What are the natural treatments for varicose veins?

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Last updated: June 5, 2025View editorial policy

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From the Guidelines

Natural treatments for varicose veins, such as regular exercise, weight management, and elevation of the legs, can help improve circulation and reduce pressure in the veins, and should be considered as the first line of treatment. These approaches can be used in conjunction with other methods to manage symptoms and slow progression. Some key natural treatments include:

  • Regular exercise, such as walking, swimming, and cycling, which engage the calf muscles and help pump blood back to the heart 1
  • Weight management, which can help reduce pressure on the veins 1
  • Elevation of the legs, which can help improve circulation and reduce swelling 1
  • Dietary changes, such as consuming foods rich in flavonoids, fiber, and anti-inflammatory compounds, and reducing salt intake to prevent water retention 1
  • Herbal supplements, such as horse chestnut extract, butcher's broom, and grape seed extract, which may help strengthen vein walls and improve circulation, though results vary by individual 1 It's also important to note that compression stockings can provide external pressure that helps veins function better and can be worn daily, especially during prolonged standing or sitting, with a minimum pressure of 20 to 30 mm Hg recommended 1. However, the effectiveness of compression stockings in treating varicose veins is still a topic of debate, and more research is needed to fully understand their benefits and limitations 1. Ultimately, the best course of treatment will depend on the individual's specific condition and needs, and may involve a combination of natural treatments and medical interventions.

From the Research

Natural Treatments for Varicose Veins

  • Mechanical compression stockings can be used to treat varicose veins 2
  • Conservative therapies such as diet, lifestyle changes, and hydrotherapy can also be effective in treating varicose veins, but require a high degree of patient compliance 2
  • Oral dietary supplementation with botanical extracts such as Aesculus hippocastanum, Ruscus aculeatus, Centella asiatica, Hamamelis virginiana, and bioflavonoids may help prevent complications of varicose veins 2
  • Plant extracts from grape vine leaves, horse chestnut, sea pine, and butcher's broom have been shown to reduce edema in chronic venous insufficiency, a condition related to varicose veins 3
  • Ruscus aculeatus, also known as butcher's broom, is a rich source of bioactive steroidal saponins and has been traditionally used to treat varicose veins and other venous disorders 4
  • Saponins and sapogenins from Hedera helix, Aesculus hippocastanum, and Ruscus aculeatus have been shown to have anti-elastase and anti-hyaluronidase activities, which may contribute to their efficacy in treating venous insufficiency 5

Herbal Remedies

  • Aesculus hippocastanum (horse chestnut) has been shown to improve microcirculation, capillary flow, and vascular tone, and to strengthen the connective tissue of the perivascular amorphous substrate 2
  • Ruscus aculeatus (butcher's broom) has been traditionally used to treat varicose veins and other venous disorders, and its extracts have been shown to have vasoconstrictive and venotonic properties 4
  • Centella asiatica has been shown to improve microcirculation and vascular tone, and to strengthen the connective tissue of the perivascular amorphous substrate 2
  • Hamamelis virginiana (witch hazel) has been shown to have antioxidant and anti-inflammatory properties, and may be useful in treating varicose veins 3

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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