19 doctors weighed in:
Could poor circulation be the cause of my spider veins?
19 doctors weighed in

Dr. David Rosen
Phlebology
9 doctors agree
In brief: Not exactly
They aren't due to poor arterial circulation, which would be more concerning.
Though causes are numerous, an important one to be aware of is superficial venous insufficiency: increased pressure in leg veins due to faulty vein valves. If such veins are symptomatic or aggregate in certain areas such as the ankle , they may point to an underlying easily treatable condition that may otherwise worsen.

In brief: Not exactly
They aren't due to poor arterial circulation, which would be more concerning.
Though causes are numerous, an important one to be aware of is superficial venous insufficiency: increased pressure in leg veins due to faulty vein valves. If such veins are symptomatic or aggregate in certain areas such as the ankle , they may point to an underlying easily treatable condition that may otherwise worsen.
Dr. David Rosen
Dr. David Rosen
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2 comments
Dr. Ted King
I especially agree with Dr. Rosen's point about spider veins around the ankle. These can often point to further underlying vein disease that, if present, is important to treat before it gets worse and causes other, more significant problems to develop.
Dr. Gabriel Goren
In majority of cases there is no underlying deep vein pathology and looking for it on a leg that does not present varicose veins and there is no history of DVT is a futile exercise done for one single reason...
Dr. John Landi
Phlebology
2 doctors agree
In brief: Spider veins
The circulation consists of two parts- the arteries take blood from the heart to the rest of the body and veins return the blood back to the heart.
When we refer to poor circulation this refers to the arteries not the veins. The causes of spider veins are many including hereditary, aging, hormones, pregnancies, sun exposure and sometimes weakened venous valves but not poor circulation.

In brief: Spider veins
The circulation consists of two parts- the arteries take blood from the heart to the rest of the body and veins return the blood back to the heart.
When we refer to poor circulation this refers to the arteries not the veins. The causes of spider veins are many including hereditary, aging, hormones, pregnancies, sun exposure and sometimes weakened venous valves but not poor circulation.
Dr. John Landi
Dr. John Landi
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2 doctors agree
In brief: Venous circulation
We inherit 2 things wrong with our veins: weak vein walls and or weak vein valves inside the veins.
So you could have spider veins with a medical vein condition called venous insufficiency- a backward flow of venous blood down your legs instead of going up to your heart except when you are lying down. Othertimes, you can just have cosmetic spider veins and can be treated with sclerotherapy.

In brief: Venous circulation
We inherit 2 things wrong with our veins: weak vein walls and or weak vein valves inside the veins.
So you could have spider veins with a medical vein condition called venous insufficiency- a backward flow of venous blood down your legs instead of going up to your heart except when you are lying down. Othertimes, you can just have cosmetic spider veins and can be treated with sclerotherapy.
Dr. Nick (Donald) Morrison
Dr. Nick (Donald) Morrison
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Dr. Ted King
Phlebology
1 doctor agrees
In brief: No
What most people mean when they talk about poor circulation is that blood doesn't flow very well in their arteries.
Spider veins are not affected by arteries at all. The problem is with your veins. Although it is possible to have bad arteries and veins, most people aren't that unlucky. Fortunately, it is pretty safe to that nearly everyone with spider veins has normal arterial circulation.

In brief: No
What most people mean when they talk about poor circulation is that blood doesn't flow very well in their arteries.
Spider veins are not affected by arteries at all. The problem is with your veins. Although it is possible to have bad arteries and veins, most people aren't that unlucky. Fortunately, it is pretty safe to that nearly everyone with spider veins has normal arterial circulation.
Dr. Ted King
Dr. Ted King
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Dr. Pedro Hernandez
Internal Medicine - Geriatrics
1 doctor agrees
In brief: Spider veins
Spider veins most of the time are only a esthetic problem. They don't need to be treated.
They are not a sign of "poor circulation".

In brief: Spider veins
Spider veins most of the time are only a esthetic problem. They don't need to be treated.
They are not a sign of "poor circulation".
Dr. Pedro Hernandez
Dr. Pedro Hernandez
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Dr. Norman Chideckel
Surgery - Vascular
In brief: Spider veins
Spider veins are mostly due to hormonal changes and as such are more common in women Yes they are abnormal but are not a predictor of circulatory disturbance

In brief: Spider veins
Spider veins are mostly due to hormonal changes and as such are more common in women Yes they are abnormal but are not a predictor of circulatory disturbance
Dr. Norman Chideckel
Dr. Norman Chideckel
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Dr. Joel Gotvald
Surgery - Vascular
In brief: Usually not
Although some patients with poor circulation (known as venous insufficiency) develop more extensive spider vein disease on their legs and feet, they also usually have varicose veins and other circulation issues.
People with only spider veins, especially younger people like yourself, just have a minor dermatology predisposition to the small skin veins and is does not indicate poor leg circulation.

In brief: Usually not
Although some patients with poor circulation (known as venous insufficiency) develop more extensive spider vein disease on their legs and feet, they also usually have varicose veins and other circulation issues.
People with only spider veins, especially younger people like yourself, just have a minor dermatology predisposition to the small skin veins and is does not indicate poor leg circulation.
Dr. Joel Gotvald
Dr. Joel Gotvald
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Dr. Rodeen Rahbar
Surgery - Vascular
In brief: No
There is no relationship between spider veins and poor circulation.

In brief: No
There is no relationship between spider veins and poor circulation.
Dr. Rodeen Rahbar
Dr. Rodeen Rahbar
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