Spider Veins vs. Varicose Veins: What's the Difference

At Vein Institute Hattiesburg, D'Iberville, and Meridian, vein specialist Dr. J. Keith Thompson evaluates visible veins with a careful eye on appearance, comfort, and long-term vein health. Spider veins and varicose veins often show up together, but they are not the same problem. Knowing the difference in varicose veins vs. spider veins — including the fact that varicose veins are typically indicative of a deeper vascular function issue — helps you choose the right treatment and know when to schedule a visit — and we are here to assist. Our team provides clear answers, minimally invasive vein procedures, and a personalized plan that fits your goals — whether you're focused on vein symptom relief, cosmetic improvement, or both.

What's the main difference between spider veins and varicose veins?

Spider veins are small, red or purple surface veins that look like fine lines or webs branching beneath the skin. Spider veins usually do not bulge and are often more of a cosmetic concern than a functional issue. Varicose veins, on the other hand, are larger, bulging, and raised. They can ache, throb, or feel heavy, especially after standing for long periods of time. Both spider and varicose veins are caused by vein valve changes, but varicose veins tend to reflect a deeper issue with blood flow.

Are varicose veins more serious than spider veins?

Generally speaking, varicose veins are considered more concerning than spider veins. Spider veins rarely cause symptoms beyond appearance, while varicose veins are more likely to be associated with aching, swelling, night cramps, or itching. Not only that, but over time, untreated varicose veins may lead to skin changes around the ankle or occasional inflammation, which can then trigger more serious vascular issues. If your legs feel heavy by the end of the day or you notice leg swelling that improves when you elevate your feet, it may be appropriate to schedule a vein evaluation.

Do spider veins turn into varicose veins?

Spider veins do not become varicose veins, though both can share the same underlying tendency for weakened vein valves, which is why some people have a mix of tiny surface veins and larger bulging veins. Treating each type of visible vein appropriately is the key. During a comprehensive evaluation, our team will assess your pattern of veins, symptoms, and daily routine to tailor a vein treatment plan that is appropriate and effective for you.

How are spider veins and varicose veins treated?

At our vein offices in Hattiesburg, Meridian, and D'Iberville, MS, we use sclerotherapy for both spider veins and many varicose veins. During sclerotherapy, a fine needle is used to administer a specialty sclerosing solution that closes the targeted vein, forcing blood to redirect to healthier veins. Spider veins typically need a series of quick sessions. Select varicose veins can also improve with sclerotherapy when size, location, and ultrasound findings are favorable, and we also offer an expanded selection of advanced vein treatments (e.g., Endovenous Laser Ablation and Microphlebectomy) when necessary. We outline a custom treatment plan specific to your needs, including a tailored vein treatment plan, number of visits your treatments will likely require, how to care for your legs between appointments, including compression after vein treatment, and simple activity guidelines to set you up for long-term success.

When should I see a vein specialist for visible veins?

While individual guidelines will vary and should be discussed with your medical providers, we generally recommend that you schedule a visit if veins cause discomfort, swell noticeably over the course of the day, or limit your mobility and activity. We may advise you to come in sooner if you notice dark skin around the ankle or a tender, hardened vein in the leg. A consultation for vein dysfunction includes a focused exam and an ultrasound to assess blood flow. From there, we build a plan both to treat visible veins and restore underlying vein health. To summarize, some of the symptoms of varicose veins or other vascular problems that may mean it's time to schedule a vein screening include:

• Leg heaviness
• Ankle swelling or darkness
• Night cramps
• Itching skin
• Skin changes
• Tender veins
• Visible veins

Don't neglect visible or bothersome veins that can turn into more serious health problems down the line. If you're noticing any of these signs of vein dysfunction, contact our team to schedule an evaluation and begin treatment that can provide the relief and peace of mind you deserve sooner.

Regain your confidence and take control of your vein health

If you have visible spider veins that make you feel self-conscious or painful varicose veins that are interfering with your daily life, we are here to help. To learn more about your options for nonsurgical vein treatment, contact our caring team at Vein Institute Hattiesburg, D'Iberville, and Meridian to schedule your private consultation with vein specialist Dr. J. Keith Thompson today. No referral is needed, and even better, most treatments are covered by insurance and Medicare.