Topical creams have not been proven to effectively eliminate varicose and spider veins. Compression stockings are worn to ease the pain associated with varicose and spider veins, and sclerotherapy is the most common medical treatment used to combat the condition, according to WomensHealth.gov.
The sclerotherapy procedure involves injecting chemicals into the veins, states WomensHealth.gov. The veins swell, stick together, seal shut and eventually turn into scar tissue. The veins fade after a few weeks. Sclerotherapy is done as an outpatient procedure, it does not require anesthetic, and the patient may resume regular activity immediately.
Radiofrequency occlusion is a treatment method in which a small inserted catheter sends radiofrequency energy to the vein wall, which eventually collapses, explains WebMD. Radiofrequency occlusion sometimes requires local anesthesia and is done in a doctor's office.
Laser surgery is another form of treatment used to eliminate varicose and spider veins. However, laser surgery is not as effective as sclerotherapy, according to Mayo Clinic.