Spider veins typically do not disappear without treatment. While symptoms may improve with lifestyle changes, the visible veins usually remain. Professional treatments are often needed for noticeable results.
The development of spider veins on the legs and feet is quite common and typically harmless.
Spider veins appear as thin, superficial, reddish-blue wisps or web-like in pattern, and are generally considered to be an unsightly nuisance with little to no physical symptoms.
Some people, however, may experience aching, burning, pain, or itching around the location of spider veins. Symptoms may increase when you have been on your feet for long periods.
If your spider veins are accompanied by bothersome symptoms, it is essential that you contact a vascular specialist who can help rule out any underlying conditions that may be causing the root of your discomfort.
A specialist can evaluate your spider veins and advise you on an appropriate treatment plan.
Spider veins can be caused by pregnancy or by the use of certain medications. These spider veins may disappear over time; however, some are permanent and require treatment.
Several treatments are available for spider veins; the most popular are sclerotherapy and laser therapy. Below, we will discuss the two procedures in more detail.
Sclerotherapy involves the injection of a solution (sclerosant) or foam directly into the diseased veins. The solution irritates the vein walls and causes them to scar and collapse. As a result, blood is rerouted to nearby healthier veins. Over time, the collapsed vein will be absorbed by surrounding tissue, and the treated veins will fade.
Typically, more than one treatment is necessary to achieve the desired results. If done correctly, sclerotherapy is highly effective, safe, and involves minimal side effects.
Anesthesia is not required and is performed in your doctor’s office. You can anticipate returning to your regular activities immediately.
Potential side effects include:

Laser therapy utilizes strong bursts of light that are sent directly into the vein. These bursts of light cause the vein to fade and disappear slowly. This procedure is done without incisions or needles.
For larger veins, laser therapy is not as effective as sclerotherapy. Over time, post-treatment, veins may fade but will not disappear completely. Also, some people may experience new spider veins developing in the treated area.
Side effects may include:
EVLT is a newer treatment designed for spider veins and smaller varicose veins.
During this procedure, your doctor will make a small incision at the site of the diseased vein. A small laser fiber is inserted into the vein, where heat is directly applied to the vein. The thermal energy damages the collagen in the vein walls, causing the vein to collapse and seal shut.
It will typically take the vein several months, or up to a year, to entirely disappear.
A local anesthetic is used to minimize discomfort during the incision and when the heat is directed into the vein.
Potential side effects, although uncommon, include:
Keep in mind, insurance companies typically do not cover the cost of treating spider veins, as they generally are considered to be cosmetic procedures.
Speak with your insurance company and doctor to determine what is the best approach considering treatment options.

Several lifestyle changes can help aid in the prevention of new spider veins from developing or stop them from getting worse.
Spider veins typically do not disappear without treatment. While symptoms may improve with lifestyle changes, the visible veins usually remain. Professional treatments are often needed for noticeable results.
Spider veins may gradually become more visible over time, especially if contributing factors are not addressed. While not always serious, progression can occur. Early management may help limit their spread. Monitoring changes is important for long-term care.
Topical creams cannot eliminate spider veins, as they do not treat the underlying vein structure. Some products may improve skin appearance temporarily. Effective removal typically requires medical procedures. It’s important to set realistic expectations.
Spider veins can be effectively treated and prevented through various medical procedures and lifestyle changes. Whether you’re experiencing the appearance of spider veins or looking to prevent them, taking action is crucial. If you’re struggling with spider veins, take the first step towards healthier, more confident legs by contacting iThriveVeins today.
All iThriveVeins content is medically reviewed by board-certified vein specialists and written following evidence-based guidelines. We source our information from peer-reviewed medical journals, clinical studies, and established medical organizations. Our editorial process ensures accuracy, objectivity, and relevance to patient needs.