Do Varicose Veins Hurt? When Pain Means It’s Time to Seek Treatment

Medically reviewed by:

Written by:

Erika Funch
do varicose veins hurt

Many people assume varicose veins are just a cosmetic issue. But for thousands across the UK, they cause pain, aching, and more serious complications. So, do varicose veins hurt? Yes – and in some cases, they should be treated to avoid worsening symptoms.

At UK Vein Care, we specialise in modern, minimally invasive treatments for painful varicose veins. Whether you’re experiencing aching legs, pressure, or skin changes, we can help you understand what your symptoms mean – and how to get relief.

Read our article on aching legs to explore how this common symptom can relate to vein disease.

Are Varicose Veins Painful?

They certainly can be. Varicose veins develop when valves in your veins become weak, causing blood to pool and veins to swell. The resulting pressure can lead to:

  • Aching or throbbing legs
  • A heavy or tired sensation in the calves
  • Burning, cramping or itching
  • Tenderness around visible veins
  • Discomfort after standing for long periods

If you notice these symptoms getting worse throughout the day, especially when standing or sitting still, it may be time to seek a clinical assessment.

Our guide on varicose veins behind the knee explains how even small vein changes in that area can become painful over time.

When Should You Treat Painful Varicose Veins?

Not all varicose veins require treatment, but if your symptoms are interfering with daily life, it’s a sign your veins aren’t functioning properly.

You should seek treatment if you experience:

  • Persistent aching or swelling in your legs
  • A varicose vein that feels hard, hot, or tender
  • Skin discolouration or eczema around the ankle
  • Leg cramps, especially at night
  • Slow-healing sores or ulcers near the ankles

We explain more in our guide to the stages of varicose veins, including how symptoms evolve from mild discomfort to more severe issues if left untreated.

Are Painful Varicose Veins Dangerous?

On their own, varicose veins are not life-threatening – but in some cases, they may lead to:

  • Phlebitis – inflammation of a vein, often painful and red
  • Superficial thrombophlebitis – a blood clot in a vein just under the skin
  • Chronic venous insufficiency – when veins can no longer return blood properly
  • Venous ulcers – open, painful wounds around the ankles

We cover this in more detail in our article on chronic venous insufficiency, including what to look out for.

Treatment Options at UK Vein Care

If your varicose veins are painful or showing signs of worsening, we offer effective, non-surgical treatments:

  • Endovenous Laser Ablation (EVLA) – a laser closes the faulty vein from within
  • Foam Sclerotherapy – a medicated foam is injected into the vein to seal it
  • Microphlebectomy – small incisions are made to remove visible veins under local anaesthesia

Each treatment is tailored to your symptoms, vein anatomy, and preferences. Learn more about how we remove varicose veins.

Why Choose UK Vein Care?

We are a trusted, specialist clinic focused exclusively on venous health. Our consultants use ultrasound-guided diagnostics to pinpoint the source of your pain and deliver lasting relief – without surgery or long recovery times.

You don’t need a GP referral. Our consultations are direct, fast, and handled with care.

Here’s why so many patients choose UK Vein Care.

Sources

This article is based on research and publications from reputable sources to provide you with the most reliable information. Here are some of the main sources used:

Varicose Veins - StatPearls - NCBI Bookshelf

https://www.ncbi.nlm.nih.gov/books/NBK470194/

By using these sources, you can be sure that the article is based on current and scientifically reviewed information.

Frequently Asked Questions about Painful Varicose Veins

Frequently Asked Questions

Do varicose veins always cause pain?
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No, not always. Some people have visible varicose veins with no symptoms, while others experience daily aching or swelling. Pain is more likely as vein pressure increases.
How do I know if my leg pain is from varicose veins?
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Aching that worsens throughout the day, improves when you elevate your legs, or appears near visible veins could be a sign. A clinical scan can confirm this.
Can varicose veins cause night cramps?
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Yes. Night cramps are a common sign of venous insufficiency and often improve after treatment.
Will compression stockings stop the pain?
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They may help temporarily reduce symptoms, but they do not treat the root cause. For lasting relief, treatment is often needed.
When should I seek help?
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If you have ongoing discomfort, swelling, or skin changes, it’s time to speak to a vein specialist. Early treatment can prevent complications.
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