Spider Veins vs. Varicose Veins: What's the Difference and How Are They Treated?

Many people use the two terms interchangeably, but spider veins and varicose veins are different problems with different causes, symptoms, and treatment paths. At GANO Medical, we regularly evaluate patients from Santa Rosa Beach, 30A, Destin, and Miramar Beach who want to understand what they are seeing before symptoms advance.

What Are Spider Veins?

Spider veins are small surface vessels that become visible just under the skin. They often appear as red, blue, or purple lines in branching or web-like patterns, most commonly on the legs and face. They are usually a cosmetic concern, although some people notice mild burning or itching.

What Are Varicose Veins?

Varicose veins are larger, twisted veins that bulge above the skin. They usually develop when the one-way valves in the veins stop working well and blood begins to pool in the legs. Unlike spider veins, varicose veins can cause symptoms that affect daily comfort.

• Aching, heaviness, or throbbing in the legs
• Swelling around the ankles or calves
• Itching or burning over the vein
• Night cramps or restless legs
• Skin discoloration in more advanced cases

How Are Spider Veins Treated?

Cosmetic sclerotherapy is the most common treatment. A fine needle is used to place a solution directly into the vein so it closes and fades over time. The treatment is quick, usually done in the office, and patients can return to normal activity the same day.

How Are Varicose Veins Treated?

Because varicose veins are often linked to deeper venous reflux, treatment begins with an ultrasound evaluation to map the veins and identify the source of the problem. Depending on the findings, care may include ultrasound-guided ablation, sclerotherapy for smaller veins, or a combination approach.

When Should You See a Specialist?

If you are not sure which type of vein you have, or if you are dealing with leg heaviness, swelling, aching, or visible veins that are getting worse, a vascular evaluation is a sensible next step. Early care usually means simpler treatment and better long-term results.

GANO Medical Physician Team
Santa Rosa Beach, FL · 870 Mack Bayou Rd Suite D · (850) 888-4470

To discuss your options, contact GANO Medical in Santa Rosa Beach, FL, or book a consultation online.