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Jeffery P. Schoonover, MD

Spider Vein Treatment Options


The gold standard for spider and reticular vein treatment remains to be surface sclerotherapy. A very fine needle is used to inject a solution (sclerosant) directly into the veins. This solution causes the lining of the veins to swell and eventually seal off the blood vessel, preventing blood flow. Each vein may require more than one injection. Some results may be seen immediately; some results may take weeks or even months.

Spider veins and reticular veins can be treated with sclerotherapy. In this office procedure, a tiny needle injects a special chemical medication to seal off damaged veins, detouring the blood to other veins nearby. In response, the veins collapse and are reabsorbed by the body, making the surface veins no longer visible. Sclerotherapy relieves symptoms due to varicose veins and spider veins in most patients. You may need anywhere from one to several sclerotherapy sessions for any veins region depending upon the type and number of veins being treated.


We use Sotradecol for our Sclerotherapy sessions and follow the accepted guidelines for dosage and administration.

Compression Stockings

Following surface sclerotherapy for your spider veins, the leg must be supported to allow the vein walls to stick together. This is accomplished by using compression bandages or graduated support stockings. Newer stocking designs have greatly improved the comfort associated with their use.CompressionStockings

For more information check the frequently asked questions below or contact us for a free consultation:


What are spider veins?

Spider veins, are dilated vessels that form just under the skin and result in red, blue or purple clusters of veins visible on the skin’s surface. Besides the appearance of the veins, other symptoms may include skin redness;В  a firm, tender and warm vein; and for some patients, pain and swelling.

What causes spider veins?

Spider veins can be caused by pregnancy, heredity, weight gain and standing or sitting for long periods of time. These are the same things that cause varicose veins.

Why do spider veins seem to creep up in the winter?

Spider veins don’t actually increase during the winter but at the beginning of summer, our tans have faded so the spider veins may be more obvious. Once we get into our summer clothes and begin wearing shorts, capris or swim suits, we become more aware of them. Many women are not comfortable with the cosmetic appearance of their spider veins and will continue to wear long pants in the summer.

Are all the veins I see on my legs spider veins?

Not necessarily. Some of your visible veins may be larger size reticular or even varicose veins. Each of our patients receives a screening ultrasound prior to treatment so that we can determine exactly what venous problems exist and develop an appropriate treatment plan. You may call our office to schedule a consultation to learn if you have spider veins and the right treatment for you.

What is the treatment for spider veins?

Depending upon the severity, walking, anti-inflammatory medications and cold compresses may be recommended. Most patients will benefit from wearing prescription strength compression stockings. However, in most cases, sclerotherapy is the best treatment to eliminate the veins.

What is sclerotherapy?

Sclerotherapy is a simple treatment that involves using a tiny needle to inject medicine into the veins, which causes them to collapse and disappear.

Is this a one-time treatment?

The number of treatments needed will vary depending upon the patient and the severity of the spider veins. Most of the veins will disappear during the first treatment and will continue to improve over time but additional treatments may be needed.

Do I have to take time off work to have sclerotherapy?

The good news is that most patients are able to return to their normal activities immediately. We do recommend that you wear prescription strength compression stockings for several days after treatment. Those stockings are custom-fitted and available through our office.


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