Venous Disease Q&A’s

Have you ever put off a minor car repair only to end up paying a hefty bill when things got worse? Some health issues are like that. If you’ve been putting off treatment for venous disease, you should consult with a doctor to avoid complex health issues later. Here Dr. Andrew Mapes from Artemis Colorado – Vein & Cosmetic Center (formerly Conifer Vein Clinic) is answering the most common questions to help you decide when it’s time to see a doctor:


What is venous disease?

Venous disease is the progressive loss of function of the vein system in your lower legs. The valves in the veins that prevent blood from flowing backwards weaken or stop functioning. Multiple factors can lead to venous disease, including age, occupation (long periods of standing), genetics, childbirth or trauma. Over time, the progressive malfunction of valves causes vein dilation. Long-term venous disease can lead to symptoms such as heaviness, aching, pain, burning, swelling, tenderness, bleeding, skin changes, restless legs, and more. Malfunctioning veins eventually appear as varicose veins and spider veins.

What are varicose veins and spider veins?

Varicose and spider veins are the end result of long-term venous disease in the legs. Varicose veins manifest as large bulging veins while spider veins appear as a tiny network of veins just at the surface of the skin. Spider veins’ characteristic pattern resemble a spider web.

What can be done for varicose veins?

Since varicose veins stem from a deeper problem, the first step is to identify that problem in the larger veins using ultrasound technology. If a problem is found, then a laser fiber can be gently inserted to ablate the diseased vein. After ablation, small sections of the bulging vein may be removed to improve symptoms as well as appearance.

What can be done for spider veins?

As with varicose veins, the cause of spider veins may stem from a deeper problem. The first step is to examine the larger veins using ultrasound. After treating any diseased veins with laser, a special medicine is injected into the spider vein itself to bring about resolution. This method is called sclerotherapy.

If you suffer from lower leg pain, swelling, or fatigue, or if you have varicose or spider veins, it’s time for a checkup. Venous disease, when associated with symptoms, is a medical issue, so treatment is usually covered by your insurance.

Dr. David Pinsinski and Dr. Andrew Mapes are fully licensed, board-certified physicians and members of the American College of Phlebology. They offer specialized vein therapy treatments at Artemis Colorado – Vein & Cosmetic Center (formerly Conifer Vein Clinic) at the Conifer Medical Center. Visit or call to schedule a free consultation.