Varicose veins are more than just a cosmetic concern. For many people, they bring discomfort, aching, swelling, and sometimes a hit to confidence. If you’re struggling with them, you’re not alone—and the good news is, there are real, effective ways to manage and treat varicose veins that don’t always involve surgery. This guide walks you through what causes them, what treatments are available, and how small lifestyle changes can make a big difference.
What Are Varicose Veins?
Varicose veins are enlarged, twisted veins that usually appear on the legs and feet. They’re caused when the valves in your veins stop working properly, making it harder for blood to travel upward to the heart. Instead, blood pools in the veins, causing them to bulge.
You’ll recognise them by their dark blue or purple colour, and their rope-like appearance under the skin. They’re sometimes harmless, but they can also lead to discomfort, itching, heaviness, or even more serious conditions like ulcers or blood clots.
Why Do They Happen?
There are a few key culprits behind varicose veins:
- Genetics – If your parents had them, chances are higher you’ll get them too.
- Ageing – Vein walls and valves weaken over time.
- Hormones – Women are more likely to get varicose veins, especially during pregnancy or menopause.
- Standing or sitting too long – Jobs that keep you on your feet (or glued to a desk) can raise your risk.
- Obesity and inactivity – Added pressure and lack of circulation make veins work harder.
When to See a Doctor
While some people tolerate varicose veins without too much trouble, you should speak to your GP or a vascular specialist if you notice:
- Persistent pain or heaviness in your legs
- Swelling that doesn’t go down
- Skin changes around the ankles
- Open sores or bleeding veins
Don’t wait until it becomes unbearable. Early treatment usually means better results—and fewer complications.
Medical Treatments That Work
Advances in vein treatment have made invasive surgery much less common. Here are some of the best options available today:
1. Compression Stockings
These tight-fitting socks squeeze your legs, helping veins push blood upwards. They won’t remove varicose veins, but they often ease pain and swelling.
2. Sclerotherapy
A tried-and-tested method where a solution is injected into small varicose veins, causing them to scar and close. It works best on spider veins and smaller varicose veins, with results visible in weeks.
3. Laser Treatments
Laser ablation uses heat to close off varicose veins. It’s done under local anaesthetic and is minimally invasive, with little downtime.
4. Radiofrequency Ablation
Similar to laser treatment, but uses radio waves instead of light. The effect is the same: sealing off the affected vein and letting the body absorb it naturally.
5. Surgery (Vein Stripping)
In more severe cases, especially if other methods fail, a surgical option like vein stripping might be considered. Thankfully, it’s rarely needed now thanks to modern techniques.
In all cases, it’s smart to consult with a skin specialist or vascular expert to determine the best treatment for your condition. They’ll assess your veins and may use ultrasound to check blood flow before recommending a path forward.
Lifestyle Changes That Support Treatment
Even if you opt for a medical fix, daily habits can make or break your results. Here’s how to help your veins from the ground up:
1. Get Moving
Walking is your best friend here. It keeps circulation strong and helps prevent blood from pooling in your legs. Aim for at least 30 minutes a day—no need to run marathons.
2. Elevate Your Legs
Whenever you’re resting, especially after a long day, prop your legs above heart level. Gravity helps blood flow back where it belongs.
3. Watch Your Weight
Extra weight = extra pressure on your veins. Losing even a small amount can help ease symptoms and reduce the risk of more varicose veins developing.
4. Ditch Tight Clothing
Clothes that squeeze your waist, groin or legs can restrict blood flow. Opt for looser fits that let your veins breathe.
5. Skip Long Stretches of Sitting or Standing
If you’re at a desk all day, take short walking breaks hourly. If you stand for work, shift your weight from one leg to the other and use a small step stool to elevate a foot periodically.
Natural Remedies: Worth a Try?
Some people swear by horse chestnut extract, flavonoids, or witch hazel creams. While the evidence is mixed, they may offer mild relief from swelling and discomfort. Just don’t expect miracles—and talk to your doctor before starting anything new.
The Bottom Line
Varicose veins aren’t just an aesthetic issue—they can be uncomfortable, painful, and affect your quality of life. But you don’t have to live with them in silence. From medical treatments to simple lifestyle upgrades, there are plenty of ways to find relief and support healthier circulation.
Start by talking to your GP or a trusted skin specialist. Then, take it one step (literally) at a time. Your veins will thank you.
