Have you noticed visible veins appearing on your legs and wondered if they’re spider veins or varicose veins? You’re not alone. These common vein conditions affect many New Zealanders, especially as we age, but they’re not just a cosmetic concern – some can signal underlying vein disease.

So how can you tell the difference? Here’s a simple guide to help you understand what you’re seeing and when it’s time to seek expert advice.

What Are Spider Veins?

Spider veins are small, thin blood vessels that appear close to the surface of the skin. They often look like a web or tree branch – hence the name – and are most commonly found on the legs or face.

What they look like:

• Fine, red, blue or purple lines

• Clustered in patterns or spread out like a net

• Flat or very slightly raised

Common symptoms:

• Usually painless

• Occasionally mild itching or burning

While spider veins are mostly cosmetic, they can sometimes be a sign of poor circulation or underlying vein issues.

What Are Varicose Veins?

Varicose veins are larger, swollen, and twisted veins that often bulge above the surface of the skin. They’re most common in the legs, where blood has to work against gravity to return to the heart.

What they look like:

• Thick, rope-like, or knotted appearance

• Blue or dark purple

• Raised and visible through the skin

Common symptoms:

• Aching, throbbing or heaviness in the legs

• Swelling around the ankles

• Itching or burning

• Muscle cramping, especially at night

• Symptoms that worsen with prolonged standing or heat

Unlike spider veins, varicose veins can lead to more serious health issues if left untreated, including skin changes, ulcers, or blood clots.

What Causes These Veins to Appear?

Both varicose and spider veins can be caused by weakened or damaged valves in the veins. When these valves don’t function properly, blood can pool instead of flowing smoothly back to the heart.

Risk factors include:

• Family history of vein disease

• Pregnancy

• Hormonal changes

• Sitting or standing for long periods

• Being overweight

• Ageing

Take the First Step Toward Healthier Legs

Whether you’re concerned about the look of your veins or experiencing discomfort, our expert team is here to help.

Book a free veins assessment today and get a clear diagnosis, and a personalised plan for getting back to feeling your best.