Our veins have special one-way valves that ensure blood flows in the right direction — back to the heart. These valves open to let blood in and close to prevent it from flowing backward.
However, if the walls of the veins become weak or the valves malfunction, blood may start to pool. This pooling can cause veins to become swollen and twisted, which we see as varicose veins.
Spider veins are smaller, red-blue networks that appear near the skin’s surface, often in a web-like pattern.
Around 40 million Americans have varicose veins, and many more will develop spider veins at some stage. Although they may look different, both conditions share some common causes, as our Vascular Surgery Associates, LLC experts explain.
Age is one of the most significant factors contributing to varicose and spider veins. As we grow older, the vein walls lose elasticity and become stiffer. This gradual loss of strength makes it harder for the valves to close properly, meaning blood can flow backward to pool in the veins.
The older you become, the more likely you have spider and/or varicose veins. The natural aging process wears out the supportive structure of our veins over time.
Hormonal shifts, particularly in women, can cause the walls of the veins to stretch out. Changes in progesterone and estrogen hormone levels in pregnancy, menopause, or when using hormonal methods of birth control can lead to veins that are more relaxed and dilated.
This increased relaxation can cause the valves to function less efficiently, leading to the development of varicose veins. Pregnancy is particularly notable; hormonal changes affect vein tone and increased body fluid and pressure from a growing baby add extra strain on the veins.
Genetics can powerfully influence whether you get varicose or spider veins. If one of your parents or other close relatives has these conditions, you are more likely to develop them, and both parents having varicose veins increases your risk.
Our daily habits can significantly impact our vein health. For example, prolonged periods of standing or sitting can slow blood circulation, making it easier for blood to pool in the legs.
This issue is why people with desk jobs or jobs requiring long hours of standing have a higher risk of developing varicose veins. Additionally, smoking can impair circulation, while excess body weight exerts extra pressure on blood vessels, further weakening the vein walls.
These factors combined contribute to the likelihood of developing varicose and spider veins.
Knowing how to distinguish between these two types of vein problems is essential because while spider veins are typically just an aesthetic concern, varicose veins could indicate an underlying circulatory problem that requires treatment.
Spider veins are typically small, faint, and appear flush with the skin. They often look red and form branching patterns, most commonly on the face or legs. Varicose veins, however, are usually deep and more pronounced. They appear larger, bulge outward, and often have a twisting look with a bluish or purplish hue.
Unlike spider veins, varicose veins can be painful and may cause a cramping or aching sensation, especially after long periods of sitting or standing.
Simple home remedies like regular exercise, leg elevation, and wearing compression socks can help boost circulation and reduce discomfort.
In cases where these changes aren’t enough, we offer advanced treatments such as sclerotherapy, ClosureFast™ radiofrequency ablation, Varithena™ Microfoam, and the VenaSeal™ Closure System to remove or close off the problematic veins.
Seeking advice on spider and varicose veins today can lead to a more comfortable tomorrow. Stay active, be mindful of your lifestyle, and don’t hesitate to talk to us if you notice any changes in your vein health. Call your nearest Vascular Surgery Associates, LLC office in Maryland or Delaware, or book an appointment online.
