Medical Issue

Varicose and Spider Veins

Varicose Veins

Varicose veins are enlarged, distorted veins that usually appear as enlarged areas on legs. It is estimated that nearly 25 percent of adults have varicose veins. Spider veins are a more cosmetic issue, with veins closer to the surface of the skin. Women are more likely than men to have this problem.


For most people, varicose veins are primarily a cosmetic issue; however, some varicose veins can be painful. The veins are usually blue or purple and can appear as twisted bulges under the skin. Varicose veins are different from spider veins which are smaller, closer to the surface, and are sometimes red. Some varicose vein patients may experience bleeding from the varicose veins or have ulcers in nearby skin.

Risk Factors

Women over 50 or who are pregnant are more likely to have varicose veins than men. People who are obese, who stand for long periods of time, or who have a family history are also likely to have varicose veins.


The primary cause of varicose veins is blood pooling in the vein instead of being recirculated to the heart, the result of vein valve weakness. This can cause the vein to swell and to coil. The possibility of varicose veins increases with age or pregnancy.


There is no cure for varicose veins but several treatment options exist. Exercising, losing weight, not wearing tight clothes, and avoiding long periods of standing or sitting can ease pain and may prevent varicose veins from getting worse. Wearing compression stockings compresses the leg and allows the blood vessels to work more effectively.

Additional treatment options include:

  • Sclerotherapy and foam sclerotherapy, which involves injecting the veins with materials that cause them to scar and effectively closes them, reducing the size and appearance of the varicose vein
  • Laser and radiofrequency surgery
  • Vein stripping – Removing the vein through a series of small cuts. (Other veins can handle the blood flow requirement)
  • Other vein surgery options including an ambulatory phlebectomy (small cuts to remove the vein), or endoscopic vein surgery

The Concierge Podiatry Advantage

At Concierge our goal is healthier feet and legs, now including a new service for healthier, more beautiful legs. Our vein restoration service eliminates spider veins and reduces varicose veins to bring back the legs you remember. If you are developing spider veins or varicose veins, we can help. Dr. Saif Siddiqi, a Harvard trained physician specializing in interventional radiology, identifies specific issues and develops a program that treats not only visible spider or varicose veins, but deeper veins that lead to the condition.

At Concierge, each of our treatments is designed for patient comfort. We offer an optional comfort option for patient vein treatment, nitrous oxide (usually available only in dental offices) to further reduce discomfort.

For more information:

  • Contact Concierge Podiatry for an appointment
  • Learn more about treatment options often used to treat this issue