Varicose veins create discomfort, heaviness, swelling, and aching pain, especially after standing or sitting for a long time. If you have varicose vein pain, you are not alone. Fortunately, you can relieve these symptoms and improve your quality of life. Read on to find out why varicose veins happen, common symptoms, and effective ways to relieve pain.
What are varicose veins?
Varicose veins are swollen, twisted veins that usually appear just below the skin in your legs. They happen when the valves in your veins, which keep blood flowing toward the heart, become weak or leaky. This causes blood to pool in the veins, leading to the symptoms of varicose veins.
Common symptoms
- Aching or a heavy feeling in the legs
- Burning, throbbing, or cramping pain
- Swelling in the lower legs or ankles
- Itchy or irritated skin over the vein
- Dark purple or blue veins that look enlarged
- Symptoms that get worse after standing or sitting for a long time
By understanding these symptoms and causes, you can take steps to find relief.
How to relieve varicose vein pain
Elevate your legs
Raising your legs helps blood flow back to your heart and reduces pressure in your leg veins.
- Lie down and lift your legs above heart level
- Use pillows or a recliner to support your legs
- Do this 3 – 4 times a day for 15 – 20 minutes
This can quickly reduce swelling and discomfort, especially after being on your feet for a long time.
Wear graduated compression stockings
Graduated compression stockings are a simple and non-invasive way to treat symptoms from varicose veins. They apply gentle pressure to your legs to prevent blood from pooling in the veins. These stockings have different levels of compression from the foot to the thigh, which helps blood flow back to your heart. Benefits include:
- Reduce swelling and pain
- Improve blood flow
- Prevent varicose veins from getting worse
Before using graduated compression stockings, check with your doctor to ensure your circulation is good. Wear them during the day, especially when you are active or on your feet.
Stay active and exercise regularly
Moving regularly helps keep blood flowing and reduces pressure on your veins. Good activities include:
- Walking
- Swimming
- Cycling
- Yoga or stretching
Even simple leg exercises, like flexing your feet or rolling your ankles while sitting, can help. Avoid sitting or standing still for too long; try to get up and move around every hour.
Maintain a healthy weight
Extra weight increases pressure on your veins, especially in your legs. Here are some tips:
- Eat a balanced diet with plenty of fruits, vegetables, and fibre
- Limit salty foods to reduce water retention
- Drink enough water
- Avoid processed sugars and saturated fats
Talk to your doctor about a weight-loss plan that is right for you.
Avoid prolonged sitting or standing
If your job requires you to stand or sit for long periods, try to change positions often.
Tips for sitting:
- Use a footrest to elevate your legs.
- Stretch or move every 30 minutes.
- Consider using a sit/stand desk.
Tips for standing:
- Shift your weight from one leg to the other.
- Take walking breaks whenever you can.
- Do 20 heel raises (standing on your tiptoes) every 20 minutes
Massage and cold compresses
Gentle massage can help relieve leg pain and improve blood flow. Use upward strokes toward your heart. Applying a cold compress or cooling gel can reduce swelling and provide temporary relief from discomfort.
Wear loose, comfortable clothing
Tight clothing, especially around the waist, legs, or groin, can restrict blood flow and worsen symptoms. Choose loose-fitting and breathable clothes to enhance circulation.
When to see a vascular surgeon
If lifestyle changes don’t relieve your pain or if your symptoms worsen, it’s important to see a vascular surgeon. Some signs that you need medical help include:
- Pain that disrupts daily activities
- Skin changes, like brown discolouration or hardening around the ankles
- Development of a sore or ulcer around the ankle
- Bleeding from a varicose vein
- Itching caused by varicose veins
- Hardening or redness over the veins
- A decrease in your quality of life due to embarrassment or shame about how your legs look, which limits your activities.
Medical treatment options
Medical technology has improved healthcare, especially for treating varicose veins. In 2025, there are several minimally invasive treatments available. These procedures are typically quick, safe, and can be done outpatient.
Common treatments include:
- Sclerotherapy: A solution is injected into the vein, causing it to collapse and fade.
- Radiofrequency or Endovenous Laser Ablation: Heat is used to close larger veins.
- Vein Stripping (less common): The affected vein is removed surgically.
- VenaSeal™ or glue treatment: A medical adhesive is used to close the vein.
These procedures provide effective relief and quick recovery. Dr. Ling has a lot of experience with these treatments and can create a plan that fits your specific needs.
Final thoughts
Varicose veins can be uncomfortable, but they are manageable. Small, consistent changes in your routine like exercising, elevating your legs, and wearing compression stockings can bring you relief. Most importantly, don’t ignore the pain. If you feel discomfort every day, talk to a vascular surgeon. The sooner you address varicose vein pain, the better your chances of preventing complications and improving your vein health.