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Do Varicose Veins Get Worse Over Time?
Medically verified
Last updated on 1/29/2026
By Dr. Michael Nguyen
Vein Doctor at Vein Treatment Clinic
Harvard Medical School
Board Certified by the American Board of Venous and Lymphatic Medicine
Varicose veins often begin gradually, which leads many people to wonder whether they will stay the same or worsen over time.
For some individuals, varicose veins remain relatively stable for years. For others, they progress and lead to increasing symptoms or skin changes.
Understanding how and why varicose veins can worsen helps patients recognize early warning signs and decide when evaluation or treatment may be helpful.
If you’re noticing changes in your veins or symptoms over time, a vein evaluation can help clarify what’s happening.
Do varicose veins always get worse?
Not always. Some people have varicose veins that remain mild and cause little change over time.
However, varicose veins are often part of an underlying vein condition, which raises the question of are they dangerous as progression occurs.
Varicose Vein before and after treatment pictures.
Results may vary according to each case.
Varicose Vein before and after treatment pictures.
Results may vary according to each case.
Why varicose veins can worsen over time
Varicose veins develop due to underlying causes, including valve failure inside the veins. Once valves are damaged, they do not repair themselves.
Ongoing backward blood flow increases pressure in the veins, which can gradually worsen vein enlargement and symptoms.
What signs suggest progression is happening?
Signs of progression may include increasing vein size, more visible veins, worsening leg pain, swelling, or heaviness.
Skin changes such as darkening, itching, or thickening near the ankles can also indicate progression.
Can symptoms worsen even if veins look the same?
Yes. Symptoms can worsen even when visible veins appear unchanged.
Vein function beneath the surface may decline before appearance changes become obvious.
Symptom Checker
Does untreated vein disease increase risk over time?
Untreated varicose veins can increase the risk of chronic venous insufficiency.
Over time, this may lead to persistent swelling, skin damage, inflammation, or venous ulcers.
Do lifestyle changes stop progression?
Lifestyle measures such as walking, leg elevation, compression, and avoiding prolonged standing may reduce symptoms.
While helpful, these steps do not reverse valve damage and may not stop progression entirely.
Before
After
A 37-year-old patient visited our Vein Treatment Clinic, seeking relief from unsightly and painful varicose and spider veins. We performed radiofrequency ablation and sclerotherapy treatments, significantly improving the veins’ appearance and completely eliminating discomfort. The patient is now enjoying a more active and pain-free lifestyle.
Before
After
A 69 year-old patient visited our California Vein Clinic, embarrassed by spider veins that had impacted their self-esteem. We performed radiofrequency ablation and sclerotherapy treatments, leaving their legs smooth and healthy. The patient now feels more confident, thanks to this transformative treatment.
Before
After
This 84 year-old patient at our New Jersey Vein Treatment Clinic came in with spider veins that had affected their daily routine. We used radiofrequency ablation and sclerotherapy treatments to relieve discomfort and restore both their leg health and confidence. The patient now enjoys a more active and fulfilling lifestyle, free from pain.
Before
After
At our Long Island Vein Clinic, we treated this 75 year-old patient with spider veins using radiofrequency ablation and sclerotherapy. These minimally invasive treatments improved both the patient’s appearance and overall well-being, offering transformative results.
Before
After
This 75 year-old patient visited our Long Island Vein Treatment Clinic with painful spider veins. We used radiofrequency ablation and sclerotherapy, minimally invasive treatments, to eliminate the veins and restore comfort and confidence. The patient experienced life-changing results
How fast do varicose veins progress?
Progression varies widely. Some people notice slow changes over many years, while others experience faster worsening.
Genetics, age, activity level, pregnancy, and overall vein health all influence progression speed.
When is progression a reason for treatment?
Progression varies widely. Some people notice slow changes over many years, while others experience faster worsening.
Genetics, age, activity level, pregnancy, and overall vein health all influence progression speed.