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Spider veins (known as telangiectasias) in the lower extremities are the result of varicose veins with leaky or incompetent valves. Patients generally suffer from venous insufficiency and can experience heaviness and swelling of the legs, ankles and feet. This condition can be hereditary or activity related. Jobs or activities requiring prolonged periods of standing or sitting in one place contribute to the condition. Left untreated, they can lead to permanent dark brown discoloration of the skin and ultimately venous stasis ulcerations