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.
Photo - 0 - Leg Pain Keeping You Up at Night?

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.

Photo - 0 - Leg Pain Keeping You Up at Night?

Our Patient's
before & after

What Our Patients
have to say

Conditions And
treatments

WHAT OUR PATIENTS
have to say

Texas Vascular Institute always appreciates feedback from our valued patients. To date, we’re thrilled to have collected 378 reviews with an average rating of 5 out of 5 stars. Please read what others are saying about Texas Vascular Institute below, and as always, we would love to collect your feedback.

Leave a Review

INSURANCE

We accept most major insurance plans. Please contact the medical office for all insurance related questions.

View Full List of Insurance Companies
Texas Vascular Institute | Dallas, TX
Address

8330 Meadow Rd #100
Dallas, TX 75231

Phone

For Appointments: 972-798-4710
General Inquiries: 972-646-8346

Set Appointment
Texas Vascular Institute | Hurst, TX
Address

809 West Harwood Rd, Suite 101,
Hurst, TX 76054

Phone

For Appointments: 972-798-4710
General Inquiries: 972-646-8346

Set Appointment
Texas Vascular Institute | Plano, TX
Address

4716 Alliance Blvd Suite #180,
Plano, TX 75093

Phone

For Appointments: 972-798-4710
General Inquiries: 972-646-8346

Set Appointment