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What can help spider veins?

This question was asked in Livingston, Tennessee and has 8 answer(s) as of 08/12/2013.
I have spider veins and I am wanting them gone, they are embarrassing. What procedures can I have done and how much does procedures cost?


Doctors Answers (8)

The best way to treat spider veins is to treat any underlying veins that could be causing the spider veins. Once your deeper veins have been treated, we will inject your spider veins with a liquid solution that will cause the veins to go away over a few weeks. The cost of treatment depends on the amount of veins as well as the need for treating any deeper veins. Most health insurances will cover the evaluation and treatment of your deeper veins and possibly your spider veins. The best thing for you to do is make an appointment in our office to be evaluated.

There are two methods of spider vein treatment. If you have a lot of spider veins, or have any bothersome leg symptoms, it would be wise if you had an ultrasound examination first. This checks to see if you have venous insufficiency, which can cause spider veins. If you do have significant venous insufficiency, then get this treated first, before your spider vein treatment. The most common method of spider vein treatment is sclerotherapy. This involves injecting the spider veins with a medicine to close the veins down; over time, the body absorbs them and they fade away. A tiny needle is used so it is not painful. Frequently spider veins need more than one sclerotherapy session, and it takes several months to see the full effect. The second method is surface laser therapy (or intense pulsed light). A powerful light beam is used on the spider veins to close them down. The light waves are absorbed by the red/blue pigment in the blood and closes the veins; the body then absorbs the veins over time and they fade away. Wearing compression stockings at work and while traveling will help minimize the development of new spider veins.

These can be treated. You must first start with a complete venous evaluation. Often spider veins are a early sign of more significant venous problems. If you're insured, most insurance pay for symptomatic venous problems. You can visit our website or you can call for an appointment and I will evaluate your veins.

Firstly you should be evaluated to see the extent of the veins. If they are "feeding" reticular veins below the surface, they should also be part of the treatment or the spider veins may not fade. We typically tailor our treatments to the patient's needs. We may do a combination of topical laser/surface sclerotherapy then inject the larger veins below. We do use compression hose for 7 days. It typically takes a series of treatments and these vary from person to person, skin type, extent of veins and size of veins. The average is 3-5 for 70-80% clearing. Cost of treatments also varies from provider to provider, extent of veins and your particular response which is not predictable.

Sclerotherapy is the "Gold Standard" for spider vein treatment of the legs although lasers may be a good choice for very fine veins on light skinned individuals. The cost of a session of sclerotherapy is $450 and you may need more or less than a full session depending on the extent of your veins. The majority of patients receive 1-2 sessions for their vein treatment, with one visit the most common.

If there is no swelling, pain, or tenderness, spider veins often are best treated with liquid sclerotherapy. The cost depends upon the number and size of veins to be treated and every patient is different. Treatment may cost as little as a few hundred dollars, but patients with many problem veins will cost more.

Spider veins are typically managed by injection ( aka sclerotherapy) or laser. The Iowa Vein Clinic has found injection to have the highest patient satisfaction, by far. We would be pleased to see you in consultation.

Spider veins can be treated by laser therapy, sclerotherapy, or thermolysis (VeinGogh) procedure. This treatment is considered cosmetic by health insurance companies. The individual undergoing treatment would be expected to pay for the treatment. The cost is usually based on an amount of time to treat the veins in question. Generally a session is 15 to 20 minutes in length. The number of sessions depends on the extent of spider veins. The exact cost requires evaluation by a vein specialist in order to get an idea of your treatment needs.

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