Varicose veins which are very painful? what's the treatment options?

Need an evaluation: You need a proper evaluation, consisting of history, physical exam, and duplex ultrasound. Management will depend on the specific varicose vein pattern you have, and what's causing the pain.

See Vein Specialist: Varicose veins are caused by a more significant underlying vein problem, known as venous reflux or insufficiency, very easily treated in the office setting, using minimally invasive laser ablation. Venous duplex ultrasound exam will fully evaluate your veins and determine where the reflux is. See an experienced, board-certified vein specialist for treatment. Get help at acp: www.Phlebology.Org.

Often a combination: I would see a vein specialist/phlebologist. A venous ultrasound of your leg veins should be done to find the cause of your varicose veins and make a treatment recommendation. A treatment option that helps symptoms but doesn't make the veins go away is compression stockings. Other more definitive options include laser or radiofrequency ablation, ambulatory phlebectomy, and/or sclerotherapy.