Exercise guide

Exercises for varicose veins: the calf pump, compression and after treatment

Varicose veins are swollen, twisted veins, usually in the legs, caused by valves that don't close properly. They're very common and usually harmless, though they can ache, feel heavy or make your ankles swell. Exercise that works your calf muscles helps push blood back up your legs, and the NHS recommends it, but the trials are small and exercise won't make the veins disappear.

This guide covers the calf muscle pump and the exercises that work it, running, cycling, swimming and weights, compression stockings, standing at work, pregnancy, and when you can exercise after vein treatment. It ends with the signs that need a GP, and what to do if a vein bleeds.

The short version

Very common, usually not serious

In the Edinburgh Vein Study, 40% of men and 32% of women aged 18 to 64 had varicose veins. They can ache, feel heavy, itch or make your ankles swell, usually worse after standing and better with your legs up.

Sources 1, 2

Exercise is in the advice

The NHS says exercise regularly, such as running or walking, to improve blood flow. NICE (the National Institute for Health and Care Excellence) advises light to moderate physical activity, and the European vascular surgeons say exercise should be considered to ease symptoms.

Sources 2, 3, 4

Your calves are the pump

Standing still, the pressure in a vein on top of the foot is 80 to 90 mmHg; walking or rising onto your toes brings it down to 20 to 30. In a small trial, 6 months of calf exercises and uphill walking brought calf pump measurements back to normal in people with skin changes or ulcers from vein disease.

Sources 4, 5

The evidence on symptoms is thin

A Cochrane review found 5 small trials (146 people) and rated the evidence on symptoms very low certainty. Exercise eases aching for some people, but it won't make varicose veins disappear.

Source 6

No sport is off limits

We found no study showing that running or lifting worsens varicose veins, and the NHS names running. Long hours standing still at work are linked with them, so break up long spells of standing or sitting and move your calves.

Sources 2, 7

After treatment, walk the same day

Most people go back to their usual activities straight away after ablation or foam treatment. Clinics differ on harder exercise, from a few days to 4 weeks, so follow your own discharge sheet.

Sources 2, 8, 9

Varicose veins and venous insufficiency

What they are

Varicose veins are swollen, twisted veins under the skin, usually on the legs. The valves inside them don't close properly, so blood flows back and pools, raising the pressure in the vein. Thread veins (spider veins) are small red, blue or purple veins that are usually harmless.

Sources 2, 10

Symptoms

Pain, aching or heaviness; itching, colour changes or dry, scaly skin; swollen ankles or legs. Symptoms are usually worse after standing for a long time and better when you rest with your legs up.

Source 2

Who gets them

Anyone can. They're more likely if you're a woman, older, overweight or pregnant, stand or sit a lot, have family members with them, or have had a DVT (deep vein thrombosis, a clot in a deep vein). In the Edinburgh study they were common in men as well as women.

Sources 2, 1

How they change

Usually slowly. Over 13 years in Edinburgh, 57.8% of people with varicose veins or venous insufficiency got worse, and almost a third of those with varicose veins alone developed the skin changes of chronic venous insufficiency. Age, a family history, a past DVT and being overweight raised the risk. Thrombosis UK says about 1 in 50 adults with varicose veins develop chronic venous insufficiency each year.

Sources 11, 10

Chronic venous insufficiency

Chronic venous insufficiency (CVI) is blood pooling in the legs, usually with swollen feet and ankles, from damaged veins. It usually comes from varicose veins, and about a third of people get it after a DVT, when it's called post-thrombotic syndrome.

Source 10

Complications

They're uncommon: bleeding, itchy, flaky skin over the veins (varicose eczema), sores that take a long time to heal (venous leg ulcers), and clots in veins near the skin or deeper in the leg. Venous leg ulcers affect about 1 in 500 people in the UK, and about 1 in 50 people over 80.

Sources 2, 12

Treatment

Not always needed. For symptoms or complications, a specialist usually offers endothermal ablation first (heat from radio waves or a laser seals the vein), then foam sclerotherapy if that isn't suitable, then surgery. Treatment just to improve how the veins look isn't usually available on the NHS.

