Blood flow is slow from the veins in your legs back to your heart. Blood tends to pool in your legs, especially when you stand. As a result, you may have:
Swelling in your legs
Skin changes or even a skin ulcer (sore) in your lower legs
These problems usually get worse over time. Learn self-care that you can do at home to:
Slow down the development of varicose veins
Decrease any discomfort
Prevent skin ulcers
Wear Compression Stockings
Compression stockings help with swelling in your legs. They can gently squeeze your legs to move blood up your legs.
Your health care provider will help you find where to buy these and how to use them.
Make Time to Exercise
Do gentle exercises to build muscle and to move blood up your legs. Here are some suggestions:
Lie on your back. Move your legs like you are riding a bike. Extend 1 leg straight up and bend the other leg. Then switch your legs.
Stand on a step on the balls of your feet. Keep your heels over the edge of the step. Stand on your toes to raise your heels, then let your heels drop below the step. Stretch your calf. Do 20 to 40 repeats of this stretch.
Take a gentle walk. Walk for 30 minutes 4 times a week.
Take a gentle swim. Swim for 30 minutes 4 times a week.
Put Your Feet up
Raising your legs helps with pain and swelling. You can:
Raise your legs on a pillow when you are resting or sleeping.
Raise your legs above your heart 3 or 4 times a day for 15 minutes at a time.
DO NOT sit or stand for long periods of time. When you do sit or stand, bend and straighten your legs every few minutes to keep the blood in your legs moving back to your heart.
Take Care of Your Skin
Keeping your skin well moisturized helps it stay healthy. Talk with your provider before using any lotions, creams, or antibiotic ointments. DO NOT use:
Topical antibiotics, such as neomycin
Drying lotions, such as calamine
Lanolin, a natural moisturizer
Benzocaine or other creams that numb the skin
Watch for skin sores on your leg, especially around your ankle. Take care of sores right away to prevent infection.
When to Contact a Medical Professional
Call for an appointment with your health care provider if:
Varicose veins are painful
Varicose veins are getting worse
Putting your legs up or not standing for a long time is not helping
You have a fever or redness in your leg
You have a sudden increase in pain or swelling
You get leg sores
Fort FG. Varicose veins. In: Ferri FF, ed. Ferri's Clinical Advisor 2015. 1st ed. Philadelphia, PA: Elsevier Mosby; 2014:section I.
Hafner A, Sprecher E. Ulcers. In: Bolognia JL, Jorizzo JL, Schaffer JV, et al, eds. Dermatology. 3rd ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 105.
Deepak Sudheendra, MD, Assistant Professor of Interventional Radiology & Surgery at the University of Pennsylvania, with an expertise in Vascular Interventional Radiology & Surgical Critical Care, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.