A member asked:

Do compression hose cure spider veins, or do you need sclerotherapy?

16 doctors weighed in across 6 answers
Dr. Ted King answered

Sclerotherapy: Graduated compression stockings are usually very helpful in controlling any symptoms you might have from your spider veins but they won't fix the problem. Applying external pressure can't fix a vein that has lost its normal function and become enlarged. If you want to get rid of the veins, sclerotherapy is usually the best choice. I would recommend seeing a phlebologist (vein specialist).

Answered 4/16/2012

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Sclerotherapy: Sclerotherapy is the best way to treat spider veins. It may take several sessions spread out over several months to achieve a level of satisfaction. Some perform sclerotherapy several weeks apart, and others several months apart. Compression hose provide symptomatic relief of leg pain, swelling that venous disease causes, but does not cure the disease.

Answered 7/10/2012

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Nothing cures : Good graduated medical compression stockings can make your legs feel better, slow down our inherited vein problems during prolonged sitting and standing, but can't cure veins. Sclero therapy can eliminate the existing cosmetic surface spider veins but we will make new ones in different areas overtime. Sometimes people have an underlying medical vein problem that needs treated first.

Answered 12/14/2014

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Dr. Steven Zimmet answered

Specializes in Aesthetic Medicine

Need sclerotherapy: Compression hose typically improve symptoms caused by spider and varicose veins, reduce leg swelling as well as decrease the risk of blood clots (useful on long flights or car trips). They do not eliminate spider veins, but perhaps might reduce new spider vein formation if worn regularly. Sclerotherapy is the gold standard treatment for spider veins of the legs. However, new veins can occur.

Answered 11/5/2014

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Compression not cure: While compression stockings may reduce the discomfort associated with spider veins, it will not get rid of them. Sclerotherapy is quite successful in treating spiders but it usually requires several treatment sessions.

Answered 9/11/2013

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Dr. John Landi answered

Specializes in Phlebology

Need Sclerotherapy: Compression hose do not cure spider veins. They function by helping to decrease the venous pressure and compress the veins. To eradicate spider veins and to help contain them, sclerotherapy would be necessary. Sclerotherapy is a process and usually requires multiple treatments.

Answered 12/10/2013

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