Sources 2, 3

Your calf muscle pump

How it works

Leg veins have one-way valves. When your calf muscles squeeze, as you walk or rise onto your toes, they push blood up towards your heart. Standing still, the pressure in a vein on top of the foot is 80 to 90 mmHg; walking or tiptoe exercise brings it down to 20 to 30. When the valves leak or the pump is weak, the pressure stays high, which drives swelling, skin changes and ulcers.

Source 4

Why moving helps

The European vascular surgeons say exercise that builds leg strength and ankle movement may strengthen the calf pump and help blood return from the legs. That's why the advice is to keep moving: walking, calf raises, moving your feet up and down, circling your ankles, and resting with your legs up.

Sources 4, 2, 13

What the evidence says

Guidance recommends exerciseStrong evidence

The NHS, NICE and the European vascular surgeons all include exercise in their advice. The European guideline says it should be considered to reduce symptoms, based on moderate evidence, and that larger studies are still needed.

Sources 2, 3, 4

Calf exercise improves how the pump worksEmerging evidence

In a trial of 31 people with skin changes or ulcers, 6 months of calf strengthening and uphill walking improved calf pump measurements and calf strength, though not the leaky valves, symptoms or quality of life. In 32 people already wearing stockings, 8 weeks of calf training improved pain, swelling, ankle movement and strength more than stockings alone, and a 2026 trial of 50 people found similar gains with home calf exercises. A review of 11 studies agreed that exercise improves calf pump function and ankle movement.

Sources 5, 14, 15, 16

Whether it eases symptoms is uncertainMixed evidence

The Cochrane review found 5 trials with 146 people, too different to combine, and rated the evidence on every outcome very low certainty. Exercise may ease aching and heaviness for some people, but no trial shows it removes varicose veins.

Source 6

Running and lifting weightsMixed evidence

We found no study showing that running or lifting worsens varicose veins, but that's an absence of evidence rather than proof. What is linked: jobs with long hours standing or walking (1.78 times the risk of hospital treatment for varicose veins over 12 years, in 5,647 Danish workers), and age, a family history, a past DVT and being overweight.

Sources 7, 11, 2

Exercise helps leg ulcers healEmerging evidence

In small trials, exercise plus compression healed more venous leg ulcers at 12 weeks than compression alone: 14 more in every 100 people, and 27 more with strength work that got harder over time plus general activity. A review of 7 trials rated the evidence very low quality and found nothing on whether ulcers come back.

Sources 17, 18, 19

Treatment closes the veinsStrong evidence

Endothermal ablation, foam sclerotherapy or surgery treat the veins themselves. Exercise is part of looking after your legs, alongside treatment or when your veins don't need any.

Sources 3, 2

How much, and how often

These are starting points for someone without warning signs.

Most days

30 minutes of walking or cycling at a pace where you can talk but not sing, building towards 150 minutes a week. Hills or a treadmill slope work your calves harder, as the uphill walking did in the calf pump trial (our editorial starting point).

Sources 20, 5

3 or 4 days a week

2 or 3 sets of 10 to 20 slow calf raises and ankle movements, moving on to one leg at a time or raising your heels from a step. That's our editorial starting point: the trials used strength work from twice a week to daily, 2 to 5 sets of 10 to 25, and a trial in post-thrombotic syndrome used strength work 3 to 4 times a week.

Sources 21, 22

Every day

Move your feet up and down and circle your ankles when you've been sitting a while, take a short walk or a calf pump break every 30 to 60 minutes (our suggestion), and put your legs up when they ache. NHS advice for leg ulcers is to raise your feet above your hips for 30 minutes, 3 or 4 times a day.

Sources 2, 13

Strength for the whole body

Strength work on 2 days a week, as for everyone.

Source 20

A calf pump break

Built on the NHS advice to move your feet up and down and rotate your ankles, and on the calf training in the trials; the counts and timing are our editorial suggestion.

  1. Stand tall, holding a worktop or the back of a chair.
  2. Rise slowly onto your toes, as high as is comfortable.
  3. Lower slowly. Repeat 10 to 20 times.
  4. Lift your toes towards your shins 10 times.
  5. Sitting instead? Point your toes up and down 10 times, then circle each ankle 5 times each way.
  6. Take a break like this every 30 to 60 minutes when you stand or sit for long, and put your feet up at the end of the day if your legs ache.

