What are Varicose Veins and Spider Veins?
Varicose veins in the legs are dilated, twisted veins just beneath the skin. They are part of a spectrum of clinical conditions known as Chronic Venous Disease (CVD).
They appear as greenish spots under the skin. Over time, they can become darker and more prominent.
They are the visible part of what happens inside the body.
Spider Veins or Telangiectasias
Telangiectasias, unlike varicose veins, are small vessels. They are often referred to as "spider veins" or "thread veins." These small vessels are intradermal, but their purple, red, or blue color makes them very evident.
Telangiectasias are unsightly and have an impact on people's self-esteem.
Beyond appearance, its presence can indicate a more serious problem.

Causes
Dilated veins and "spider veins" occur in both men and women. However, women are more prone due to hormonal changes and pregnancy.
Some factors contribute to its appearance:
- Obesity;
- Professions that involve long periods of standing;
- Contraceptives or other hormonal treatments;
- Sedentary lifestyle;
- Family background;
- A low fiber diet.
This is a very common problem. It is estimated that around 30% of the Portuguese population suffers from chronic venous disease.

Symptoms
People affected by this condition may also report swelling in the lower limbs, particularly the ankles and feet. This significantly impacts quality of life and daily activities.
The most common symptoms include:
- Tiredness;
- Pain;
- Heaviness in the legs;
- Cramps;
- Tingling and itching.
Over time, other, more serious skin changes may occur, such as eczema and pigmented (brownish) and/or atrophied skin.
Medical Specialist
in Vascular Surgery
Dr. Joana de Carvalho
- Graduated from the Faculty of Medicine of the University of Porto
- Specialist in Angiology and Vascular Surgery
- Fellow of the European Board of Vascular Surgery
- Member of the College of Phlebology

Specialist Doctor
in Vascular Surgery
Prof. Doctor Sergio Sampaio
- Graduated from the Faculty of Medicine of the University of Porto
- PhD from the Faculty of Medicine of the University of Porto
- Specialist in Angiology and Vascular Surgery
- Fellow of the European Board of Vascular Surgery

Medical Specialist
in Vascular Surgery
Dr. José Carlos Vidoedo
- Graduated in Medicine from the University of Porto (FMUP)
- Specialist in Angiology and Vascular Surgery
- Fellow of the European Board of Vascular Surgery
- Author and co-author of several communications and articles.

Medical Specialist
in Vascular Surgery
Dr. Filipa Jácome
- Specialist in Angiology and Vascular Surgery
- Master's Degree in Medicine, from the Abel Salazar Institute of Biomedical Sciences (ICBAS)
- Guest Lecturer at the Faculty of Medicine of the University of Porto (FMUP)
- She was awarded 5 scientific merit awards.
