Primary prevention

Although no measures have been shown to prevent varicose veins, avoidance of prolonged sitting or standing, weight loss (if applicable), exercise, and intermittent leg elevation may all be helpful.

Secondary prevention

Prolonged standing, especially in one place, should be avoided. If unavoidable, compression stockings should be worn. If there is continued evidence of reflux (i.e., deep system insufficiency), compression stockings should be worn during the day. The use of compression stockings at night is unnecessary. If obese, patients should be advised to lose weight.

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