May 22, 2023

Top 4 Safest & Painless Varicose Vein Treatments in Legs

Worried about having surgery to remove your varicose veins? Check out our list of the four safest and painless treatments available.

Varicose veins are a common problem for many people. Unfortunately, while several treatments are available, not all are painless. This blog post will discuss four of the safest and painless varicose vein treatments available.

Why do varicose and spider veins usually appear in the legs?

There are a few reasons for this, including the following:

  • Gravity plays a role. When you're standing or sitting for long periods, the blood in your legs has a more challenging time flowing back up to your heart, which can cause the veins to become enlarged and twisted.
  • Hormones. Hormones play a role in the development of varicose and spider veins. Estrogen and progesterone can weaken vein walls and valves, leading to blood flow problems and pooling in the veins.
  • The vein walls in your legs are thicker than in other parts of your body. The thicker walls make them more susceptible to damage and less able to handle the increased blood flow that comes with pregnancy, obesity, and other factors.

When do varicose veins become painful?

A woman with varicose veins in her legs

If you have a varicose vein in your legs, you may have experienced some pain or discomfort. But when do varicose veins become painful?

For most people, varicose veins can become painful for several reasons. The most common reason is when the valves in the veins stop working properly, and blood starts to pool in the vein, which causes the vein to become enlarged and twisted, leading to pain, heaviness, and cramping.

Another factor is how close the vein is to the surface of the skin. Veins that are closer to the surface are more likely to cause pain because they are more easily irritated by clothing or other objects coming into contact with them.

How are painful varicose veins treated?

A woman is wearing compression stockings

There are several ways to treat painful varicose veins, depending on the severity of the condition. In mild cases, lifestyle changes may be all that is needed. Lifestyle changes that can help reduce the pain associated with varicose veins include:

  • Wear loose-fitting clothing.
  • Elevate your legs when possible.
  • Exercise regularly.
  • Avoid long periods of standing or sitting.

Wearing compression stockings can also help to reduce pain and swelling, and prevent the formation of blood clots or deep vein thrombosis. However, if these measures do not provide enough relief, your doctor may recommend more aggressive treatment options such as sclerotherapy, laser therapy, or surgery.

If you are dealing with painful varicose veins, talk to your doctor about the best treatment options. With proper treatment, you can find relief from your pain and improve the appearance of your leg veins.

How painful is varicose vein treatment?

Varicose vein treatment can be uncomfortable, but the pain is usually manageable. Most people report feeling a dull ache or throbbing during the procedure. Some people also experience cramping, stinging, or burning sensations.

The level of discomfort varies from person to person and depends on the treatment used. Generally speaking, varicose vein treatments are not considered to be painful procedures. However, if you have a low pain threshold or are particularly sensitive to pain, you may want to discuss your options with your doctor beforehand.

There are ways to minimize discomfort during treatment, so ask about them before your procedure. Then, with proper preparation and care, you can ensure that your treatment is as comfortable as possible.

What are the safest & painless vein treatments?

When it comes to vein treatment, there are many different options available. But which one is the safest and painless varicose vein treatment? Here are four of the safest and most painless for treating varicose veins that you can consider:

1. Varithena® (Foam Sclerotherapy)

The process of closing veins with foam Sclerotherapy

Foam sclerotherapy, also known by the brand name Varithena®, is a new FDA-approved foam sclerotherapy solution. It contains polidocanol, which helps to close off the affected vein. Varithena® is injected into the treated vein using a special catheter. The catheter delivers the solution directly to the vein, which helps to minimize side effects.

2. VenaSeal

A patient is having a vein in his leg treated using the Venaseal treatment

Venaseal is a new procedure that uses a medical adhesive instead of a sclerosing agent to close off the affected vein. The adhesive is delivered through a small catheter and seals the vein shut, then rerouting blood to nearby healthy veins and providing symptom relief.

