What is the first treatment tried for varicose veins?

A GP can examine the veins, ask about aching, swelling, itching or skin changes, and decide whether further assessment is needed. Treatment depends on the vein pattern, symptoms, skin condition and whether blood flow problems are present.

Early care often focuses on movement and symptom control. Regular walking, avoiding long periods of standing or sitting, and raising the legs when resting may reduce heaviness and swelling. A clinician may discuss compression if it is suitable for you; it is not appropriate for everyone, especially when arterial circulation is reduced.

If symptoms continue or the veins cause skin problems, a clinician may arrange an ultrasound assessment and discuss procedures. Sclerotherapy is one option that closes selected veins so blood can be redirected through healthier veins.

Book a GP consultation if the veins are painful, swelling is recurring, or you notice skin dryness, colour change or an area that does not heal. Keep active with comfortable walking, change position regularly, and avoid tight clothing around the waist or legs. Do not start compression garments without checking that they are safe for your circulation and fit correctly.

Seek urgent medical help for sudden one-sided leg swelling, warmth, redness or significant pain, particularly if it develops quickly. Get emergency help for chest pain, sudden breathlessness or coughing blood. A bleeding varicose vein also needs prompt care: lie down, raise the leg and apply firm, continuous pressure with a clean dressing while arranging medical help.

Ask whether your symptoms need an ultrasound, whether compression is suitable with your circulation, and which changes would mean you should return sooner. You can also ask whether a procedure such as sclerotherapy fits the location and severity of the affected veins.