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Leg Veins: Why They Appear & How Vein MD Phlebologists Treat Them

December 3, 2021 • • Vein DoctorVein Treatment

The appearance of unsightly veins can be concerning for many people. Twisting veins near the skin’s surface can be visually unappealing and sometimes that can be painful, as well. There are different types of leg veins. For many patients, this can be a simple cosmetic issue. For others, there might be more serious problems with the blood vessels. Having a bloodclot in your leg, for instance, is extremely serious and should be treated immediately. Spider veins are often something that cause no physical harm but might be unsightly. There are several ways to treat them, depending on the type of leg veins you have. Here, we’d like to discuss the different diagnoses and ways to treat issues.

How Vein Doctors (Phlebologists) Diagnose Leg Veins

There are several types of leg veins and your doctor will determine the best treatment options based on the type of vein issues you have. Here are some of the most common and their causes.

What Causes Varicose Veins?

Vericose are veins close to the surface of your skin that become twisted and are visible. These are often more cosmetic concerns than health concerns. For some patients, there will be no pain at all. They simply don’t like the look, which can be a wide network of noticeable blue or dark colored veins in the skin. Vericose veins are common in the legs. You might be more susceptible to varicose veins if family members have them. Standing for long hours can also be a factor in the cause of vericose veins. Some patients will not feel them at all, but others will experience some discomfort, such as throbbing and swelling in the area.

What Causes Spider Veins?

Spider veins are a form of vericose vein. They’re called spider veins because they’re often fainter, lighter, and less noticeable. These veins may appear blue or red and close to the skin’s surface. They are also caused by standing for long hours and are hereditary.

What Causes DVT?

Deep Vein Thrombosis (DVT) is a serious condition. It’s caused by a blood clot in a deep vein, thus the name. Symptoms include swelling and pain. DVT can be caused by injury, infection, or trauma. Other risk factors can include pregnancy, certain surgery or therapies, and lack of mobility.

Vein Treatment Options

There are several vein treatment options that your physician might choose. Here are a few:


Closurefast is an outpatient procedure that’s minimally invasive. The doctor uses an ultrasound to position a catheter that shrinks and seals the vein. Patients often feel no discomfort with this procedure.


With VenaSeal, the adhesive is placed within the vein to seal it. It’s minimally invasive and most patients find the procedure easy to go through.

Ultrasound Guided Foam Sclerotherapy

This procedure uses an ultrasound to guide the physician as they inject foam into the veins to close them. It’s also minimally invasive with a quick recovery time.

Laser Ablation

With laser ablation, a laser is used to close the vein so that blood will flow through other healthy veins.

Ambulatory Phlebectomy

An ambulatory phlebectomy is when they remove the veins surgically. This might be recommended if the veins are particularly large and close to the surface of the skin.

Compression Stockings

Compression stockings can be used to relieve the pain from varicose veins. These specially made stockings improve circulation and are also recommended to diminish chances of blood clots after surgery.

Blood Thinners (for DVT)

Blood thinners may be recommended to prevent blood clots or keep new blood clots from forming.

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