Before starting any workout routine, you should understand how physical activity impacts varicose veins. Exercise can be highly beneficial for managing symptoms, but the wrong kind of movement can make the condition worse.

Knowing the difference helps you protect your vein health. By choosing the right activities, you can improve circulation without adding extra strain.

What are varicose veins, and what causes them?

Varicose veins are swollen, twisted veins that are visible just under the surface of the skin, most often in the legs. They occur when the one-way valves inside the veins become weak or damaged.

Healthy veins have valves that keep blood flowing efficiently toward the heart. When these valves fail, blood can leak backward and pool in the veins.

This pooling increases pressure, causing the veins to stretch, swell, and become varicose. Factors like genetics, age, and prolonged standing can contribute to this condition, also known as chronic venous insufficiency.

4 Types of Exercises That Can Make Varicose Veins Worse

woman doing high-impact running

Certain exercises can put too much pressure on your veins, potentially worsening the symptoms of varicose veins. These activities often involve high impact or heavy straining, which can impede blood flow and damage the delicate valves in your leg veins.

1. High-Impact Running and Jogging

High-impact running and jogging are often discouraged because they place significant stress on the circulatory system in the lower legs. Each stride, especially on hard surfaces like pavement, sends a jarring force up through your legs.

This repetitive impact can increase pressure inside the veins. For individuals with already weakened venous valves, this added stress may worsen varicose veins over time.

Similarly, sports with quick stops and starts, like tennis or football, can add strain to the leg veins. If running is your preferred activity, consider switching to softer surfaces like a track or treadmill and always wear supportive footwear.

2. Heavy Weightlifting

Heavy weightlifting can worsen varicose veins by dramatically increasing the pressure inside your abdomen. Straining to lift heavy weights temporarily restricts blood from flowing back to the heart from your legs.

Straining from heavy lifts elevates pressure in the leg veins. This increased intra-abdominal pressure can cause blood to pool, further stretching the vein walls and exacerbating existing varicose veins.

If you wish to continue strength training, focus on lighter weights with more repetitions and remember to breathe consistently throughout each lift to avoid holding your breath and straining.

3. Strenuous Leg Exercises

Strenuous leg exercises like heavy squats and lunges can put direct pressure on the veins in your lower body. While these exercises are excellent for building muscle, performing them with heavy weights can hinder blood flow.

The strain required for these movements can worsen symptoms associated with varicose veins. When you hold your breath or bear down during a heavy lift, you increase intra-abdominal pressure, which in turn stresses the veins in your legs.

To make these exercises safer, perform them using only your body weight or very light weights, focusing on smooth, controlled movements and continuous breathing.

4. High-Strain and Static Exercises

Certain exercises involving intense straining or prolonged static holds can increase pressure within the abdomen, potentially worsening varicose veins. Activities like full sit-ups, crunches, or specific yoga poses that require intense core contraction can impede blood return from the legs.

This effect is caused by a spike in intra-abdominal pressure, which makes it harder for your veins to push blood upward. Intense abdominal exercises can hinder the return of blood flow from the legs to the heart, similar to the strain of heavy weightlifting.

This same mechanism applies to other activities. For instance, while rock climbing offers numerous health advantages, its sustained isometric holds also create significant pressure. Instead of strenuous core work, opt for gentler alternatives like pelvic tilts or planks.

For other static-heavy sports, focus on consistent breathing and take frequent breaks to allow for proper circulation.

4 Best and Safest Exercises for Varicose Veins

person doing freestyle stroke in the pool

The best exercises for varicose veins are low-impact activities that improve circulation without straining your venous system. These movements help strengthen your calf muscles, which play a vital role in pumping blood from your legs back toward your heart. Incorporating these safe and effective exercises into your routine can help alleviate symptoms like swelling, aching, and heaviness.

  • Walking: A simple yet powerful exercise for vein health.
  • Swimming and Water Aerobics: Water provides resistance without impact.
  • Cycling: A great way to get your calf muscles pumping.
  • Gentle Yoga and Stretching: Improves flexibility and blood flow.

