Prevention

Varicose veins may be prevented to some extent by:

• Wearing compression stockings. They improve circulation and are a mainstay of treatment for varicose veins that are causing symptoms.
• Self-care. This includes exercising and avoiding long periods of standing or sitting.

Home Treatment

Home treatment is recommended for most people with varicose veins that aren't causing more serious problems. Home treatment can relieve symptoms, slow down the progress of varicose veins, and prevent complications such as sores or bleeding. For many people with varicose veins, home treatment is the only treatment they need.

These measures may help you avoid surgery or other medical treatment for your varicose veins. But you may still want surgery or a procedure if you are not satisfied with their appearance or your symptoms are not well controlled.

If you have varicose veins, you can help control the problem and keep it from getting worse if you:

• Wear compression stockings.
• Take care of yourself. Your self-care includes:
  • Exercising.
  • Staying at a healthy weight.
  • Elevating your legs.
  • Avoiding long periods of sitting and standing.

After an injury

Superficial varicose veins can sometimes cause minor problems like bruising or bleeding if you scratch or cut the skin over a larger vein. Small blood clots may occasionally form in the surface veins (superficial phlebitis). Most of these problems can be safely treated at home.

• If you bump your leg so hard that you know it is likely to bruise, elevate your leg and apply ice or a cold pack as soon as you can for the next hour or two. This may help reduce the amount of bleeding under the skin and minimize bruising.
• If you cut or scratch the skin over a vein, it may bleed a lot. Elevate your leg and apply firm pressure with a clean bandage over the site of the bleeding. Continue to apply pressure for a full 15 minutes. Do not check to see if the bleeding has stopped sooner. If the bleeding hasn't stopped after 15 minutes, apply pressure again for another 15 minutes. You can repeat this up to three times for a total of 45 minutes.

Blood clot in a superficial vein (superficial phlebitis)

Signs of a small blood clot in a superficial varicose vein (superficial phlebitis) include tenderness and swelling over the vein. The vein may feel firm. If your doctor has told you how to care for superficial phlebitis, follow his or her instructions.

• Often doctors will recommend that you elevate your leg and apply heat with a warm, damp cloth or a heating pad set on low (to prevent burns, put a towel or cloth between your leg and the heating pad).
• Your doctor may also tell you to take a nonsteroidal anti-inflammatory drug (for example, two aspirin or ibuprofen tablets taken 3 to 4 times a day at first and less often as your symptoms go away).
• Talk to your doctor if you are not sure that your symptoms are caused by a superficial blood clot or if you are not sure how to treat your symptoms.