What is telangiectasia (“spider veins”)?
Telangiectasia, commonly referred to as “spider veins” or burst capillaries, are simply small varicose veins. They are often the first sign of larger varicose veins that may appear in the future, or they accompany already visible varicose veins. The most important principle followed by a phlebologist is thorough diagnostic assessment of the venous system before treatment (echo-Doppler), as larger varicose veins typically “feed” the smaller ones and should therefore be treated first. Small telangiectasia can be closed with a laser; slightly larger ones require sclerotherapy. Both procedures are performed without anaesthesia as they are virtually painless. After the procedure, anti-varicose textiles (stockings, tights) should be worn for several days. On the first day after sclerotherapy, the leg is bandaged. The effect of both laser treatment and sclerotherapy is visible after several weeks. In most cases, a single procedure is not sufficient for complete elimination of telangiectasia, especially if they are very extensive. In such cases the procedure should be repeated.