See the movement on the 3D figure: Slow calf raise

Calf and ankle exercises

Do the calf raises 3 or 4 days a week, 2 or 3 sets of 10 to 20 (our editorial starting point); ankle pumps and circles are fine every day. The ankle CARs move page gives 5 slow circles each way with each ankle, morning and evening.

Walking, stairs and cycling

Walk on most days. A slope, a hill or stairs work the calves harder, like the uphill walking in the calf pump trial.

Strength, stretches and legs up

Strength work on 2 days a week; hold each calf stretch for about 30 seconds (our suggestion). For legs up the wall, prop up your upper body, or skip it, if lying flat makes you dizzy or you're in later pregnancy.

Running, cycling, swimming and weights

Choose what you enjoy

The NHS names running and walking, and the European guideline supports exercise in general. Walking and cycling work the calf pump. Swimming and water walking add the water's pressure on your legs: in one small trial of 34 people, exercise in warm mineral water reduced leg swelling more than the same exercises on dry land.

Sources 2, 4, 23

Running and weightsMixed evidence

We found no study showing that running or lifting worsens varicose veins. Breathe out as you lift rather than holding your breath (our suggestion), and if your legs ache after a run or a heavy session, raise them. Compression stockings for exercise are fine if a professional has checked your circulation.

Sources 2, 24

Contact sport

The NHS advises trying not to injure your legs, to help prevent bleeding. Shin guards help in football and hockey (our suggestion).

Source 2

Yoga

Legs-up poses raise your legs, which can ease aching, but no trial has tested yoga for varicose veins.

Standing or sitting all day

Long hours standingEmerging evidence

In a 12-year study of 5,647 workers in Denmark, jobs with standing or walking for at least three-quarters of the working day were linked with 1.78 times the risk of hospital treatment for varicose veins, about a fifth of cases. The NHS advises not standing or sitting for long periods unless your feet are raised.

Sources 7, 2

What to do at work

Shift your weight, rise onto your toes every so often, and take a short walk or a calf pump break every 30 to 60 minutes (our suggestion). Our 3-minute desk movement break works at a desk too.

Compression stockings

In the NHSStrong evidence

Stockings are offered for varicose veins only if procedures or surgery aren't suitable, or you don't need other treatment. They improve blood flow and can help with swelling and pain; wear them in the day and take them off at bedtime.

Sources 2, 3

The evidenceMixed evidence

A Cochrane review of 13 trials (1,021 people) found too little good evidence that stockings work as the only first treatment, and many people stop wearing them. The European guideline uses them more widely, recommending at least 15 mmHg at the ankle for symptoms and 20 to 40 mmHg for swelling.

Sources 25, 4

Check your circulation firstStrong evidence

Stockings aren't suitable if the arteries in your legs are narrowed. A GP may check the pulses in your feet and do an ankle brachial pressure index (ABPI) test, comparing the blood pressure at your ankles and arms. The European guideline also lists severe diabetic nerve damage with loss of feeling and severe heart failure as reasons not to use them.

Sources 2, 24, 4

Varicose veins in pregnancy

Common, and often better after the birth

Varicose veins are common in pregnancy. Compression stockings can help with leg swelling, procedures usually wait until after the birth, and veins often get better or go away after your baby is born. The usual advice to stay active applies: our pregnancy guide has the details. Pain and swelling in one leg needs a same-day check: call your maternity unit, an urgent GP appointment or NHS 111.

Sources 2, 3, 26

Skin changes and leg ulcers

Varicose eczema

Itchy, dry, flaky skin that may darken, often with swollen legs. It's treated with moisturisers, steroid creams and compression, with keeping active and raising your legs; left untreated it can lead to leg ulcers.

Source 24

Venous leg ulcers

A venous leg ulcer is a sore on the leg that hasn't healed after 2 weeks. Compression from a trained nurse is the treatment, and most heal within 6 months. The NHS advises walking regularly, moving your feet up and down and rotating them at the ankles, and raising your feet for 30 minutes, 3 or 4 times a day; after healing, compression stockings help stop ulcers coming back.

Sources 12, 13, 27

Exercise after vein treatment

Clinics differ on stockings, strenuous exercise and flying, so your own clinic's discharge sheet comes first.

