and prevent blood from pooling in the legs.
● elevating the legs: raising the legs when sitting or lying down can help prevent blood from pooling downward in the legs.
●
seeing a dermatologist: people with skin conditions that can increase the risk of
spider veins, such as
rosacea, may want to consider seeing a doctor or dermatologist to discuss treatment options.
●
using cover-up products: if the appearance of
spider veins is a concern, people can often use body or leg makeup to mask or minimize them temporarily. self-tanning products can also work for this purpose.