Understanding the spiders in your legs

ADVANCED_VEIN_Daily_PostingBlood flows through abnormal, incompetent veins sluggishly and under abnormally high pressure. This is an unhealthy, abnormal state. Not only can this condition produce pain, swelling and the various other symptoms, it also increases the risk of phlebitis and blood clots.

When we destroy abnormal veins, the flow of blood is redirected through tributary veins to nearby healthy veins that have properly functioning valves. Unlike the sluggish, high-pressure flow of blood through abnormal veins, the blood through healthy veins flows briskly and efficiently upward through your legs and back to your heart.

You actually have many more veins in your legs than your need. Getting rid of defective ones improves circulation and health. This is why you will often experience relief of discomfort and other symptoms after treatment, and your legs will feel fresher and lighter.

Why feeding green veins is not good for spider veins

ADVANCED_VEIN_Daily_PostingThe best way- in fact, the only effective way- to get rid of spider veins is to close the feeding green veins. It’s even more important to treat the feeding green veins that it is to treat the spider veins themselves.  But a decade ago, most physicians didn’t know this. If they had,  they couldn’t have done much about it anyway, because the medical techniques at that point simply weren’t up to the task.  Hypertonic saline injections and spider vein laser therapies are just “surface treatments” that ignore the underlying disease process.  So, until fairly recently physicians treated spider veins while ignoring the underlying feeding green veins. No wonder the results were limited and transitory! In gardening analogy, it’s like cutting off the weeds and leaving the roots behind. Fortunately, that has all changed. There are now excellent methods for treating feeding green veins. And to add to the good news, doctors are now able to automatically close incompetent perforator veins by simply treating the adjoining feeding green veins. However, very large incompetent perforator veins may need additional treatment.


Spider veins, like all chronic venous insufficiency problems, are caused by leaky valves in the veins of the leg that allow blood to fall sluggishly downward, instead of briskly flowing upward as it should. During prolonged periods of sitting or standing, the pooling blood accumulates under increasing pressure below the leaky valves, causing the vein to become inflamed and dilated.

But spider veins themselves are just the tip of the iceberg. Two even bigger culprits lurk beneath the skin’s surface. One of these villains goes by the name of “incompetent reticular vein.”

That’s the standard medical term for a larger vein that lies just below the surface of the skin. Many doctors refer to them as feeding green veins. That’s because in fair-skinned patients they’re greenish-blue in color and they “feed” blood at excessive pressures into clusters of spider veins. Other physicians refer to them as blue-green veins or root vein (every villain must have an alias).

The other culprit is the incompetent perforator vein. Perforator veins are short connecting blood vessels that carry blood from your superficial vein system inward to your deep vein system. Your deep veins then transport the blood briskly up your legs and back into your heart and lungs for replenishment with oxygen.

A valve with each perforator vein allows blood to flow in only one direction: from the superficial veins to the deep veins. But if this valve becomes defective and leaks (i.e. the perforator vein becomes incompetent), blood begins to flow backwards from the deep veins to the superficial veins.

Blood flowing in the wrong direction through feeding green veins and incompetent perforator veins creates pressure on the superficial vein system immediately beneath the skin. According to one theory, spider veins form at the surface of the skin when the body attempts to alleviate this pressure.



How those spider veins got on your legs.

Spider veins are the tiny veins- usually purple, red, or blue in color- that sometimes appear in superficial layer of the skin (the epidermis). As the name implies, the individual veins emanating out from a central cluster can resemble the legs of a spider.

Spider veins eventually present themselves in approximately 70 percent of adult females, and a smaller percentage of males. Many people view them as simply a cosmetic problem. But in about two-thirds of the cases, spider veins are responsible for some degree of medical discomfort or disability.

The most common symptoms associated with spider veins are pain, burning, heaviness, itching, stinging, swelling, restlessness, and fatigue in the legs. People with spider veins also run a somewhat higher risk of suffering from superficial thrombophlebitis in their legs over the course of their lifetime. Therefore, the majority of spider vein treatments address both medical and cosmetic concerns.

Many patients seek spider vein treatments strictly for cosmetic reasons. After treatment, however, they are often amazed at how much lighter, fresher and more energetic their legs feel. They are surprised to learn that the chronic heaviness and fatigue in their legs that they had unconsciously lived with for so long was in fact abnormal and not a necessary result of the aging process.

Smoking contributes to vein problems

smokingSmoking and the use of nicotine products are weak risk factors for developing chronic venous insufficiency (CVI). However, it is well established that smoking impairs circulation and can cause coronary disease, heart attacks, strokes, atherosclerosis (hardening of the arteries), and cancer. Smoking can cause peripheral arterial disease (PAD), also known as peripheral vascular disease (PVD). PAD has similar symptoms to CVI – leg pains, skin problems, and poor wound healing – but the two conditions are actually very different.