Schedule an appointment with a vascular specialist or vein clinic
Wear graduated compression stockings daily (especially when standing or traveling)
Elevate legs above heart level several times per day
Walk regularly and avoid long periods of standing or sitting
Perform calf exercises (ankle pumps, heel raises) throughout the day
Maintain a healthy weight
Avoid tight clothing around the waist, groin, and legs
Avoid crossing legs for long periods
Protect skin and manage itching or dryness with moisturizers
Stop smoking if applicable
Control contributing conditions (e.g., diabetes, high blood pressure) with your clinician
Consider office-based treatments: endovenous laser ablation (EVLA)
Consider office-based treatments: radiofrequency ablation (RFA)
Consider office-based treatments: ultrasound-guided foam sclerotherapy
Consider office-based treatments: sclerotherapy for smaller veins
Consider procedures for larger or problematic veins: mechanochemical ablation (MOCA)
Consider vein stripping or ligation when appropriate
Consider ambulatory phlebectomy for visible bulging veins
Ask about cyanoacrylate closure (if available and appropriate)
Use topical treatments only for symptom relief (e.g., swelling/itching) as advised by a clinician
Seek urgent care if you have sudden leg swelling, severe pain, redness/warmth, or shortness of breath
Seek prompt evaluation if skin changes, bleeding, or non-healing ulcers occur