You should see a doctor about varicose veins if: You develop symptoms of varicose veins including heaviness, tiredness, or swelling in the legs, or itching or burning in the lower extremities The vein has become swollen, red, or very tender or warm to the touch There are sores or a rash on the leg or near the ankle The skin on the ankle and calf becomes thick and changes color A varicose vein begins to bleed Your varicose vein symptoms are interfering with daily activities including sleep The appearance of your veins is causing you distress If you’re having pain associated with varicose or spider veins, even if it’s just a dull ache, don’t hesitate to get help.