In most cases treatment is unnecessary. The condition usually resolves itself in children and may also go away after pregnancy. Increasing circulation by frequent exercise and activity can be helpful in preventing the worsening of spider veins. Compression stockings can also help to keep blood from pooling in areas prone to spider vein formation. In the case of spider veins that are particularly painful or unsightly, laser treatments can be used to remove the veins. A treatment called sclerotherapy, which involves injecting a corrosive foam or liquid called a sclerosant into the affected veins to collapse them so that the body can reabsorb the veins and route blood to healthier pathways, may also be used.
In the case of severe vascular insufficiency, it may be necessary to treat these underlying problems more proactively to prevent ulceration, blood clots, and other complications.