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Can Varicose Veins Cause Leg Pain? 

The below content has been medically reviewed and approved by Consultant Interventional Radiologist Dr. Mark Bratby (MBBS, MRCP, FRCR), Medical Director and Head of the Medical Advisory Committee at Veincentre.

Last reviewed 8th May 2025.

If you’ve been experiencing a heavy or aching feeling in your legs, especially toward the end of the day, you may be wondering if varicose veins can cause leg pain? The answer is yes. And while the symptoms can be uncomfortable, effective treatment is available. 

Varicose veins are enlarged, twisted veins that occur when vein valves stop working properly. Blood begins to pool rather than flowing efficiently back to the heart, causing the veins to stretch and bulge. This increased pressure can lead to discomfort, swelling, and other complications if left untreated. 

Let’s explore what varicose vein pain feels like, why it happens, and what you can do to manage and relieve it. 

People describe varicose vein pain in different ways, such as: 

  • A heavy, throbbing or aching sensation 
  • Cramps or muscle fatigue in the legs 
  • Burning, tingling or itching 
  • Swelling around the ankles or calves 
  • Tenderness to touch 
  • Pain worsening with standing or warm weather 

If your symptoms are worsening or interfering with your daily routine, please contact our friendly team. 

 

Are Varicose Veins Always Painful?

Not always, but painful varicose veins are a clear sign that pressure is building in the veins. Discomfort often progresses gradually and can signal the need for medical intervention. While early symptoms can be mild, untreated veins can lead to further problems like inflammation or skin changes. 

Pain is often the body’s way of highlighting that your veins aren’t working as they should. At Veincentre, we focus on modern walk-in, walk-out varicose vein treatments that get to the root cause and give patients lasting relief. 

 

Varicose Veins Pain Management

If you’re looking for relief, you’re not alone. Many patients try home remedies to ease discomfort from varicose veins and while these strategies can help manage symptoms, they won’t make the veins go away. 

These self-care tips may provide short-term relief: 

  • Elevate your legs regularly 
  • Avoid long periods of standing or sitting 
  • Wear compression stockings (as advised) 
  • Apply a cool compress to sore areas 
  • Engage in gentle, low-impact exercise 
  • Stay hydrated and maintain a healthy weight 

These methods can reduce discomfort, but they won’t reverse the vein damage. To treat the cause and not just the symptoms a treatment is required. 

 

When to Seek Varicose Veins Treatment

We recommend seeking expert advice if: 

  • Your veins are painful, swollen or tender 
  • You rely on daily pain relief to manage discomfort 
  • Your symptoms interfere with work, sleep or daily life 
  • You’ve noticed skin changes or persistent swelling

 

At Veincentre, we’re here to help you take the next step with confidence. We offer walk-in, walk-out treatments designed to target the underlying cause of varicose vein pain with Endovenous Laser Ablation (EVLA). At your consultation, you’ll be seen by one of our experienced consultants who will assess your symptoms, perform an ultrasound scan, and talk you through your personalised treatment options. Our aim is to help you feel informed, reassured, and confident about your next steps. 

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