Should varicose veins ever feel hot to the touch ?

Not warmer : Than the surrounding skin.

Sometimes.: Normally varicose veins will cause symptoms of aching, cramping, heaviness or tired legs. Occasionally, they may cause pain. Heat is not a usually symptom and usually indicates some degree of inflammation. Superficial phlebitis occurs when the varicose vein clots and gets inflamed leading to heat, pain and tenderness. It would be prudent to see a vein specialist for an evaluation.

See a vein doctor: This is normal for varicose veins - they are worse with standing. See a vein doctor and get them fixed. Phlebology.Org for a referral.

Yes: Varicose veins often feel hot due to "pooling" of warm blood in the abnormal dilated veins. But if there is tenderness or redness, there could be an active phlebitis or clot & your should seek medical attention. Also, varicose veins are usually a progressive medical condition that can worsen with time, so consider a formal consultation with a vascular surgeon to consider treatment.

Varicose veins: oftentimes people have a sensation of increased warmth in the area of varicose veins due to the increase in vein volume.