Spider veins are often confused with varicose veins.  Capillaries are the smallest blood vessels – when they become enlarged, it is known as ‘telangetasia’, or more commonly known as spider veins.  They tend to be a cosmetic issue, but may be an indicator of varicose veins forming deeper under the skin.


  • Small, short, jagged veins that appear close to the surface of the skin
  • Mild burning or tingling sensation

Spider veins can be a sign of underlying circulation issues, so more severe symptoms may include symptoms similar to varicose veins:

  • Achy, heavy legs
  • Pain while sitting or standing for long periods of time
  • Throbbing sensation


  • Spider Veins can usually be diagnosed with a physical exam, since they are located near the surface of the skin.
  • To determine the type of treatment needed, your doctor might want to view the veins while you are sitting and standing to notice any changes.
  • If you are experiencing pain (more than just slight discomfort), an ultrasound might be ordered to determine if there are more serious underlying issues.


  • Sclerotherapy
  • Vein Wave laser therapy
  • Compression hose