Reticular Veins and Treatments

Reticular veins (feeder veins) are larger than spider veins but smaller than varicose veins. They are about 2-3 mm in diameter. These veins typically present on the inner thighs or the ankles. They can also form on the back of the legs. Unlike varicose veins, reticular veins don’t necessarily protrude above the surface of the skin but they can still be painful or uncomfortable. The veins are usually blue-green or purple and can form areas of unattractive clusters.

comparison of reticular veins to other diseased veins

The significance of treating reticular networks before spider veins

Reticular networks are significant because they are often the veins feeding those annoying networks of smaller spider veins on the sides of the thighs. Many patients come to the office with a history of multiple unsuccessful treatments for spider veins. With the presence of reticular veins, it is difficult to treat the smaller spider veins until the reticular networks are treated first. These networks act as “feeder” veins to the smaller spider veins. When the reticular veins are not treated first, the spider veins continue to open up after treatments.

Reticular veins treatment

Reticular veins are typically treated the same way as spider veins using sclerotherapy injections. Like most other vein conditions, reticular veins typically exist for a reason. Sometimes there is underlying venous insufficiency which causes them to occur. If venous disease is present and left untreated reticular veins they will continue reoccur. Therefore, it is important to determine if venous insufficiency exists and treat it first. If you are suffering from reticular veins, Dr. Aquino will order a venous ultrasound to determine if the cause is venous insufficiency.

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