Telangectesias, or spider veins, are small thin blood vessels commonly on the legs of men and women. Spider veins are caused by a variety of factors including hereditary, pregnancy, weight gain, and excessive standing. First line treatment for spider veins is sclerotherapy. Asclera is a sclerosing agent injected into the vein causing it to collapse and be reabsorbed by the body. The legs are wrapped with a pressure bandage for 24 hours and compression stockings are recommended during waking hours for 2 weeks. Multiple treatments may be necessary for the desired result. Contraindications for sclerotherapy are a history of allergy to polidocanol, prior blood clots, or bleeding disorders. Heavy exercise, long trips, sun bathing and hot tub/saunas should be avoided for 3-5 days after treatment.
Sclerotherapy of spider veins is a cosmetic service and not covered by insurance.
For treatment of varicose veins, those larger bulging blue veins, please consult with a vascular surgeon or vein specialist.