Treatment
Treatment can be either active or conservative. Active
Treatment options include surgery, laser and  radiofrequency ablation, and ultrasound-guided foam sclerotherapy. Newer treatments include cyanoacrylate glue, mechanochemical ablation, and endovenous steam ablation. No real difference could be found between the treatments, except that radiofrequency ablation could have a better long-term benefit. Conservative
The National Institute for Health and Clinical Excellence (NICE) produced clinical guidelines in July 2013 recommending that all people with symptomatic varicose veins (C2S) and worse should be referred to a vascular service for treatment. Conservative treatments such as support stockings should not be used unless treatment was not possible. The symptoms of varicose veins can be controlled to an extent with the following:

Elevating the legs often provides temporary symptomatic relief. Advice about regular exercise sounds sensible but is not supported by any evidence. The wearing of graduated compression stockings with variable pressure gradients (Class II or III) has been shown to correct the swelling, nutritional exchange, and improve the microcirculation in legs affected by varicose veins. They also often provide relief from the discomfort associated with this disease. Caution should be exercised in their use in patients with concurrent peripheral arterial disease. The wearing of intermittent pneumatic compression devices have been shown to reduce swelling and pain. Diosmin/hesperidin and other flavonoids. Anti-inflammatory medication such as ibuprofen or aspirin can be used as part of treatment for superficial thrombophlebitis along with graduated compression hosiery – but there is a risk of intestinal bleeding.
Signs and symptoms
Aching, heavy legs
Appearance of spider veins (telangiectasia) in the affected leg
Ankle swelling
A brownish-yellow shiny skin discoloration near the affected veins
Redness, dryness, and itchiness of areas of skin, termed stasis dermatitis or venous eczema
Muscle cramps when making sudden movements, such as standing
Abnormal bleeding or healing time for injuries in the affected area
Lipodermatosclerosis or shrinking skin near the ankles
Restless legs syndrome appears to be a common overlapping clinical syndrome in people with varicose veins and other chronic venous insufficiency
Atrophie blanche, or white, scar-like formations
Burning or throbbing sensation in the legsPeople with varicose veins might have a positive D-dimer blood test result due to chronic low-level thrombosis within dilated veins (varices). Complications
Most varicose veins are reasonably benign, but severe varicosities can lead to major complications, due to the poor circulation through the affected limb. Pain, tenderness, heaviness, inability to walk or stand for long hours
Skin conditions / dermatitis which could predispose skin loss
Skin ulcers especially near the ankle, usually referred to as venous ulcers
Development of carcinoma or sarcoma in longstanding venous ulcers. Over 100 reported cases of malignant transformation have been reported at a rate reported as 0.4% to 1%
Severe bleeding from minor trauma, of particular concern in the elderly
Blood clotting within affected veins, termed superficial thrombophlebitis. These are frequently isolated to the superficial veins, but can extend into deep veins, becoming a more serious problem. Acute fat necrosis can occur, especially at the ankle of overweight people with varicose veins.