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  • Sclerotherapy
    Spider Vein Removal

Spider Vein Removal

A medication is injected into the diseased veins, which makes them collapse and disappear. 


What are Spider Veins?

Spider veins are similar to their "cousins," varicose veins, but they are thinner and narrower. Varicose veins can be as large as 4 to 5 millimeters in diameter, while spider veins are usually less than 1 millimeter in diameter.

They are called spider veins because the patterns of diseased veins you can see on the surface of the skin often form web-like patterns that resemble spiders' webs. They are typically red, blue, or purple in color, and they rarely protrude above the skin the way varicose veins do. They most commonly appear on the ankles and legs, although they may also appear on the arms or neck.

Although spider veins are not as large and swollen as varicose veins, they are a sign of a compromised circulatory system. Thus they can cause some of the same side effects as varicose veins. They can also be an early symptom of deeper, more serious types of vein disease.

What is Ultrasound-Guided Sclerotherapy?

At ECCO, we eliminate spider veins in Denver using an interventional radiology procedure called ultrasound-guided sclerotherapy, or UGS. This procedure is minimally invasive, and thus requires no hospitalization or general anesthesia, only a local anesthetic. You rest comfortably in our office based laboratory as the doctor inserts a tiny catheter into the diseased veins, guides it into place using ultrasound visualization, and then injects a chemical agent that causes the vein walls to collapse and close permanently.

Am I a Good Candidate for UGS?

Serving the greater Denver area in Colorado, ECCO is led by two nationally respected, board certified physicians, Dr. Kovaleski and Dr. Nutting. If you are tired wondering how to cover spider veins, then contact us today to schedule a consultation and find out if you are a candidate for spider vein removal in Denver via ultrasound-guided sclerotherapy. During your consultation with your doctor, factors such as your health, medical history, and your overall vascular condition will be evaluated to determine if ultrasound-guided sclerotherapy is right for you.

Is There Any Recovery time?

Typically, the incisions made during these procedures are too small to require stitches, although a bandage may be applied. Any residual discomfort can usually be controlled with over-the-counter pain relievers.

Learn more: Best Vascular Clinic in Colorado: Men Get Varicose Veins, Too

Does insurance cover spider veins?

Spider veins are typically a symptom of deeper venous insufficiency.  At your consultation you will receive a full venous evaluation which is typically covered by insurance.  Approximatley 90% of the time the evaluation will reveal a deeper vein issue.  Insurance will typically cover treatments for deeper vein issues and during that treatment your spider veins will be treated as well included by insurance coverage.  If no deeper venous issues are found spider veins can still be treated with self payment.

Do I have to wear compression stockings?

Insurance companies typically require patients to have tried compression stockings for 3 months prior to approving treatment for varicose veins.  This is discussed during your initial consultation. 

Do I have to wear compression stockings after treatment?

This depends on what treatment(s) are most appropriate for your venous issues.  ECCO utilizes the latest technology for vein treatments.  The newest treatment available (Radiofrequency Ablation) allows for treatment of veins with no need for compression stockings after treatment.  

Do I have to stay away out of the sun after treatment?

This depends on what treatment(s) you require.  Several of our treatments allow you to have direct sun exposure immediately after the procedure.  However with sclerotherapy it is advised to avoid prolonged direct sunlight exposure to the treated vein(s) for 6 weeks in order to avoid pigmentation.

Are my veins going to come back if I get pregnant?

If you have a venous evaluation where we can identify the underlying venous issues and treat the root cause appropriately then subsequent pregnancies typically do not result in recurrence of varicose veins.  However, everyone is different and new veins problems can occur with any pregnancy.

Are my veins going to come back after treatment?

If your veins are treated appropriately they should not return.  Can new veins form in the future? Possibly.  However new vein forming are unlikely if the underlying cause of your venous disease is found and treated.  This is why we do thorough and complete venous evaluation at your initial consultation so we can address the true problem which will result in your veins being treated successfully and prevent new abnormal veins from appearing in the future.

When can I go back to work?

Most patients go back to work the day following any procedure.  With the laser ablation treatment patients can go back to work the same day as soon as they are done with their treatment. 

Watch a Brief Video About Sclerotherapy >>

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Vein Specialists of Colorado

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