By: Dr. Dev Batra | 02.20.25
Are restless, aching legs keeping you from a good night’s sleep? Nighttime leg pain can interfere with your rest, affecting your health, mood, and ability to take on daily activities.
While there can be various causes, nighttime leg pain – especially when accompanied by feelings of heaviness, throbbing, or itchiness – could point to a vein issue.
Vein-related leg pain can worsen when you’re at rest or trying to elevate your legs, often disrupting sleep. Here’s what to know about how vein health might be affecting your nighttime comfort.
Common Vein-Related Causes of Leg Pain at Night
For many, nighttime leg pain stems from underlying vein issues that aren’t immediately obvious. Here are a few common vein-related causes that may be to blame:
Chronic Venous Insufficiency (CVI)
CVI occurs when the valves in your veins become weakened or damaged, causing blood to pool instead of flowing back to the heart effectively. This pooling can lead to feelings of heaviness, discomfort, and throbbing, especially when you’re lying down or elevating your legs, as blood struggles to circulate properly. Over time, this can create a cycle of worsening symptoms, particularly in the evening hours.
Varicose Veins
These enlarged, twisted veins are often more than just a cosmetic concern – they can cause significant discomfort, especially after a long day. Varicose veins can lead to symptoms like aching, swelling, and fatigue in the legs, which tend to intensify at night. People with varicose veins often find that their legs feel particularly sore or swollen by the evening, and nighttime can bring even more discomfort.
Restless Legs Syndrome (RLS) vs. Vein Problems
While it’s easy to assume that nighttime leg discomfort is due to Restless Legs Syndrome, venous disease is often mistaken for RLS. The two conditions share some similar symptoms, but vein-related issues usually come with additional signs, like visible veins, heaviness, and swelling, especially with prolonged sitting or standing. If you’re unsure, a specialist can help identify the true cause.
Signs That Your Leg Pain Could Be Vein-Related
Wondering if your nighttime leg pain is related to vein issues? Here are key signs to look out for:
- Pain and Swelling: Persistent aching, throbbing, or swelling in your legs—especially when visible veins accompany these symptoms—can signal a vein problem.
- Worsening Symptoms When Legs Are Elevated: Unlike other types of leg pain that might improve with leg elevation, venous pain often intensifies when you lie down or raise your legs, since blood flow in weakened veins can struggle against gravity.
- Other Symptoms to Note: Additional signs like skin discoloration, itchiness, or other skin changes may also indicate vein issues. These changes happen as blood pools in your veins and can lead to further complications if untreated.

Treatment Options for Vein-Related Leg Pain at Texas Vascular Institute
Texas Vascular Institute offers minimally invasive procedures to relieve leg pain and address underlying vein issues, with a focus on effective, lasting results. Here are some of the treatments available:
Endovenous Radiofrequency Ablation: Endovenous radiofrequency ablation is a state-of-the-art treatment that uses heat to close and seal varicose veins. This approach not only reduces symptoms but also improves the appearance of the affected veins. It’s quick, effective, and has a short recovery time.
Sclerotherapy: Often used for smaller varicose or spider veins, sclerotherapy involves injecting a special solution into the affected vein, causing it to collapse and fade over time. This treatment can significantly reduce discomfort and is a common choice for those with visible veins or discomfort from smaller veins.
VenaSeal Vein Closure: The VenaSeal system consists of a dispenser gun that delivers a specially formulated medical adhesive to the inside of the vein through a very small catheter. The adhesive solution safely seals the diseased vessel shut, rerouting blood flow to healthy veins.
Our board-certified specialists also emphasize lifestyle recommendations as part of a comprehensive approach to managing vein health, including staying active, wearing compression stockings to support circulation, and elevating legs when possible.
When to Seek Help
If leg pain, heaviness, or swelling is disrupting your rest, it’s important to address it early. Left untreated, vein issues can lead to more serious complications, such as skin ulcers or even deep vein thrombosis (DVT), a blood clot that can become life-threatening if it travels to the lungs. Seeking a specialist’s help can prevent these risks and bring much-needed relief.
At TVI, our team is experienced in diagnosing and treating vein-related leg pain, with a patient-centered approach to help you find lasting comfort. If you’re noticing signs that your leg pain might be vein-related, consider scheduling a consultation to explore treatment options tailored to your needs.

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I'm very particular with my Healthcare and tend to be cautious with referrals to specialists. This office is amazing from the first point of contact. Their staff are friendly, professional and highly knowledgeable. Then the Dr is just as amazing as his staff, absolutely brilliant. Office manager Jessica has this office running like a well oiled machine and does so with a smile, an air of confidence, kindness and professionalism. Love this practice!!
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Dr Batra and his staff are amazing! We are so grateful to have found him. Everyone is so kind and so caring and Dr Batra explains everything so well and does procedures with excellence. Beyond thankful to be under their care!!!
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