Endothermal ablation (radiofrequency or laser)

You go home the same day and can go back to most usual activities straight away, walking often. Some clinics say avoid strenuous exercise for the first few days; one suggests about 2 weeks before the gym, with gradual training before any competition and no contact sport while you wear stockings. Swimming waits until the wounds have healed (at least a week at one clinic). Stockings are usually worn for about a week; NICE says no more than 7 days, though some clinics use 2 to 4 weeks.

Sources 2, 3, 8, 28, 29

Foam sclerotherapy

Walk straight away: one clinic suggests a 5 to 10-minute walk every waking hour in the first week. Clinics advise avoiding strenuous exercise for anything from 3 or 4 days to 2 weeks, and one says no jogging, tennis or aerobics for 4 weeks.

Sources 9, 30, 31, 32

Surgery (ligation and stripping)

Usually under general anaesthetic, going home the same day. Walk from the start: at least 20 minutes, 3 times a day, at one hospital. Expect bruising for a few weeks and 1 to 2 weeks off work; most people are back to normal activities within 1 to 2 weeks.

Sources 2, 33, 34, 35

Flying

Two clinics allow short flights after 2 weeks and long-haul after 4; another says 4 weeks for any flight. After foam, one clinic says 4 to 6 weeks, and another 6 weeks for Europe and 8 weeks for long-haul.

Sources 8, 28, 29, 32, 9

Why walking matters

Walking keeps blood moving in the deep veins and lowers the small risk of a clot: one clinic puts a DVT after laser treatment at under 1%. Firm, tender lumps along the treated vein are common and settle over weeks.

Sources 29, 8, 28

Massage, foam rolling and heat

Keep rollers off the veins

Keep foam rollers, massage guns, cups and deep massage off varicose veins: the NHS advises trying not to injure your legs, to help prevent bleeding. Never roll or massage a calf that's swollen, red or throbbing, because it could be a clot. The European guideline advises avoiding heat, so hot tubs and saunas may make heavy legs feel worse.

Sources 2, 26, 4

Workouts

The calf pump routine is built for vein symptoms. The incline walk adds the uphill walking used in the calf pump trial, and the desk break suits long days sitting or standing. The foot and ankle routine's ankle bounces are optional.

Calf pump exercises for varicose veins and heavy legs

A 15-minute calf pump routine for varicose veins and heavy, swollen legs: ankle pumps, calf raises, a brisk walk, calf stretches and legs up to finish.

15 minBeginner10 movesA bench or box, A wall

Incline walking workout: hills or a treadmill slope

A 50-minute walk with hills, outdoors or on a treadmill slope: brisk on the flat, slower on the climbs, building from gentle slopes to about 6%.

50 minBeginner5 movesCardio machine, A step

Interval walking workout: 3 minutes fast, 3 minutes easy

A 40-minute walk alternating 3 minutes fast and 3 minutes easy, five times over: the interval walking tested in Japanese trials, built up from three rounds.

40 minBeginner3 movesCardio machine, A wall

Easy cardio workout

A steady 30 to 45 minute cardio session at talk-but-not-sing pace: walk, cycle, row or cross-train, counting toward weekly activity guidelines.

40 minBeginner3 movesCardio machine, A wall

3-minute desk movement break

A 3-minute standing break to repeat every 30 to 60 minutes at your desk: sit-to-stands, calf raises, marching, an upper-back turn and chin tucks.

3 minBeginner5 movesA bench or box, A wall

Foot and ankle strengthening routine: toes, arches, calves and balance

A 15-minute barefoot routine for stronger toes, arches, calves and ankles, finishing with balance. You need only a towel, a wall and a resistance band.

15 minBeginner11 movesA wall, Other / check instructions

Low-impact leg workout (no jumping)

A gentle leg strength routine with no jumping: sit-to-stands, step-ups, wall sits, bridges and calf raises.

20 minBeginner7 movesA bench or box, A step

Plans

The walking plan builds towards 150 minutes a week.

Warning signs: when to get help

This is general information, not a diagnosis. A&E means accident and emergency, and GP means general practitioner. In the US, call 911 where this page says 999.

