What do Varicose Veins feel like?
Varicose veins can cause a variety of symptoms, including aching, heaviness, fatigue, tenderness, itching, and leg discomfort. Some people notice visible bulging veins beneath the skin, while others mainly experience uncomfortable symptoms related to venous insufficiency and poor circulation.

Key Takeaways
- Varicose veins may feel heavy, achy, or tender
- Symptoms can worsen after prolonged standing or sitting
- Spider veins and bulging veins may appear on the legs
- Itching, fatigue, and swelling are also common symptoms
- Vein symptoms may gradually worsen over time without treatment
What Are Varicose Veins?
Varicose veins are enlarged veins that develop when blood pools in the legs because vein valves stop functioning properly.
They often appear:
- Blue or purple in color
- Bulging beneath the skin
- Twisted or enlarged
Some patients may also develop spider veins, which are smaller red or purple veins near the surface of the skin.
Common Symptoms of Varicose Veins
Varicose veins may cause:
- Aching pain
- Leg heaviness
- Fatigue
- Tenderness to the touch
- Burning sensations
- Itching
- Swelling
- Cramping
Symptoms often become worse:
- Later in the day
- After standing for long periods
- During prolonged sitting
What Do Spider Veins Look Like?
Spider veins are smaller visible veins that may appear:
- Red
- Purple
- Web-like
- Thin and branching
Although often cosmetic, spider veins can sometimes occur alongside venous insufficiency.
Why Do Varicose Veins Cause Symptoms?
Varicose veins develop because of increased pressure inside the veins.
When blood pools in the legs:
- Veins enlarge
- Circulation becomes less efficient
- Inflammation and swelling can occur
This increased pressure contributes to discomfort and other symptoms.
When Should You See a Vein Specialist?
You should consider evaluation if you experience:
- Persistent leg aching or heaviness
- Swelling
- Painful or bulging veins
- Skin discoloration
- Symptoms interfering with daily activities
A vein specialist can help determine whether venous insufficiency is contributing to your symptoms.
About Dr. Brian Keyashian
Dr. Brian Keyashian is a vascular and endovascular surgeon at BASS Medical Group specializing in venous disease, vascular surgery, carotid artery disease, peripheral vascular disease, and minimally invasive vein procedures.
Video Transcript
Varicose veins are enlarged veins beneath the skin that can appear bulging and may have a blue color.
They can be tender to the touch, and you may also notice spider veins, which appear as purple or red lines on the skin, resembling a spider’s web.
The symptoms associated with varicose and spider veins can include aching, heaviness, fatigue, itching, and pain.
I'm Dr. Brian Keyashian. Thanks for watching!
Frequently Asked Questions
Are varicose veins painful?
Some varicose veins cause little discomfort, while others may lead to aching, heaviness, tenderness, or pain.
Do varicose veins always bulge?
No. Some patients experience symptoms before veins become visibly enlarged.
What is the difference between spider veins and varicose veins?
Spider veins are smaller surface veins, while varicose veins are larger enlarged veins caused by venous insufficiency.
Why do symptoms worsen after standing?
Standing for long periods increases pressure inside the leg veins and may worsen circulation problems.
Medical Disclaimer: Content provided by BASS Medical Group is intended for general informational purposes only and does not establish a physician-patient relationship. This information should not be used as a substitute for professional medical advice, diagnosis, or treatment.




