Varicose or Spider Veins

Overview

Varicose veins and spider veins are common vein disorders that occur when the valves in your veins weaken or become damaged, leading to poor blood circulation. This causes veins particularly in the legs to become enlarged, twisted, or visible under the skin.

Varicose veins often appear as raised, bulging, and dark blue or purple veins, while spider veins are smaller, web-like red or blue vessels visible just beneath the surface of the skin. Although these conditions are often cosmetic, they can sometimes indicate underlying venous insufficiency and lead to discomfort or complications if left untreated.

At Cardiology Care NYC, we specialize in diagnosing and managing venous conditions with safe, non-surgical treatments that restore circulation and improve both function and appearance.

Causes

Varicose and spider veins develop when blood flow in the veins is disrupted due to weakened or faulty valves. Instead of moving upward toward the heart, blood can pool in the legs, increasing pressure and causing veins to stretch and twist.

Common causes include:

• Genetic predisposition: Family history of varicose veins.
• Prolonged standing or sitting: Common in jobs that limit movement.
• Age: Aging causes natural wear and tear on vein valves.
• Hormonal changes: Pregnancy, menopause, or hormonal therapy can increase risk.
• Obesity: Excess weight adds pressure to leg veins.
• Sedentary lifestyle: Lack of regular movement reduces venous circulation.
• Injury or trauma: Previous leg injuries can affect vein function.

Risk Factors:

• Family history of vein disorders
• Pregnancy
• Female gender (higher hormonal impact)
• Aging
• Obesity
• Lack of physical activity

Symptoms

Varicose and spider veins can cause a range of symptoms depending on their severity.

Common signs include:

• Visible veins: Blue, purple, or red veins that appear bulging or thread-like.
• Aching or heaviness: Especially after long periods of standing or sitting.
• Swelling: Particularly in the ankles and lower legs.
• Throbbing, burning, or cramping sensations.
• Skin changes: Dryness, discoloration, or itching near the affected veins.
• Restless legs or discomfort at night.

If you experience leg pain, persistent swelling, or skin ulceration, these may indicate more advanced venous disease requiring medical evaluation.

Diagnosis

At Cardiology Care NYC, we use advanced diagnostic imaging and vascular testing to identify the extent of vein damage and determine the best treatment approach.

Our comprehensive evaluation includes:

• Cardiology consultation: Expert review of symptoms, lifestyle factors, and medical history.
• Physical examination: Assessment of visible veins, skin condition, and swelling.
• Doppler ultrasound and vascular ultrasound: Imaging to assess blood flow and detect valve dysfunction or blockages.
• Heart health screening: Evaluates cardiovascular factors that may contribute to venous insufficiency.
• Blood pressure screening: Measures circulatory pressure that can affect vein health.
• Cardiac screening: Ensures overall vascular and cardiac function is optimal.

These tests allow our specialists to determine whether your varicose or spider veins are purely cosmetic or part of a deeper circulatory issue.

Treatment

Treatment at Cardiology Care NYC focuses on non-surgical, minimally invasive methods to relieve symptoms, improve circulation, and enhance appearance.

Lifestyle Modifications

• Regular exercise: Walking and low-impact activities help improve circulation.
• Leg elevation: Reduces swelling and aids blood flow back to the heart.
• Compression stockings: Help veins and leg muscles move blood efficiently.
• Healthy weight management: Decreases pressure on leg veins.
• Avoid prolonged sitting or standing: Take movement breaks throughout the day.

Medical Management

Our cardiologists may recommend conservative or advanced treatments such as:

• Medications: To reduce inflammation and improve circulation.
• Compression therapy: To prevent progression of venous insufficiency.
• Minimally invasive procedures (when necessary): Such as sclerotherapy or radiofrequency-based vein treatments performed through specialized partners.

Ongoing Monitoring

Regular follow-up visits ensure long-term success by tracking vein health and overall cardiovascular status. We provide:

• Periodic vascular ultrasounds.
• Leg and blood pressure assessments.
• Lifestyle coaching for prevention and comfort.

When to See a Doctor

Seek evaluation if you notice visible veins accompanied by pain, swelling, or skin changes. Even if your concern is cosmetic, professional evaluation helps ensure there’s no underlying venous disease.

At Cardiology Care NYC, we provide comprehensive diagnostics and compassionate care for varicose and spider veins, helping you regain comfort, circulation, and confidence in your leg health.