If a varicose vein bleeds

Lie down, raise your leg above the level of your heart, and press firmly on the bleeding point with a bandage or a clean, folded cloth; if blood comes through, put another pad on top. Call 999 or go to A&E if you can't stop the bleeding, or you feel faint or dizzy; one NHS emergency department advises coming back if it hasn't stopped within 10 minutes. Even if it stops, get an urgent GP appointment or call NHS 111: NICE refers bleeding varicose veins to a specialist straight away.

Sources 36, 37, 2, 3

Call 999

Leg pain or swelling with breathlessness or chest pain: it could be a clot that has reached the lungs.

Source 26

Urgent GP appointment or NHS 111

  • A vein that becomes hard, red, warm and sore.
  • Throbbing pain and swelling in one leg, with red, blue or darkened skin: it could be a DVT.

Sources 38, 26

See a GP

  • Pain, itching or swelling from your veins, or veins that are getting worse.
  • Itchy, flaky, darker or hardening skin on your lower leg.
  • A sore on your leg that hasn't healed after 2 weeks.
  • Before buying strong compression stockings, especially with leg pain on walking that eases with rest (a sign of narrowed arteries), diabetes with numb feet, or heart failure.

Sources 2, 24, 12, 4

After vein treatment

  • A little oozing is common: press on it for 10 minutes, and call your GP or the unit if it continues after doing this twice (Guy's and St Thomas' and Royal Berkshire, after surgery).
  • Dark red bleeding that keeps going: raise your leg, press on it, and contact the unit if it hasn't stopped in 30 minutes (Hull).
  • Call 999 or go to A&E for difficulty breathing that gets worse when you take a deep breath, a sudden cough or coughing up blood, sudden chest pain, or calf pain so bad you can't put your foot down (Guy's and St Thomas').
  • A bandage that feels too tight, with foot swelling, numb toes or toes turning blue: contact the unit straight away (Hull).

Sources 33, 35, 28, 8

Phlebitis after treatment

Red, hot, painful lumps along the treated vein are often phlebitis, which Hull treats with anti-inflammatories such as ibuprofen and regular exercise rather than rest. If you take blood thinners, don't take ibuprofen unless your doctor says you can.

Sources 28, 38

Myths

"Exercise will get rid of varicose veins"Emerging evidence

Exercise can ease aching for some people, but no trial shows it removes or shrinks varicose veins: in the calf pump trial, the leaky valves didn't change. If they bother you, see a GP about treatment.

Sources 6, 5, 3

"Running, squats or weights make varicose veins worse"Mixed evidence

We found no study showing that running or lifting worsens varicose veins, and the NHS names running as good exercise for them.

Source 2

"Varicose veins are only cosmetic"Strong evidence

They're usually harmless, but over 13 years more than half got worse, and almost a third of people with varicose veins alone developed skin changes. Aching, swelling, skin changes or a sore that won't heal are worth showing a GP.

Sources 2, 11, 3

"Compression stockings are the first treatment"Strong evidence

In the NHS, stockings are mainly for people who can't have, or don't need, a procedure, and a Cochrane review found too little good evidence for them as the only first treatment. Get your circulation checked before you buy strong ones.

Sources 2, 3, 25

"Varicose veins are a women's problem"Strong evidence

In the Edinburgh Vein Study, 40% of men and 32% of women aged 18 to 64 had them. Pregnancy makes them more likely for women.

Sources 1, 2

"Rest your legs for weeks after vein treatment"Strong evidence

You'll be asked to walk the same day, and often: walking lowers the small risk of a clot. It's harder exercise that waits for a while.

Sources 2, 8, 29

"Foam rolling or massage helps varicose veins"

We found no study of it. Keep rollers and massage guns off varicose veins: they don't treat the veins, and the NHS advises avoiding knocks to your legs, which can make a vein bleed.

Source 2

Questions people ask

Does exercise help varicose veins?

It can ease aching, heaviness and swelling for some people, and the NHS advises exercising regularly, such as running or walking. Calf exercises improved how well the calf pump works in small trials, but the evidence that they ease symptoms is very low certainty. Exercise won't make the veins disappear.

What is the best exercise for varicose veins?

Anything that works your calves: brisk walking (uphill if you can), cycling and swimming, plus calf raises and ankle movements. Choose something you'll keep doing and build towards 150 minutes a week. If you sit or stand for long periods, take short breaks to walk or rise onto your toes.

