Varicose Veins (Varicosities):
Information for adults

Compression stockings (to help blood return to the heart and give extra support to the damaged veins) are the first thing to try. This may be difficult, as you must search for the proper kind, and they are tighter and require more effort to put on than regular hose and socks. However, wearing compression stockings is the most important thing you can do and will be required by any doctor you see.

For the maximum benefit, compression stockings must be worn every day and put on when first getting out of bed, before gravity has a chance to cause the legs to swell. Non-prescription compression (or pressure) stockings are sold in many pharmacies and medical supply stores. They are also available on the Internet. Many styles, colors, and strengths are available. Make sure they fit properly. You may need to measure your leg to assure proper fit. For people with arthritis, there are devices to help you put on compression stockings.

Herbal supplements with horse chestnut might help control some symptoms of varicose veins, but they will not eliminate the problem entirely. There is also concern regarding the purity of these over-the-counter products, as they are not regulated like prescription medications are.

To prevent varicose veins from getting worse:

• Exercise
• Lose weight
• Avoid tight clothing, which holds back blood from returning to the heart
• Elevate your legs
• Avoid long periods of standing

See your doctor if compression stockings do not improve your symptoms, if you have a breakdown in the skin (ulcer), or if you have severe swelling or pain in your leg.

You might also see a doctor if you are concerned with how the veins appear and are considering having them removed. Insurance will usually not cover treatment of varicose veins for cosmetic reasons.