Varicose and Spider Vein Treatment

Vein disorders can be more than unsightly. They can be a sign of a serious condition. The OHSU Vascular Surgery team can diagnose your condition and then treat the disorder with several approaches.

Varicose veins are swollen, twisted veins that you can see just under the surface of the skin. These veins usually occur in the legs, but they also can form in other parts of the body.

Varicose veins are a common condition. They usually cause few signs and symptoms. Sometimes varicose veins cause mild to moderate pain, blood clots, skin ulcers (sores), or other problems.

Varicose veins usually don't cause medical problems. If they do, your doctor may simply suggest making lifestyle changes.

Sometimes varicose veins cause pain, blood clots, skin ulcers, or other problems. If this happens, your doctor may recommend one or more medical procedures. Some people choose to have these procedures to improve the way their veins look or to relieve pain.

(Content adapted from the National Institutes of Health.)

The following non-invasive (non-surgical) treatments for varicose veins are available. You will receive local anesthesia to numb your leg. You will be awake, but will not feel pain.

Sclerotherapy

Sclerotherapy is the most common treatment for both spider and varicose veins. This procedure involves a saline or chemical solution that is injected into the varicose veins that causes them to harden so that they no longer fill with blood. Blood that would normally return to the heart through these veins returns to the heart by way of other veins. The veins that received the injection will eventually shrivel and disappear. The scar tissue is absorbed by the body.

Laser treatment

Laser treatment is a type of treatment for varicose veins. Until recently, laser treatment was mainly used for treatment of spider veins on the face. However, newer laser technology can now effectively treat varicose veins as well. There are several types of lasers that may be used to treat varicose veins. The physician inserts a tiny fiber into a varicose vein through a catheter. The fiber sends out laser energy that destroys the diseased portion of your varicose vein. The vein closes and your body eventually absorbs it.

Radiofrequency ablation

Ablation involves the insertion of a thin, flexible tube called a catheter inserted into a varicose vein. The tip of the catheter heats the walls of the varicose vein and destroys the vein tissue. Once destroyed, the vein is no longer able to carry blood and is absorbed by your body.