Dr. Adam Goldman

One's really spider veins or telangiectasias.

Okay.

Like I said, that's not really, it can be related to a deeper problem.

You know, so sometimes when you treat the underlying venous insufficiency, the spider veins get better.

Interesting.

Usually, yeah, but usually it's a separate problem.

Mm-hmm.

And like I said, it's wear and tear, so gravity causes pooling and some, it's a very, you know, micro level, so in other words, a smaller vein level.

And so your body to kind of relieve that pressure starts to grow these small veins outside.

And they can be treated with sclerotherapy where we inject and close the veins.

But that's a certainly, any symptoms that could cause a little bit of irritation or itching, it will not cause a more serious problem.

So there's not a medical indication.

In fact, that's all you have.

The insurance won't cover that.

So generally we classify a varicose vein greater than four millimeters.

So, you know, about the head of a pencil.

So if it's smaller than that, it's probably not being exacerbated by any kind of internal problem.

And it can be treated or it can be left alone.

It doesn't matter.

It won't go away if you don't treat it, but it'll get worse, you'll get more, but it's not something that you have to do.