Cosmetic or medical
This is the question the assessment answers, and it is why we do not treat leg veins on request without one. Many spider veins are purely cosmetic. Some are the visible edge of venous insufficiency, where the valves in the deeper veins are not working properly. Treating the surface vessels while the underlying problem continues means they come back, and the underlying problem goes on unaddressed. Symptoms worth mentioning include aching or heaviness in the legs at the end of the day, swelling around the ankles, and cramping at night.



