I am getting prominent veins in my legs that aren't tortuous but persist even when I’m not working out. How can I prevent this?

I just started moderate weightlifting a year ago and have noticed prominent veins on my arms, hands and legs that are still present when I'm not working out. They aren't tender or tortuous but I'm guessing they are related to venous insufficiency worsened from valsalva during weight lifting. I'm careful about exhaling when lifting but they seem to be getting worse. I barely do leg exercises so it's not from leaner legs. They are getting very unsightly. What can I do?

Answers from doctors (10)


More About Doctor Allure Medical

Published on Jan 01, 2019

They are normal. In some cases, we remove veins that are unsightly, but there is no reason to worry about them.

Answered by Allure Medical (View Profile)

They are normal. In some cases, we remove veins that are unsightly, but there is no reason to worry about them.

Published on Jul 11, 2012


Advanced Vein Center

Published on Jul 01, 2015

Most likely the veins are normal but just more prominent because you are working out. You can get an ultrasound to confirm this. If that's the case there is not much you can do.

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Answered by Advanced Vein Center

Most likely the veins are normal but just more prominent because you are working out. You can get an ultrasound to confirm this. If that's the case there is not much you can do.

Published on Jul 11, 2012


Prominent veins are not necessary abnormal ones, as you noticed correctly. As they stretch across becoming wider, they also stretch along becoming longer and, therefore, tortuous. Straight and prominent veins in absence of symptoms, such as heaviness, tiredness, fatigue, restless leg syndrome, muscle cramps etc., are normal; nothing should be done with them. Varicose veins or other symptoms of superficial venous insufficiency in locations other than lower extremities are extremely rare. Thoracic outlet syndrome of venous type would be one of them, for example. Avoidance of Valsalva maneuver or any other breathing modifications during physical exertion do not contribute in either positive or negative way to acquiring or further development of venous insufficiency. Hope it helps. Good luck!

Answered by New York Vein Treatment Center (View Profile)

Prominent veins are not necessary abnormal ones, as you noticed correctly. As they stretch across becoming wider, they also stretch along becoming longer and, therefore, tortuous. Straight and prominent veins in absence of symptoms, such as heaviness, tiredness, fatigue, restless leg syndrome, muscle cramps etc., are normal; nothing should be done with them. Varicose veins or other symptoms of superficial venous insufficiency in locations other than lower extremities are extremely rare. Thoracic outlet syndrome of venous type would be one of them, for example. Avoidance of Valsalva maneuver or any other breathing modifications during physical exertion do not contribute in either positive or negative way to acquiring or further development of venous insufficiency. Hope it helps. Good luck!

Published on Jul 11, 2012


The Vein Clinic

Published on Jun 23, 2015

Weight lifting will decrease body fat everywhere in the body. The veins are more prominent due to this. They do not represent venous insufficiency. There is now very little fat to camouflage them. There is no practical solution other than letting your body gain fat again.

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Answered by The Vein Clinic

Weight lifting will decrease body fat everywhere in the body. The veins are more prominent due to this. They do not represent venous insufficiency. There is now very little fat to camouflage them. There is no practical solution other than letting your body gain fat again.

Published on Jul 11, 2012


Vein Center of Orange County

Published on Jun 23, 2015

Prominent linear veins that result from physical exercises are usually normal, while veins due to venous insufficiency are usually tortuous. If you are concerned, a brief trip to a vein specialist can easily resolve your question. Using a hand-held Doppler, a specialist can determine whether a vein is normal or not within seconds. FYI - factors that temporarily dilate all veins (both normal and varicose) include long periods of standing or sitting, heat, and physical exercise.

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Answered by Vein Center of Orange County

Prominent linear veins that result from physical exercises are usually normal, while veins due to venous insufficiency are usually tortuous. If you are concerned, a brief trip to a vein specialist can easily resolve your question. Using a hand-held Doppler, a specialist can determine whether a vein is normal or not within seconds. FYI - factors that temporarily dilate all veins (both normal and varicose) include long periods of standing or sitting, heat, and physical exercise.

Published on Jul 11, 2012


Varicose veins cannot be prevented but they can be treated. Treatment modalities may include compression stockings, sclerotherapy, saphenous ablation and/or stab phlebectomy.

Answered by Vascular Center and Vein Clinic of Southern Indiana (View Profile)

Varicose veins cannot be prevented but they can be treated. Treatment modalities may include compression stockings, sclerotherapy, saphenous ablation and/or stab phlebectomy.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Jun 23, 2015

Either repair the veins or wear compression stockings

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Answered by General Vascular Surgery Group

Either repair the veins or wear compression stockings

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Jun 23, 2015

People who are in very good physical condition little body fat who lift weights, often have normal prominent veins.Look at old Greek statues such as "David" and you will see veins on their calfs. In the absence of symptoms you should not be concerned. However if you have a family history of varicose veins and develop symptoms, seek an evaluation from a board certified surgeon who specializes in treating vein problems. This will include an ultrasound examination. In the absence of symptoms these treatments would be cosmetic and you would have to pay for them yourself.

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Answered by Vein Specialties of St. Louis

People who are in very good physical condition little body fat who lift weights, often have normal prominent veins.Look at old Greek statues such as "David" and you will see veins on their calfs. In the absence of symptoms you should not be concerned. However if you have a family history of varicose veins and develop symptoms, seek an evaluation from a board certified surgeon who specializes in treating vein problems. This will include an ultrasound examination. In the absence of symptoms these treatments would be cosmetic and you would have to pay for them yourself.

Published on Jul 11, 2012


Duke Vein Clinic

Published on Jun 23, 2015

Where compression stockings at least 20-30mmHg. I would recommend you schedule an appointment.

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Answered by Duke Vein Clinic

Where compression stockings at least 20-30mmHg. I would recommend you schedule an appointment.

Published on Jul 11, 2012


More About Doctor Vein Center for Women PC

Published on Jun 23, 2015

Its in your best interest to wear active wear compression hose when exercising. You can purchase these online or get a prescription from your vascular doctor. If you also have a family history of varicose veins in addition to an occupation where you sit or stand for the majority of the day- that puts you at more of a risk for venous insufficiency and the progression of more apparent varicose veins. Set up a consultation which usually includes a venous doppler to see the extent of valve incompetence at this point. You may already be in the range of requiring more than just conservative measures to treat your issue.
Good Luck.

Answered by Vein Center for Women PC (View Profile)

Its in your best interest to wear active wear compression hose when exercising. You can purchase these online or get a prescription from your vascular doctor. If you also have a family history of varicose veins in addition to an occupation where you sit or stand for the majority of the day- that puts you at more of a risk for venous insufficiency and the progression of more apparent varicose veins. Set up a consultation which usually includes a venous doppler to see the extent of valve incompetence at this point. You may already be in the range of requiring more than just conservative measures to treat your issue.
Good Luck.

Published on Jul 11, 2012


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