Varicose Veins Massage

A Varicose Veins Massage uses gentle, superficial manual therapy to help manage discomfort, swelling, and poor circulation associated with varicose veins. While it can temporarily relieve symptoms and reduce fluid retention, it does not cure or reverse vein dysfunction and must be performed with caution.​

Signs & Symptoms

• Visible, bulging, twisted veins (commonly in the legs)

• Aching, heaviness, or fatigue in the legs, especially after standing or activity

• Mild swelling of the ankles and feet

• Itching, burning, or cramping over or around varicose veins

• Occasionally, skin changes (discoloration, dryness) or mild discomfort worsened by warmth or prolonged standing.​

Contraindications

• Never use deep, direct pressure over varicose veins.  This may cause vein rupture or worsen the condition

• Contraindicated in presence of open sores, skin infection, DVT (deep vein thrombosis), or active cellulitis

• Avoid massage if veins are extremely tender, hot, red, or firm to touch, or if there is suspected or known blood clots

• Consult a vein specialist or physician before starting massage, especially for moderate-to-severe cases.​

Assessment

• Inspect for vein size, color, skin changes, and associated swelling

• Take history regarding onset, severity, aggravating activities, and any previous vein treatments

• Palpate very gently around (not on) the affected veins for associated muscle tension, swelling, or tenderness

• Rule out DVT or other serious vascular pathology (sudden swelling, severe pain, redness, or fever require urgent referral).​

Treatment

• Gentle Swedish or lymphatic drainage techniques with mild, upward strokes toward the heart to promote venous return and decrease swelling​

• Focus massage on areas proximal to the varicose veins and unaffected muscles/supporting tissues; avoid direct, deep, or vigorous techniques over the veins themselves​

• Massage may be combined with elevation and compression stockings after consulting a vascular specialist

• Never use deep tissue, percussive massage, or aggressive myofascial release at the site of varicosities.​

• Treatments should be short, comfortable, and performed by a therapist trained in contraindications for vascular disorders.​

Self Care

• Elevate legs throughout the day and after massage sessions

• Use compression stockings as advised by your healthcare provider

• Engage in regular gentle exercise (walking, swimming) to support circulation

• Avoid crossing legs, prolonged standing, or exposure to extreme heat (hot tubs, saunas)

• Maintain hydration, healthy weight, and consult a vein specialist for progressive symptoms or concerns

• If self-massaging, use very light strokes or lymphatic methods around (not over) affected veins, and always stop if pain or skin changes develop