Editing Varicose veins (section)

=== 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.<ref>{{cite web |url=http://www.nice.org.uk/guidance/cg168/chapter/1-Recommendations |title=Varicose veins in the legs: The diagnosis and management of varicose veins. 1.2 Referral to a vascular service |author=NICE |access-date=August 25, 2014 |date=July 23, 2013 |publisher=[[National Institute for Health and Care Excellence]]}}</ref> 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.<ref>{{cite journal | vauthors = Campbell B | title = Varicose veins and their management | journal = BMJ | volume = 333 | issue = 7562 | pages = 287–292 | date = August 2006 | pmid = 16888305 | pmc = 1526945 | doi = 10.1136/bmj.333.7562.287 }}</ref>
* The wearing of graduated [[compression stockings]] with variable pressure gradients (Class II or III) has been shown to correct the swelling, increase nutritional exchange, and improve the microcirculation in legs affected by varicose veins.<ref>{{cite conference |vauthors=Curri SB, Annoni F, Pabisch S, et al |title=Changes of cutaneous microcirculation from elasto-compression in chronic venous insufficiency |pages=852–854 |editor1-last=Davy |editor1-first=André |editor2-last=Stemmer |editor2-first=Robert |conference=Phlébologie 89 : actes du 10e Congrès mondial, Union internationale de phlébologie, Strasbourg, 25-29 septembre 1989 |date=1989 |publisher=Libbey Eurotext |isbn=978-0-86196-216-7 |oclc=22812590 }}</ref> 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 has been shown to reduce swelling and pain.<ref name="Yamany Hamdy 2021 p.">{{cite journal | vauthors = Yamany A, Hamdy B | title = Effect of sequential pneumatic compression therapy on venous blood velocity, refilling time, pain and quality of life in women with varicose veins: a randomized control study | journal = Journal of Physical Therapy Science | volume = 28 | issue = 7 | pages = 1981–1987 | date = July 2016 | pmid = 27512247 | pmc = 4968489 | doi = 10.1589/jpts.28.1981 }}</ref>
* [[Diosmin]]/[[hesperidin]] and other [[flavonoid]]s.
* 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. In extensive superficial thrombophlebitis, consideration should be given to anti-coagulation, thrombectomy, or sclerotherapy of the involved vein.{{medical citation needed|date=May 2013}}
* [[Topical gels|Topical gel]] application{{vague|date=November 2017}} helps in managing symptoms related to varicose veins such as inflammation, pain, swelling, itching, and dryness.