[Hinews] [Physician's Column] By Sang-Min Lee, MD, Busan Seoul Vascular Surgery Clinic

When your legs itch persistently, it’s easy to assume a skin condition or allergy is to blame. But if the itching recurs regularly or worsens at night, varicose veins might be the underlying cause. This isn’t just surface-level irritation—it could point to an issue with venous function.

Varicose veins arise when the valves in the leg veins weaken, causing blood to flow backward and pool, leading to swollen, protruding veins. This pooling can inflame surrounding tissues, triggering symptoms like itching, a burning sensation, or dry, flaky skin.

If the itching is paired with a tight, heavy, or aching sensation in the legs, it may be a telltale sign of varicose veins. The discomfort often centers around the calves, below the knees, and excessive scratching can lead to redness, oozing, or secondary skin infections.

Sang-Min Lee, MD, Busan Seoul Vascular Surgery Clinic
Sang-Min Lee, MD, Busan Seoul Vascular Surgery Clinic

Unlike typical skin irritations, the itching linked to varicose veins rarely improves with standard topical creams. The core problem stems from impaired vascular function, not the skin itself. That’s why consulting a vascular surgeon to assess vein health is essential, rather than dismissing the symptoms as a minor skin issue.

Treatment varies based on the condition’s severity, ranging from compression stockings and medications to sclerotherapy or laser procedures. In early stages, simple lifestyle changes can significantly ease symptoms. Avoiding prolonged standing or sitting with legs lowered and elevating the legs above heart level before bed can provide relief.

Even mild, recurring itching deserves scrutiny for its root cause. Varicose veins are more than a cosmetic issue—they can lead to serious complications like skin ulcers if left untreated. Early diagnosis and proactive management are critical.

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