Itchy Spider Veins: What Do They Mean?

• 31 October 2024
• Dr Zil Yassine

Last updated on October 31, 2024

Spider veins are usually harmless and unlikely to cause discomfort. However, in some cases, spider veins may start to itch. While it’s not necessarily a cause for alarm, it could signal an underlying issue.

Why do spider veins itch?

Spider veins do not normally itch. As the condition affects tiny venules and capillaries, it generally will not affect circulation to the extent of itching. 

However, some spider veins may make it difficult for oxygen and nutrients to get into certain parts of the skin, which prompts an irritation response. 

Spider veins may also sometimes be linked to underlying varicose veins, feeder veins, and/or chronic venous insufficiency. As these conditions affect larger and deeper veins, they impact oxygen and nutrient delivery much more. Alongside itching, you may get swelling, aches, and limb fatigue.

What can I do about itchy spider veins at home?

To improve circulation and ease this irritating symptom, take steps to improve your circulation. Better circulation through the area will move blood out of the congested vein and help your tissues get what they need.  

• Exercise. Walking, swimming, and pilates are great ways to boost circulation without putting strain on the veins
• Elevate your legs. Propping your feet above heart level will flip the pull of gravity, helping drain excess blood out of the veins.
• Wear compression. Wearing a pair of compression socks to work or on a long flight will stimulate the muscles and keep blood moving even when you’re sitting still. 

To tackle skin itching in particular, gently rub a bit of eczema cream over the area. Generally, any cream with a corticosteroid or calcineurin inhibitor can help bring down inflammation in your legs and relieve the itch.

Antihistamine medication (cream or tablets) can also stop the itchy sensation as it blocks histamine, an autoimmune response that causes itching.

What to avoid when spider veins itch

First and foremost, DO NOT scratch your veins. Excess scratching can agitate the skin and make the itch worse. You should also try to avoid: 

• Fragranced products. While scented moisturiser may smell great, the ingredients responsible for the smell can cause a volatile reaction and agitate the skin. Unfortunately, you may get irritation even if your skin type is “normal” (not sensitive).
• Hot water. It removes moisture from the skin. If you love hot showers or baths, you can still take them, just be sure to apply eczema cream or a fragrance-free moisturiser once you get out and dry off.
• Rough clothing. It will rub against the area, causing further irritation.

Treat itchy spider veins

While at-home steps can be effective, they are a temporary solution. By seeking specialist advice, you’ll get an accurate diagnosis and the best next steps for you. 

At Spider Veins Australia, we offer Nd:YAG laser, sclerotherapy, and the combination treatment CLaCS. These seal the spider veins for your body to absorb. Over time, new healthy veins may form in their place, returning circulation to normal.

If you do have underlying varicose veins or CVI, our sister clinic The Vein Institute, can help. They offer non-surgical treatments for varicose veins, including laser, radiofrequency, ClariVein, and sclerotherapy.

About The Author

Dr Zil Yassine

Dr Zil Yassine is a practising doctor of over 15 years and an expert in minimally invasive vein treatments. Zil is dedicated and passionate about vascular health and staying up-to-date on the latest technology. Providing patients with the best care is Zil’s number one priority. As the Medical Director of Spider Veins Australia, he’s responsible for training doctors to diagnose vein disorders and ensuring they perform treatments to the highest standard. Dr Zil proudly holds a Bachelor of Medicine (UNSW), Diploma of Diagnostic Ultrasound in Phlebology (ACP), and is a fellow of FRACGP, F(Phleb UK).