Can running, squats or lifting weights make varicose veins worse?

We found no study showing that running or lifting weights makes varicose veins worse, and the NHS lists running as a good choice. Getting older, a family history, pregnancy, being overweight and long hours standing still at work are what's linked with them. Breathe out as you lift rather than holding your breath, and raise your legs afterwards if they ache.

Why do my varicose veins hurt after standing or exercise?

Vein symptoms are usually worse after standing for a long time and ease when you rest with your legs up. Raising your legs, and compression stockings if a professional has checked your circulation, can help. See a GP if the pain, itching or swelling bothers you or the veins are getting worse.

How often should I do calf exercises for varicose veins?

In the trials, programmes lasted 8 weeks to 6 months, with strength work from twice a week to daily. A good start is 2 or 3 sets of 10 to 20 slow calf raises on 3 or 4 days a week, plus ankle pumps whenever you've been still for a while (our suggestion). When that's easy, raise one heel at a time or work from a step.

Do compression stockings help, and can I wear them to exercise?

They can ease aching and swelling, but in the NHS they're mainly offered when vein treatment isn't suitable or needed, and a Cochrane review found too little good evidence that they work as the only first treatment. They aren't safe if the arteries in your legs are narrowed, so a GP may check the pulses in your feet and do an ankle pressure test first. If you've been given stockings, you can wear them for exercise if they're comfortable.

Should I put my legs up, and for how long?

Yes: the NHS advises putting your legs up when you can, for example lying with them on cushions. NHS advice for leg ulcers is to raise your feet above your hips for 30 minutes, 3 or 4 times a day, which is a reasonable target when your legs ache. If lying flat makes you dizzy, prop up your upper body.

Can I exercise with varicose veins in pregnancy?

Yes: varicose veins are common in pregnancy, and the usual advice to stay active applies. Compression stockings can help with leg swelling, treatment usually waits until after the birth, and veins often get better or go away after your baby is born. Pain and swelling in one leg needs a same-day check with your maternity unit, an urgent GP appointment or NHS 111.

When can I exercise after vein ablation (laser or radiofrequency)?

Walk the same day and often: most people go back to their usual activities straight away. NHS clinics differ on harder exercise: some say avoid strenuous exercise for the first few days, one suggests about 2 weeks before the gym, and swimming waits until the wounds have healed. Follow your own clinic's discharge sheet.

When can I exercise after foam sclerotherapy or varicose vein surgery?

After foam, walk straight away; clinics advise avoiding strenuous exercise for anything from 3 or 4 days to 2 weeks, and one says no jogging, tennis or aerobics for 4 weeks. After surgery, walk from the start (one hospital says at least 20 minutes, 3 times a day) and expect to be back to normal activities within 1 to 2 weeks. Your clinic's advice comes first.

Is foam rolling or massage safe with varicose veins?

Keep foam rollers, massage guns and deep massage off varicose veins: the NHS advises avoiding injuring your legs to help prevent bleeding. Never roll or massage a calf that's swollen, red or throbbing, because it could be a clot that needs checking. Gentle rolling away from the veins is fine.

What should I do if a varicose vein bleeds?

Lie down, raise the leg above the level of your heart and press firmly on the bleeding point with a clean pad or folded cloth, adding another pad on top if blood comes through. Call 999 or go to A&E if you can't stop the bleeding or you feel faint. Even if it stops, get an urgent GP appointment or call NHS 111, because a vein that has bled needs a specialist's review.

