Spider veins are small groups of tiny blood vessels just under the skin surface that frequently resemble spider webs or tree branches. They are usually red, blue, or purple and are clearly visible, appearing on the thighs, lower legs, and face.

Sclerotherapy is the golden standard in treating small varicose veins and large telantiectasia (spider veins) in the Minneapolis and St. Paul areas. The sclerosant, such as Sotradecol is injected into the veins using tiny needles. The sclerosant then irritates the inner lining of the vein, resulting in vein closure. The vein stops carrying blood and disappears with time. Most patients in Minnesota who have sclerotherapy performed have satisfying results and little discomfort. If varicose veins and reticular veins are present, they must be treated prior to any treatment of the spider veins because large veins play the role of feeding blood to spider veins. Otherwise, the recurrent rate will be much higher.

Sclerotherapy is a safe procedure if it is performed with caution. It should use a small volume with a very low concentration of sclerosant to avoid complications. There are remote systemic risks of DVT, pulmonary embolism, and stroke if injecting large volume or high concentration of sclerosant. Other side effects related to sclerotherapy include staining, shadowing, matting and ulceration.

Fine telangiectasia (spider veins) is often treated with a laser. Laser procedures deliver heat through the surface of the skin to the vein, sealing the vein walls. Side effects of laser treatments include redness/swelling and discoloration of the skin, which disappear within a few weeks.

Depending on the severity of the vein condition, 2 to 4 treatments with sclerotherapy and/or laser treatment may be needed. Each treatment lasts about 15 to 20 minutes.