Figure 1: Venous conditions such as varicose veins or spider veins are widespread. You can strengthen your veins with simple natural measures.
Whether varicose veins, spider veins or thromboses: many people are affected by venous complaints. Around 90 percent of Germans between 40 and 80 years suffer from venous weakness.1 Fortunately, there are several measures that can effectively prevent or alleviate venous problems. In this blog article we reveal what you can actively do for your venous health. You will also learn how the venous system works and receive helpful tips for healthy, strong veins!
How does the venous system work?
Especially in summer, heavy and swollen legs are common. Usually the reason for these complaints is dilation of the blood vessels in the legs. In heat the vessels widen to release heat more effectively. The blood then circulates more slowly and pools in the legs. This effect is even stronger in venous weakness. Consequences often include unpleasant swelling and visible varicose veins.
But how does our venous system actually work? Our veins perform heavy-duty work every day: several thousand litres of blood are pumped through the body via the venous system each day. While arteries carry oxygen-rich blood from the heart to the organs, veins work in the opposite direction. Their main task is to carry oxygen-poor blood from the organs and tissues back to the heart against gravity.
Venous valves are essential to ensure transport without complications. When blood flows upwards they open like valves and allow the blood to pass. Afterwards the valves close again, preventing the blood from sinking downwards due to gravity. If the venous valves do not close properly, blood pools in the legs and the vessel walls become permeable. Fluid can then accumulate in the tissue, which often becomes visible as varicose veins and spider veins.
Risk factors for venous disorders
Often a corresponding genetic predisposition is the cause of venous disorders. But lifestyle can also promote the development of varicose and spider veins. Risk factors for venous disease include:
- prolonged standing and/or sitting
- lack of exercise
- overweight
- a diet high in fat and/or sugar
- smoking
- excessive alcohol consumption
- pregnancy
- inappropriate clothing (tight trousers, high heels)
From spider veins to thromboses: the most common venous complaints
Heavy, tired legs, swelling, itching or spider veins are often considered harmless. However, these symptoms can be early signs of venous disease. If nothing is done, chronic venous insufficiency or a venous inflammation may develop. Long‑untreated oedema can, in the worst case, also develop into an open leg (ulcus cruris).
Below we present the most common venous conditions and possible secondary diseases:
Spider veins
Spider veins appear as net‑like lines on the skin. They usually occur mainly on the thighs, the inner sides of the lower legs and at the ankles. They are a special form of varicose veins that arise when the connective tissue of the vein wall stretches. Unlike varicose veins, spider veins usually cause no complaints and do not require medical treatment. In some cases, however, the visible veins may indicate chronic weakness of the venous wall.
Figure 2: Net-like lines on the skin are referred to as spider veins.
Varicose veins
When veins on the legs appear bluish or purple as nodular branches or clusters, they are referred to as varicose veins. In addition to the visible changes in appearance, a feeling of tension in the legs, nocturnal calf and foot cramps, swollen ankles and itching are typical symptoms. Varicose veins develop when the venous valves no longer close properly. Due to blood congestion, pressure on the vein walls increases until they expand and the veins become visible as varicose veins.
In advanced stages varicose veins can lead to venous inflammation and venous insufficiency. People with varicose veins also have an increased risk of developing a blood clot (thrombus).
Figure 3: Varicose veins form bluish or purple knots or clusters on the skin.
Thromboses
In addition to varicose veins, changes in the vein or blood coagulation disorders can promote the formation of a venous thrombosis. Thromboses most commonly occur in the leg. If a blood clot (thrombus) detaches from the vein wall and travels via the bloodstream to the lungs, it can cause a life‑threatening blockage of the vessels, known as a pulmonary embolism. This can in turn lead to cardiac arrest. It is therefore urgently necessary to have a leg vein thrombosis medically assessed and treated.
Figure 4: Thromboses occur mainly in the leg and manifest, for example, as swelling, pain and reddened or bluish‑discoloured skin.
10 tips for strong veins: how to support your venous health
To alleviate venous disorders or prevent the development of venous complaints, you can do a lot in everyday life. Pay particular attention to the following tips for healthy, strong veins:
1. Move regularly
Muscle contractions in the legs support the return of blood to the heart. Hiking, cycling or swimming are ideal sports to strengthen the muscle pump. Moderate forms of exercise such as yoga can also promote circulation and reduce tension in the legs through gentle stretches. A classic among yoga poses is the “Downward‑Facing Dog”. In the inversion the body forms an inverted “V”, with hands and feet on the floor, hips pulled high, the back kept as long as possible and the heels striving towards the floor. In this position not only the legs – especially the calves and back of the thighs – are stretched, but blood circulation throughout the body is also promoted.
2. Avoid long periods of sitting and standing
If your work is mainly sedentary or standing, you should walk a few steps at least every two hours. Phone calls can usually be taken while walking. As our bodies love variety, try to change your position regularly. A height‑adjustable desk makes it easier to alternate between sitting and standing during work. Also try to incorporate more movement into everyday life. For example, take the stairs instead of the lift or use your lunch break for a short walk outdoors.