1. Walking

Walking is considered a top choice for managing varicose veins because it is a low-impact exercise that effectively engages the calf muscles. Every step you take causes your calf muscles to contract and relax, which helps pump blood upward from your legs.

This natural pumping action improves circulation and reduces venous pressure. Whether you walk on a treadmill or outdoors, this simple activity strengthens the muscles that support your veins. Regular walking can help reduce symptoms like leg swelling and aching, making it one of the most accessible and beneficial exercises for anyone with varicose veins.

2. Swimming and Water Aerobics

Swimming and other water exercises provide relief because the water’s buoyancy supports your body and eliminates impact on your joints and veins. When you are in the water, the hydrostatic pressure acts like a natural compression stocking, helping to push blood out of the legs.

Movements like kicking, treading water, or walking in the pool engage your leg muscles without the jarring stress of land-based activities. This combination of low-impact movement and gentle, consistent pressure makes water aerobics an ideal environment for improving circulation and soothing sore, swollen legs caused by varicose veins.

3. Cycling

Cycling, whether on a stationary or outdoor bike, is highly beneficial for circulation. The rhythmic, circular motion of pedaling activates the calf muscles, promoting healthy blood flow from the lower legs back to the heart.

As a low-impact exercise, cycling avoids the jarring impact of running while still providing an excellent cardiovascular workout. This makes it a safe and effective choice for strengthening your legs and supporting your veins. Using a stationary bike also allows you to control the intensity and avoid challenging terrain, ensuring a comfortable and beneficial workout.

4. Gentle Yoga and Stretching

Gentle yoga and stretching routines can significantly improve blood flow and reduce symptoms of varicose veins. Poses that elevate the legs above the heart, such as “Legs-Up-the-Wall” pose, use gravity to help drain pooled blood from the lower extremities.

Stretching also improves flexibility and circulation throughout the body. Focus on slow, controlled movements and avoid poses that create intense abdominal pressure. Simple ankle rotations and calf stretches can also be done throughout the day to keep blood from stagnating, providing relief from aching and swelling.

How does physical activity affect vein health?

woman doing yoga outdoors

Physical activity has a direct impact on vein health by influencing blood circulation. When you exercise, your calf muscles contract and relax, acting as a “second heart” to help pump blood from your legs back up to your chest.

This muscle-pumping action reduces pressure inside the veins and improves overall blood flow. Consistent, gentle movement strengthens the muscles that support your veins, which can help manage symptoms like swelling and aching. However, high-impact or high-pressure exercises can have the opposite effect, straining the vein walls and worsening the condition.

What makes an exercise “good” vs. “bad” for varicose veins?

A “good” exercise for varicose veins is one that promotes healthy circulation without putting excessive strain on your leg veins. These are typically low-impact activities like walking, swimming, or cycling that engage the calf muscles to help pump blood back to the heart.

In contrast, a “bad” exercise involves high impact or significant straining. These movements increase pressure in your abdomen and legs, which can overwhelm the weakened valves in your veins. This includes activities like heavy weightlifting, high-impact running, and intense abdominal exercises that hinder the return of blood flow from the legs.

How to Make Exercise Safer with Varicose Veins

You can make exercise safer and more comfortable by adopting a few simple habits. These strategies are designed to support your veins, minimize strain, and enhance the benefits of your workout.

By taking these precautions, you can stay active without aggravating your condition. Simple adjustments before, during, and after your workout can make a significant difference in how your legs feel.

Wear compression stockings.

Wearing compression stockings during your workout can provide crucial support for your veins. These garments apply gentle, graduated pressure to your legs, which helps the vein valves function correctly and improves blood flow back to the heart.

This external support can reduce swelling, aching, and fatigue in your legs during physical activity. A varicose vein doctor can help you find the right level of compression and fit to ensure you get the maximum benefit while exercising.

Always warm up and cool down.

A proper warm-up and cool-down are essential for preparing your body for exercise and helping it recover afterward. A warm-up, such as five minutes of gentle walking, gradually increases your heart rate and blood flow to your muscles.

