Foot and Ankle Varicose Veins and Spider Veins

Both varicose veins and spider veins can be found on the foot or ankle. The name given to spider veins in this area is Corona Phlebectatica Paraplantaris(CPP) which describes a fan shaped cluster over the medial or lateral foot and ankle. CPP is almost always associated with underlying venous disease which is usually found in the main trunks the Great Saphenous Vein, Small Saphenous Vein, and or abnormal calf perforators. A through venous duplex scan is essential to clearly define any underlying pathology that would require treatment with EVLA, UGFS and possibly medical adhesive application prior to addressing the spider veins.

Patients with spider veins around the foot or ankle should undergo further assessment to identify underlying venous disease which id left untreated could develop further and lead to unwanted complications which includes bleeding veins, skin changes, ulceration and even thrombosis of deep veins.

Should a vein in the lower part of the leg begin to bleed DON’T PANIC. it is advised that patients lie down and raise the leg above the level of the heart this dramatically reduces the pressure in the bleeding vein that will slow the bleeding. If the patient remains standing or sitting the bleeding can be severe. In addition, if a single finger pressure is applied firmly to the bleeding veins whilst lying down the bleeding may stop or at the very least will slow and allow for a compression bandage to be applied. Once settled it is advisable to contact me for further advice.