Sources

  1. Evans 1999 · Varicose veins in men and women: the Edinburgh Vein Study, 1,566 adults (population survey, Journal of Epidemiology and Community Health; abstract read)
  2. NHS · Varicose veins
  3. NICE CG168 · Varicose veins: diagnosis and management (2013, last reviewed 2016)
  4. De Maeseneer 2022 · ESVS guidelines on chronic venous disease of the legs (guideline, European Journal of Vascular and Endovascular Surgery)
  5. Padberg 2004 · Calf exercise and the calf muscle pump in chronic venous insufficiency: 31 people (RCT, Journal of Vascular Surgery; abstract read)
  6. Araujo 2023 · Exercise for chronic venous insufficiency without ulcers: 5 trials, 146 people (Cochrane review)
  7. Tüchsen 2005 · Standing at work and hospital treatment for varicose veins: 5,647 Danish workers over 12 years (cohort study, Occupational and Environmental Medicine; abstract read)
  8. Guy's and St Thomas' NHS Foundation Trust 2024 · Recovery after treatment for varicose veins
  9. University Hospitals Birmingham 2023 · Ultrasound guided foam sclerotherapy (patient leaflet)
  10. Thrombosis UK 2025 · Chronic venous insufficiency (leaflet)
  11. Lee 2015 · How varicose veins change over 13 years: the Edinburgh Vein Study (cohort study, Journal of Vascular Surgery: Venous and Lymphatic Disorders; abstract read)
  12. NHS · Venous leg ulcer (reviewed November 2022; review was due November 2025)
  13. NHS · Venous leg ulcer: treatment (reviewed November 2022; review was due November 2025)
  14. Aydin 2022 · Calf muscle training in chronic venous insufficiency: 32 people (RCT, Journal of Vascular Surgery: Venous and Lymphatic Disorders; abstract read)
  15. Sisayanarane 2026 · Home calf strengthening with compression stockings for chronic venous insufficiency: 50 people (RCT, Healthcare; abstract read)
  16. Silva 2021 · Exercise training in chronic venous insufficiency: 11 studies (systematic review, Jornal Vascular Brasileiro; abstract read)
  17. Jull 2018 · Exercise plus compression for venous leg ulcers (meta-analysis, JAMA Dermatology; abstract read)
  18. Turner 2023 · Exercise for venous leg ulcer healing and recurrence: 7 trials, 246 people (meta-analysis, Journal of Vascular Surgery: Venous and Lymphatic Disorders; abstract read)
  19. Klonizakis 2018 · Supervised exercise alongside compression for venous leg ulcers: 39 people (feasibility RCT, British Journal of Dermatology; abstract read)
  20. NHS · Physical activity guidelines for adults aged 19 to 64
  21. Kahn 2011 · A 6-month exercise programme for post-thrombotic syndrome: 43 people (RCT, CMAJ)
  22. Fujita 2026 · How exercise is prescribed for chronic venous insufficiency: 27 studies (scoping review, Phlebology; abstract read)
  23. Menegatti 2021 · Exercise in warm mineral water or on dry land for chronic venous disease: 34 people (RCT, Journal of Vascular Surgery: Venous and Lymphatic Disorders; abstract read)
  24. NHS · Varicose eczema (reviewed April 2023; review was due April 2026)
  25. Knight 2021 · Compression stockings as the first treatment for varicose veins: 13 trials, 1,021 people (Cochrane review; abstract read)
  26. NHS · DVT (deep vein thrombosis)
  27. NHS · Venous leg ulcer: prevention (reviewed November 2022; review was due November 2025)
  28. Hull University Teaching Hospitals NHS Trust 2025 · Treatment of the superficial veins of the leg (patient leaflet)
  29. Norfolk and Norwich University Hospitals 2023 · Laser treatment for varicose veins (review date October 2026)
  30. University Hospitals Sussex 2026 · Foam sclerotherapy treatment for varicose veins
  31. Royal Berkshire NHS Foundation Trust 2025 · Foam sclerotherapy varicose vein treatment
  32. Gloucestershire Hospitals 2026 · Foam sclerotherapy for varicose veins
  33. Guy's and St Thomas' NHS Foundation Trust 2024 · Having surgery for varicose veins
  34. North Tees and Hartlepool NHS Foundation Trust · Caring for you after your varicose vein surgery
  35. Royal Berkshire NHS Foundation Trust 2025 · Advice following varicose vein surgery
  36. NHS · Cuts and grazes
  37. NHS Tayside · Bleeding varicose vein: emergency department discharge advice (reviewed 2020; review was due October 2022)
  38. NHS · Phlebitis (superficial thrombophlebitis)

Exercise education, not a diagnosis or treatment plan, and clinical review of these guides is pending. Stop and get advice for chest pain, unusual breathlessness, dizziness or fainting, or new pain, and check with your doctor or midwife first if they have told you to limit activity. Health disclaimer.