Burning or Aching in the Legs: What It Means and When to Seek Vein Care

April 22, 2024
By United Vein & Vascular Centers®

A burning or aching sensation in your legs is more than just an annoyance. For many people, it can interfere with sleep, limit daily movement, and make even simple activities feel exhausting. While occasional leg discomfort may be caused by muscle fatigue or overuse, persistent burning, aching, or tingling in the legs may be a sign of an underlying vein condition that should not be ignored.

Understanding what causes burning or aching legs can help you take the right steps toward relief and long-term vascular health.

What Does Burning or Aching Leg Pain Feel Like?

Leg discomfort linked to vein disease can present in several ways, and symptoms often worsen throughout the day. 

Many patients describe sensations such as:

  • A burning or warm feeling in the calves, ankles, or feet
  • A deep, dull ache that increases after standing or sitting for long periods
  • Tingling or pins-and-needles sensations that come and go
  • Heaviness or fatigue in the legs, especially in the evening
  • Pain that improves temporarily when legs are elevated

While stretching, walking, or massaging the legs may offer short-term relief, these approaches do not address the root cause if vein disease is involved.

Why Burning or Aching Legs Should Not Be Ignored

Your veins and arteries work constantly to circulate blood throughout your body, especially against gravity in the legs. When the veins are not functioning properly, blood can pool instead of flowing efficiently back to the heart. This increased pressure within the veins can lead to inflammation, discomfort, and progressive symptoms over time.

Ignoring ongoing leg pain can allow vein disease to worsen, potentially leading to complications such as swelling, skin changes, or non-healing ulcers.

Common Causes of Burning and Aching Legs

Several vein-related conditions can cause burning or aching sensations in the legs. A proper evaluation by a vein specialist is the best way to determine the underlying cause.

Chronic Venous Insufficiency (CVI)

Chronic venous insufficiency occurs when the valves in the leg veins weaken or fail, allowing blood to flow backward and pool in the lower extremities. This condition is one of the most common causes of burning, aching, and heaviness in the legs.

Symptoms of CVI may include:

  • Burning or aching pain that worsens as the day progresses
  • Swelling in the ankles or lower legs
  • Skin discoloration or thickening
  • A feeling of tightness or pressure in the calves

Varicose Veins

Varicose veins are enlarged, twisted veins that form when blood collects instead of flowing upward toward the heart. They are often visible beneath the skin and may appear blue or purple.

In addition to their appearance, varicose veins can cause:

  • Burning or throbbing sensations
  • Aching pain after standing
  • Leg fatigue or heaviness
  • Swelling and tenderness
A man stopping to check his leg during his workout as he felt his leg burn and ache

Deep Vein Thrombosis (DVT)

Deep vein thrombosis occurs when a blood clot forms in a deep vein, most commonly in the leg. This is a serious medical condition that requires immediate attention, as a clot can travel to the lungs and cause a pulmonary embolism.

Symptoms of DVT may include:

  • Sudden leg pain or tenderness
  • Warmth or burning in one leg
  • Significant swelling
  • Skin redness or discoloration

If you experience sudden or severe leg pain, swelling, or warmth, seek medical care right away.

Additional Symptoms Linked to Vein Disease

Burning or aching legs often occur alongside other symptoms that indicate vascular issues. 

These may include:

  • Persistent leg swelling
  • Skin itching or irritation
  • Discoloration around the ankles
  • Thickened or hardened skin
  • Slow-healing sores or ulcers
  • Restlessness in the legs at night

Together, these symptoms can significantly affect comfort, mobility, and overall quality of life.

How Vein Disease Impacts Daily Life

Living with untreated vein disease can make everyday activities challenging. Standing, walking, or sitting for extended periods may become uncomfortable. Sleep can be disrupted by aching or burning sensations, and physical activity may feel increasingly difficult.

Beyond physical symptoms, chronic discomfort can also impact emotional well-being, contributing to frustration, stress, or reduced confidence due to visible vein changes.

Vein Treatment Options at United Vein & Vascular Centers

The good news is that effective treatment options are available. United Vein & Vascular Centers specializes in diagnosing and treating vein disease using advanced, minimally invasive techniques.

Most treatments are outpatient procedures and require little to no downtime. Depending on your diagnosis, treatment options may include:

These treatments are designed to relieve symptoms, improve circulation, and prevent further complications.

Frequently Asked Questions

What makes leg pain worse at night?

Vein-related leg pain often worsens at night because blood pools in the legs after a full day of standing or sitting. Elevating your legs may help temporarily, but persistent symptoms should be evaluated by a vein specialist.

Can vein disease cause a burning sensation without visible veins?

Yes. Many patients experience burning, aching, or heaviness before visible varicose or spider veins appear. Symptoms can develop early, even when veins look normal.

When should I see a vein specialist?

You should schedule a consultation if you experience ongoing leg burning, aching, swelling, or discomfort that does not improve with rest or lifestyle changes. Early diagnosis can help prevent disease progression.

Take the Next Step Toward Leg Pain Relief

Burning or aching legs are not something you have to live with. These symptoms may be your body’s way of signaling an underlying vein condition that can be treated safely and effectively.

United Vein & Vascular Centers offers comprehensive evaluations and minimally invasive treatments designed to relieve discomfort and restore healthy circulation. Contact UVVC today to schedule a consultation and take the first step toward healthier, more comfortable legs.

Schedule Your Vein & Vascular Consultation

Take the first step toward better circulation and healthier legs. Our board-certified specialists provide minimally invasive treatments for varicose veins, poor circulation, and vascular conditions—most procedures take just 20-30 minutes.

If you’re concerned about your vein health, schedule a consultation with a vein and vascular specialist to put your mind at ease

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