Varicose and Spider Veins

Varicose and spider veins can make you feel self-conscious, but they may be more of a concern than just a cosmetic one. Varicose veins can also signal a health problem. If not properly diagnosed and treated, spa-stripped veins can return or even worsen. Our vein care services are staffed by board-certified surgeons and trained specialists. We'll diagnose why they're developing, for treatment that works.

Varicose and spider veins can be caused by pregnancy, heredity or a medical condition. Spider veins can appear as bursts of red or blue veins. Varicose veins visibly bulge under the skin as weak spots pool blood and stretch. They may be painless, but as they progress they can cause heaviness and pain in the calves.

Treatments for Varicose and Spider Veins

At the Spectrum Health Vein Center, healthy legs are just a step away. We are dedicated to the diagnosis and treatment of your vein health. We specialize in varicose veins, spider veins, and circulatory or vein-related conditions. We are a collaborative, one-stop practice. In a single location, we offer consultations and treatments, imaging services, and a full catalog of compression stockings. Let us work with you to create a plan to help reduce or eliminate your unsightly veins and pain while improving the health, comfort and appearance of your legs. 

We are the first center of our kind in West Michigan to be accredited by the Intersocietal Accreditation Commission (IAC) Vein Center Program. Accreditation by the IAC indicates a dedication to achieving the highest standards in patient care and an unmatched commitment to quality health care.

Compression Stockings
Medical-grade compression stockings ensure proper circulation in the leg, which can help varicose veins heal. 

Phlebectomy
This non–invasive procedure is done by making several small cuts in the skin, allowing the varicose vein to be easily removed.

Radiofrequency Ablation
This minimally-invasive procedure uses radio waves to heat and destroy the tissue surrounding the area of the vein.

Sclerotherapy
An injection into the veins that causes the blood to clot and scars the inside wall of the vein. The injected vein closes and fades from visibility.

Radio Frequency Energy Therapy
Also called Venefit(TM) Targeted Endovenous therapy, this minimally-invasive treatment uses radio frequency energy. The waves contract collagen in the vein walls, causing them to collapse and close. Blood then reroutes through healthy veins.

VenaSeal™ Closure System
A minimally invasive procedure designed to close a diseased vein. 

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What Are Varicose Veins?

Blood travels in vessels called arteries and veins. Arteries take blood with oxygen and nutrients away from the heart to body cells. Veins carry blood back to the heart after cells get the oxygen and nutrients. Varicose veins are enlarged, twisted-looking veins that lie close to the skin’s surface. They occur most often in the legs. Leg muscles help support veins and push blood up toward the heart. Valves in veins help stop blood from falling down or pooling in the legs.

For many people, varicose veins are mostly a cosmetic problem. For others, they cause symptoms and more serious problems, such as blood clots, skin ulcers, or blood circulation disorders.

What Causes Varicose Veins?

The cause is weakening or failure of valves in veins to stop blood from pooling in the legs. They aren’t contagious or inherited but do run in families. They’re more common in older people, women, overweight people, and people who stand in one place for long periods.

What Are the Symptoms of Varicose Veins?

Symptoms include legs that ache or feel heavy, especially after standing or sitting for long periods. Others are bulging, bluish veins along the thigh or ankles or across the knees; swelling; and dry, itchy skin. Skin color changes, thin skin, ulcers, and infection of soft tissue (cellulitis) can occur near the ankles.

How Are Varicose Veins Diagnosed?

The health care provider makes a diagnosis from a leg examination and symptoms. If a blood clot is suspected, the health care provider may order ultrasonography to look for the clot.

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How Are Varicose Veins Treated?

Treatment includes staying off your feet as much as possible, wearing elastic support stockings, having sclerotherapy, and having surgery. For people without symptoms and no ulcers or skin breakdown, observation, exercise, losing weight, raising the legs, and elastic stockings are used. Stockings can be knee-high, thigh-high, or pantyhose length and should cover the veins.

In sclerotherapy, the doctor injects sclerosing solutions or a sclerosing foam into a small dilated vein that’s causing symptoms. The solutions make the veins collapse and scar.

Surgery is usually used if other treatments don’t help symptoms; if ulcers, leg swelling, skin breakdown, and leg clots occur; and if people have cosmetic concerns. The most common surgery is called ligation (tying) and stripping. A certain large vein is tied and pulled out of the leg. Many smaller varicose veins are branches of this large vein. The smaller veins are injected with sclerosing solution. The leg is then wrapped with elastic bandages.

Endovenous laser ablation (EVLA) involves targeting the vein walls internally with a laser beam to shrink them.

DOs and DON’Ts in Managing Varicose Veins:
  • DO exercise (walk) regularly and lose weight.
  • DO raise your legs, and avoid standing in one place for long periods.
  • DO wear compression stockings daily for them to work properly.
  • DO call your health care provider if your varicose veins cause pain, you have skin breakdown or ulcers, or you’re bleeding from a varicose vein.
  • DO call your health care provider if you have a tender, hot lump near a varicose vein. It can be a dangerous blood clot (thrombophlebitis).
  • DON’T stand or sit for long periods; this helps prevent blood from pooling in the legs.
FOR MORE INFORMATION

Contact the following sources:

  • American College of Phlebology
    Tel: (510) 346-6800, (866) 634-8346
    Website: http://www.phlebology.org
  • The American Society for Dermatologic Surgery (ASDS)
    Tel: (800) 441-2737
    Website: http://www.asds-net.org

Copyright © 2016 by Saunders, an imprint of Elsevier, Inc.

Ferri’s Netter Patient Advisor