Medically Reviewed by Dr Stephen Goode, MBChB, MRCS (Eng), FRCR, PhD
At HHC Vein Clinics many patients come to us unsure whether their discomfort is linked to varicose veins. While visible veins can be a clue, it’s often the physical symptoms that prompt people to seek help. Recognising these signs early can help prevent more serious complications.
Top Signs Your Veins May Not Be Working Properly
Varicose veins aren't just about appearance—they can affect how your legs feel throughout the day. Common symptoms include:
- A persistent heavy or tired sensation in the legs
- Swelling that increases after standing or at the end of the day
- Itching or burning along the abnormal vein path
- Night cramps or restless legs
- Skin changes such as dryness, eczema, or a brownish tint
- Tender lumps (possible clots in surface veins)
Changeable Symptoms
Symptoms may come and go depending on your activity level, weather, or hormone cycles. Many people notice worsening symptoms during warm weather, long periods of standing, or after a flight. This is due to poor venous return—blood pooling in your legs rather than flowing efficiently back to your heart.
What Happens If You Ignore Them?
Over longer periods of time ignoring these symptoms can lead to chronic venous insufficiency, where long-term pressure in the veins causes the skin and tissue around the ankles to break down. This may lead to leg ulcers, which are painful and difficult to heal without expert care.
Early Action, Better Outcomes
At HHC Vein Clinics, Dr Stephen Goode and our vascular team use duplex ultrasound to determine whether your symptoms are linked to underlying venous reflux. Many patients are surprised to learn their symptoms have a medical cause—and are treatable using minimally invasive, walk-in walk-out procedures like EVLA or foam sclerotherapy.
Feel Better, Sooner
If your legs are uncomfortable, restless, or swollen, don’t wait. Book your assessment with HHC Vein Clinics serving Nottingham, Leicester, Derby, Mansfield, or Lincoln today. Getting to the root of your symptoms could be the first step to better health and greater comfort.
📞 Call us today at Nottingham 0115 897 6696 or London 0203 500 4604 or Schedule a Consultation Online to take the first step toward a safe and effective treatment for varicose veins.