A cool-down, which can include slow walking and gentle stretching, helps your heart rate and circulation return to normal gradually. This prevents blood from pooling in the legs, which can happen if you stop exercising abruptly. These simple steps help protect your veins from sudden changes in pressure.

Elevate your legs after exercise.

Elevating your legs after physical activity is a simple and effective way to help your veins recover. Lie down and prop your legs up on pillows or against a wall so they are positioned above the level of your heart.

This position uses gravity to help drain excess blood and fluid from your lower legs, reducing pressure inside the veins. Holding this position for 15-20 minutes after a workout can significantly decrease swelling and relieve feelings of achiness or heaviness in your legs.

Can exercise get rid of varicose veins completely?

Exercise cannot get rid of varicose veins completely. While physical activity is a fantastic tool for managing symptoms and preventing new varicose veins from forming, it cannot repair the damaged valves that cause the condition.

The benefits of exercise are primarily related to symptom relief and slowing progression. It improves circulation, reduces swelling, and eases discomfort. However, to get rid of varicose veins that are already present, medical treatments like sclerotherapy or ambulatory phlebectomy are necessary.

When to see a doctor

You should see a doctor about pain from varicose veins if the discomfort interferes with your daily activities or if you notice any sudden, severe symptoms, such as:

  • Pain that interferes with daily activities
  • Persistent pain that doesn’t resolve
  • Persistent throbbing sensation
  • Persistent cramping

While some aching is common, persistent pain, throbbing, or cramping are signs that you should seek a professional evaluation. It is especially important to consult a specialist if your symptoms worsen despite making lifestyle changes, such as exercising and wearing compression stockings. A varicose vein doctor can accurately diagnose your condition and recommend the best course of action.

Varicose Vein Specialists in Prescott, AZ

Choosing the right exercise is a powerful step in managing varicose veins, but it is only one piece of the puzzle. While low-impact activities like walking and swimming can ease symptoms, high-impact workouts like running and heavy lifting can make them worse.

If your symptoms persist or cause you pain, it may be time to consider professional treatment. A qualified vein specialist can offer advanced, minimally invasive options to treat varicose veins directly. Contact us today to schedule a consultation and learn more about creating a comprehensive care plan that works for you.

Frequently Asked Questions

What are the best exercises for someone with varicose veins?

The best exercises are low-impact activities that improve circulation without straining your venous system. These include walking, swimming, water aerobics, cycling, and gentle yoga or stretching. These movements engage the calf muscles, which help pump blood from the legs back toward the heart.

Which exercises can make varicose veins worse?

Exercises that can worsen varicose veins are typically high-impact or involve heavy straining. This includes high-impact running, heavy weightlifting, strenuous leg exercises like squats with heavy weights, and intense abdominal workouts like crunches that increase intra-abdominal pressure.

Can exercise completely get rid of varicose veins?

No, exercise cannot get rid of varicose veins that have already formed. While physical activity is excellent for managing symptoms like swelling and aching and can help prevent new ones, it cannot repair the damaged valves. To get rid of varicose veins permanently, medical treatments are required.

Why is heavy weightlifting not recommended for varicose veins?

Heavy weightlifting causes a significant increase in intra-abdominal pressure, especially when you strain or hold your breath. This pressure restricts blood from flowing back to the heart from your legs, causing it to pool and further stretch the vein walls, which can exacerbate existing varicose veins.

How do varicose veins form?

Varicose veins form when the one-way valves inside the veins become weak or damaged. This allows blood to flow backward and pool, increasing pressure and causing the veins to swell and twist. This underlying condition is often referred to as chronic venous insufficiency.

What are some ways to exercise more safely with varicose veins?

To make exercise safer, you can wear compression stockings to support blood flow, always include a warm-up and cool-down in your routine, and elevate your legs above your heart for 15-20 minutes after a workout to reduce swelling and pressure.

When should I see a doctor about pain from varicose veins?

You should see a varicose vein doctor if the pain interferes with your daily life, symptoms worsen despite lifestyle changes, or if you experience red flag symptoms like sudden sharp pain or significant swelling. A professional can provide an accurate diagnosis and discuss a safe exercise plan.