Varicose veins easier to treat than you think. They are twisted and enlarged veins you can see near the surface of your skin which can be tiny or bulging, painless or throbbing. They are most common in the legs. Nearly half of us can expect to get spider or varicose veins, especially after age 50.\nSymptoms of Varicose and Spider Veins\nSome people do not have any symptoms in their legs. Others may have heaviness, burning, aching or tiredness. \nWhat New Treatments for Spider and Varicose Veins are Available?\n\u201cThe good news is that many techniques now make vein treatments more safe, comfortable, and effective,\u201d says Ellen Dillavou, MD, head, Venous Services, UPMC Heart and Vascular Institute.\n\nInjections: Among the newest treatments for spider veins is a polidocanol injection. \u201cIt\u2019s a cosmetic procedure that helps collapse surface veins,\u201d says Dr. Dillavou. \u201cSpider veins do reoccur, though, so expect to do \u2018touch ups\u2019 periodically.\u201d Injections also are used for larger veins and may replace older procedures like a \u201cvein stripping.\u201d\nRadiofrequency ablation: a minimally invasive procedure in which radiofrequency energy seals the vein closed) is a popular treatment among her patients, says Dr. Dillavou, \u201cbecause it\u2019s comfortable and effective.\u201d\n\nAre Varicose Veins Dangerous?\n\u201cVaricose and spider veins typically don\u2019t pose a health risk, but they may be signs of a deeper vein problem, such as chronic venous insufficiency (CVI),\u201d says Dr. Dillavou. \u201cIt\u2019s a visual cue that blood may not be flowing well from the legs to the heart.\u201d\nIn more advanced cases of CVI, skin changes and ulcers can develop. \u201cWhen these problems occur, they become more difficult to treat, so it\u2019s important to always share your symptoms with your doctor,\u201d says Dr. Dillavou.\nVaricose veins are treated by Dr. Dillavou and other vascular specialists at Vein Centers in the Pittsburgh area, including the newest location at UPMC Passavant.