3. Cosmetic Sclerotherapy Treatments

A doctor is injecting Sclerotherapy in the legs with spider veins

Cosmetic sclerotherapy is a treatment option to improve the appearance of small veins called spider veins, or small varicose veins. A solution is injected into the veins, causing them to collapse and fade from view. Cosmetic sclerotherapy is usually done in a doctor's office or outpatient clinic.

4. Radiofrequency Ablation

A doctor is doing Radiofrequency Ablation treatment to a patient

Radiofrequency ablation treatments are procedures that use heat to destroy the affected veins. A small catheter is inserted into the vein, and radiofrequency energy is delivered through the catheter. The heat damages the walls of the vein, causing them to collapse and seal shut. Radiofrequency ablation treatments are typically performed in a hospital or outpatient clinic.

Which of these treatments is right for you will depend on various factors, including the severity of your condition and your personal preferences. Talk to your doctor to learn more about what options are available to you and which would be the best fit for your needs.

Frequently Asked Questions

Is vein stripping painful?

The short answer is that, yes, vein stripping can be painful. But the pain you experience depends on a number of factors, including the severity of your varicose veins, the type of procedure you undergo, and your individual pain tolerance.

Vein stripping also called a phlebectomy is a surgical procedure used to remove varicose veins, which involves making small incisions in the skin. The surgery is performed under general anesthesia, which means you will be asleep during the procedure. While the procedure itself is not painful, the recovery process can be quite uncomfortable.

Some people may experience discomfort after the procedure as they recover from anesthesia. Additionally, if your varicose veins are particularly large or difficult to remove, you may experience more discomfort during and after the procedure. Your doctor can provide you with medication to help manage any pain you may experience.

However, although this procedure is somewhat invasive and requires recovery, it is generally safe and effective for treating varicose veins. If you're considering the procedure, be sure to discuss your concerns and expectations with your doctor to ensure that it's the right treatment option for you.

Why do I suddenly have a varicose vein?

There are a few reasons why someone may suddenly develop a varicose vein. One reason is increased pressure on the veins, which can be caused by pregnancy, obesity, or even standing for long periods.

Another reason could be that you have a genetic predisposition to developing them. For example, if your parents or grandparents had varicose veins, you may be more likely to develop them. And finally, it could be due to an underlying medical condition, such as congestive heart failure or venous insufficiency.

Is massage good for varicose veins?

There are many benefits of massage, and some people believe that it can help with varicose veins. While there is no scientific evidence to support this claim, some people find that massage can help reduce the appearance of varicose veins. Massage can also help increase blood vessel circulation, prevent blood clot formation and reduce swelling in the legs. If you are considering massage for the varicose vein in your legs, be sure to consult with your doctor first.

What can I do at home to help varicose and spider veins?

You can do a few things at home to help reduce the appearance of varicose veins and spider veins. 

First, try to elevate your legs whenever possible to help reduce the pressure on your veins and allow them to heal. Second, avoid wearing tight clothing that constricts your waist, thighs, or calves, as it can also put unnecessary pressure on your veins and worsen them. Finally, exercise regularly and maintain a healthy weight to improve circulation throughout your body and reduce the strain on your veins.

Is apple cider vinegar good for your varicose veins?

While apple cider vinegar won't cure your varicose veins, some people believe that apple cider vinegar's acidic nature may help strengthen blood vessels and improve circulation. There is also anecdotal evidence that apple cider vinegar can help to reduce the appearance of varicose veins.

If you're considering using apple cider vinegar for your varicose veins, it's important to speak to your doctor first.


Varicose veins can be unsightly and uncomfortable, and sometimes painful. But they don’t have to be a permanent fixture on your legs. There are many safe and painless treatments available today.

If you’re looking for a safe, painless solution to your varicose vein problem, consider one of the four treatments we’ve outlined. Our board-certified vein specialists have extensive experience and would be happy to discuss treatment options to help you choose the best course of action for your situation.

Contact us today to schedule a consultation!


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