Figure 5: The gentle stretches of yoga can support venous health.
3. Eat vein‑friendly foods
Your diet can also do your veins some good. Above all, aim for a balanced diet rich in vitamin C and fibre. Studies show that vitamin C can promote collagen production, thereby strengthening vessel walls, improving endothelial function and reducing inflammatory processes.2 Certain phytochemicals such as polyphenols and flavonoids (e.g. in unprocessed green tea, grapes, buckwheat or dark chocolate with a high cocoa content) are also said to have vessel‑protective and anti‑inflammatory effects. Animal fats, alcohol and coffee should, however, be consumed only in moderation.
4. Drink enough fluids
Equally important to a vein‑friendly diet is adequate fluid intake. The German Nutrition Society (DGE) recommends that adults drink around 1.5 litres of water per day.3 In many cases – for example after exercise or in hot weather – the requirement can be significantly higher.
5. Integrate venous exercises into your everyday life
It is worthwhile to give your veins a little attention every day with small exercises. Suitable venous exercises such as ankle circles, heel raises or toe stands take only a few minutes and can be done discreetly at the office, while waiting at the supermarket checkout or at the bus stop. A great vein booster in between is the “venous pump”. Stand relaxed, then rise onto your toes and slowly return to your heels. Do ten to fifteen repetitions and perform the entire movement sequence up to three times a day. The exercise can help to promote circulation and reduce swelling.
6. Put your feet up occasionally
Raising the legs for fifteen to twenty minutes can also relieve swelling and blood congestion, as blood returns more easily to the heart when lying down. At the same time the leg veins are relieved. You can, for example, rest your legs on the arm of a sofa, a cushion or an adjustable recliner. Make sure the feet are above heart level so that gravity supports the return of blood to the heart.
7. Maintain a healthy body weight
With overweight, pressure on the veins increases and the risk of venous complaints rises. Visceral fat in particular increases pressure in the lower limbs. Excess abdominal fat can also produce pro‑inflammatory signalling molecules that damage vessel walls and impair venous function in the long term. Accordingly, good weight management can also support venous health.
8. Use the power of cold
Cold stimuli can help to strengthen the vessels. Cold lower‑leg wraps or thigh douches are ideal for venous complaints. Contrast showers are also a simple and effective method to strengthen venous function. By alternating between cold and warm water, the blood vessels first constrict and then dilate, thereby training the elasticity and responsiveness of the vein walls. Avoid sauna sessions, hot baths and direct sun exposure.
9. Wear comfortable clothing and shoes
Comfortable, loose‑fitting clothing is important so as not to impede the return flow of blood from the legs to the heart. Too‑tight trousers or belts can compress the veins, which hinders blood flow especially in the groin area, on the thighs and in the popliteal fossae. Shoes with high heels should also, if possible, be avoided for the sake of venous health.
10. Use compression stockings
Wearing medical compression stockings increases pressure on the leg tissue. The venous system is relieved and less fluid accumulates in the tissue. Compression stockings should especially be worn during long flights to optimally support the veins on the go and to prevent oedema.
Disclaimer
This article does not replace treatment by a qualified therapist. The basis of this article is studies and current literature. It must not be used for self‑diagnosis or self‑treatment. Discuss any ideas from this article with a therapist you trust, if necessary.
Biography
Katharina Korbach regularly writes blog posts about medicinal plants and natural active ingredients for the Narayana Verlag. She developed an interest in language early on and began writing her own literary texts. A serious illness during her final school years prompted an intensive engagement with health and nutrition topics that continues to this day. After repeated failures of conventional medical treatments, she opted for a more self‑effective, naturopathic therapeutic approach. A plant‑based diet was a key element on her path to recovery.
Katharina studied Cultural Studies (B.A.) and Applied Literary Studies (M.A.). In 2022 she published her debut novel “Sperling” with Berlin Verlag. She now lives in Berlin as a freelance author, medical editor and lecturer. In her spare time she enjoys spending time with friends or doing barre training. She also loves to travel and try new vegan recipes.
Sources
- Schumacher, B. Ein schlechtes Zeichen: Viele Deutsche leiden an Venenschwäche. MMW - Fortschritte der Medizin 163, 24-25. 2021.
- May JM, Harrison FE. Role of vitamin C in the function of the vascular endothelium. Antioxid Redox Signal. 2013 Dec 10. https://pubmed.ncbi.nlm.nih.gov/23581713/.
- DGE (2000): Referenzwerte Wasser. https://www.dge.de/wissenschaft/referenzwerte/wasser/ (accessed: 03.07.2024).
Figure 1: GBALLGIGGSPHOTO/shutterstock.com ; Figure 2: Rungkh/shutterstock.com ; Figure 3: sutulastock/shutterstock.com ; Figure 4: Alona Siniehina/shutterstock.com ; Figure 5: 220 Selfmade studio/shutterstock.com
25 June 2026