What are the treatment options for varicose veins?

Varicose veins are enlarged, twisted veins, usually in the legs, where blood return towards the heart is less efficient. They may cause aching, heaviness, itching, swelling or skin changes, while some people have no symptoms. The appearance of a vein alone does not determine the safest treatment.

A clinician considers your symptoms, circulation, skin condition, previous clots, pregnancy, medicines and whether a vein procedure is appropriate. An examination may be followed by an ultrasound assessment before treatment is chosen.

Regular walking, changing position during long periods of sitting or standing, and raising the legs when resting may reduce heaviness or swelling. Keep the skin moisturised and protect it from injury. Compression garments can help some people, but fit and suitability should be checked, particularly when circulation is reduced.

Sclerotherapy uses an injected medicine to close selected small veins so blood can reroute through healthier vessels. Your clinician will explain expected changes, aftercare, possible side effects and whether another option better matches the vein pattern.

Seek urgent care for sudden one-sided leg swelling, warmth, redness or pain, especially with chest pain or breathlessness. Arrange prompt review for a bleeding vein, a new ulcer, rapidly changing skin, persistent swelling or pain that is getting worse.

Are my symptoms caused by varicose veins or another problem? Do I need an ultrasound? Would compression be suitable for my circulation? Is sclerotherapy appropriate, and what aftercare would I need?