Types of Varicose Veins

Spider VeinsSpider Veins are signs of venous insufficiency in superficial veins located just under the skin. They are groups of tiny blood vessels that resemble spider webs or tree branches. Spider veins may appear red, purple or blue in color. Diagnosis of spider veins may include a visual exam and ultrasound (duplex) of the veins. Treatment options are conservative treatment, sclerotherapy, dermal laser or a combination of treatments. Some insurance policies consider treatment for spider veins cosmetic.

Varicose VeinsVaricose Veins are superficial veins that have become large, ropey or bulge in appearance. They may stand out visually from the skin and appear to turn or twist. The veins can be a combination of red, purple or blue in color. Diagnosis of varicose veins includes your symptoms, visual exam and ultrasound. Treatment may include one or more of the following options: conservative treatment (compression hose), dermal laser, sclerotherapy, radiofrequency ablation, miniphlebectomy and high ligation.
Perforator VeinsPerforator Veins communicate between superficial veins (spider and varicose veins) and the deep venous system. These are identified by ultrasound. Treatment may include ultrasound guided sclerotherapy and/or radiofrequency ablation.

Chronic Venous InufficiencyChronic Venous Insufficiency (CVI) is a condition that occurs when damaged valves within the vein fail to close properly. The incompetent valves allow blood to backflow into the vein causing increase pressure on the vein walls and surrounding tissue. The extra pressure may cause leg swelling or fluid that leaks into the tissues. The symptoms increase as the disease progresses. The skin may be dry, itchy or become thickened. Hyperpigmentation (discoloration) may occur turning the skin red, brown or purple. When left untreated the skin breaks down and an ulcer forms. The ulcer may have an odor and have yellow or green drainage. Venous stasis ulcers are usually slow to heal and may return if the underlying disease is not treated. Treatments include a combination of radiofrequency ablation, sclerotherapy and compression.