Vein Disease

It is estimated that 72% of women and 42% of men will experience varicose veins by the time they are in their 60's. More patients have difficulties with vein disease (blood vessels directing blood back to the heart) than with arterial disease (blood vessels directing blood away from heart). Vein disease can range from large painful symptomatic varicose veins to unsightly spider veins. Both can be caused by venous insufficiency or incompetent vein valves.

Though many patients think of vein problems as being strictly cosmetic in nature, many vein ailments do actually cause significant symptoms such as leg pain, aching and tired legs, as well as swollen legs. Spider veins themselves may be secondary to venous insufficiency which, left untreated, may lead to the development of more spiders veins despite previous therapy. It is important to properly diagnose the cause and source of both varicose veins and spider veins.

Varicose Veins

Varicose Veins Varicose veins are bulging, dilated veins, usually of the legs, which may cause achy, throbbing pain, fatigue and leg tiredness, swelling, dark pigmentation around the ankles, bleeding from dilated veins, and even ulcers which are difficult to heal. Predisposing factors for the development of varicose veins include heredity, a standing profession, obesity, previous leg injury, and multiple pregnancies. They are caused by an abnormality of the vein wall and valves within the vein whereby the valves become incompetent (venous insufficiency) and increased pressure builds up in the veins causing them to become enlarged and squiggly or serpentine (snake-like) in nature. The stretching or distention of the vein wall is often reponsible for the symptoms noted above.

Venous Reflux

Spider Veins

Spider veins are superficial little blue veins that are typically located around the ankles, behind the knee, along the outer thigh, and along the inner aspect of the lower leg. These tiny veins are very common and women despise them cosmetically. They may or may not be secondary to venous insufficiency and can be easily treated.

spider vien

Reticular Veins

These small veins are located slightly deeper than spider veins and are often darker blue. They may cause pain and are often the source of spider veins. Treatment of reticular veins may help clear adjacent spider veins fed by those same reticular veins.

reticular vien


Rosacea is a chronic inflammatory skin condition affecting adults. It tends to be progresive. With progression, vascular rosacea may develop where small spider veins (telangiectasias) become prominent over the nose and cheeks. Rosacea can be effectively treated with micro-thermocoagulation therapy.


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