Heart and Vascular Health When Should I Get Spider or Varicose Vein Treatment? By Heart and Vascular Institute, October 26, 2016 With cooler temperatures on the way, you’re probably not thinking about shorts and skirts. But if you have spider veins or varicose veins, fall and winter can be good times to get treatment, depending on your needs and plans. What Are Spider and Varicose Veins? Spider and varicose veins happen when the valves in your veins do not work properly. Spider veins are a small type of varicose veins that usually appear as red or blue webs close to your skin. While they can change how your legs look, they don’t usually cause any physical symptoms. Varicose veins are large, bulging veins that can change how your legs look and feel. Some symptoms can include: Pain Itching Swelling Heaviness or tiredness in the legs Brown skin discoloration Skin ulcers, or wounds that do not heal Who Gets Spider and Varicose Veins? While they can affect anyone, they are most common in women, especially women who have had children. You may also have a higher risk of varicose veins if you: Have a family history of varicose veins Are on your feet a lot Are overweight or obese Spider and Varicose Vein Treatment Options In most cases, spider and varicose vein treatment can be done on an outpatient basis. Depending on your condition and symptoms, treatment may include: Compression stockings, which can help relieve the symptoms of varicose veins but will not treat the underlying cause Sclerotherapy, a series of injections that uses medication to safely close spider and varicose veins Endovenous ablation, a catheter-based procedure that uses heat to safely close varicose veins In severe cases, surgery may be necessary to remove varicose veins Are There Side Effects? Most spider and varicose vein treatments can be done quickly and are usually low-risk, but some patients may have side effects. Sclerotherapy can cause tenderness, redness, or hard lumps at the injection site and along the veins, as well as matting, or a small cluster of thin, red spider veins near the injection site. Endovenous ablation can cause a pulling sensation, as well as tenderness, along the vein. Surgery can cause superficial nerve damage, which causes small areas of numbness in the skin. Other side effects can include: Bruising, scabbing, leg swelling, and rarely, small ulcers Hemosiderin staining, or a light brown discoloration of the skin in the treatment area. This typically fades over time but may take several months to a year. There is a very small risk of deep vein thrombosis, a blood clot in a vein deep below your skin, with any vein treatment. When Is the Best Time to Get Treatment for Spider Veins or Varicose Veins? Depending on your symptoms and plans, your doctor may recommend treatment several months before you’ll wear clothing that shows your legs, like shorts, skirts, or dresses. For example, if you have a beach trip planned for next summer, it may be better to get treatment in the fall or winter than to wait for the spring or shortly before you leave on your vacation. In many cases, fall and winter can be good times to receive treatment, because cosmetic side effects may resolve before you’ll be back in your shorts. To learn more about the options for spider and varicose vein treatment, call the Vein Center of the UPMC Heart and Vascular Institute at 412-802-3333.