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Spider veins and varicose veins are caused by structural abnormalities of blood vessels. Veins carry blood back to the heart from other parts of the body. They utilize a series of one-way valves to avoid backflow of blood.
In some instances, the absence or weakness of valves in the veins may cause poor venous circulation (blood flow in the veins) and lead to varicose veins. Valves inside veins normally act to ensure that blood in the veins does not flow in a backward direction (retrograde) away from the large (deep) veins and the heart.