What is the most appropriate initial treatment for varicose veins presenting with dull discomfort?

• A. Heparin
• B. Compression stockings
• C. Furosemide
• D. Thrombectomy

Answer: (B)

Compressing the legs with graduated elastic stockings is the best initial approach for dull, uncomfortable varicose veins. The external pressure helps reduce vein dilation and venous pooling, improves venous return, and lowers venous pressure in the superficial veins, which directly eases aching and heaviness. This conservative treatment has few risks and can be complemented by leg elevation and regular activity. Other options aren’t appropriate as first-line for uncomplicated symptoms: heparin is an anticoagulant used for clotting disorders and would not address venous reflux; furosemide only removes excess fluid but doesn’t fix underlying venous insufficiency; thrombectomy is a procedure reserved for removing clots, not for routine varicose vein discomfort. If symptoms persist or complications develop, more definitive treatments may be considered.