What Causes a Burning Sensation in the Legs?

What Causes a Burning Sensation in the Legs?

If you’ve ever felt a burning, tingling, or stinging sensation in your legs, you’re not alone. Many people describe this feeling as a warm or fiery pain that worsens when standing or after long days on their feet. While it may seem harmless, a burning sensation in the legs can be an early sign of circulation or vein problems that shouldn’t be ignored.

When Leg Discomfort Isn’t Just Fatigue

If your legs often feel heavy, achy, or warm — especially after standing or sitting for long periods — it may be more than simple tiredness. A burning sensation in the legs can signal an underlying circulation issue, such as chronic venous insufficiency (CVI). When the tiny valves inside your veins weaken, blood struggles to move upward toward the heart and instead pools in the lower legs. This trapped blood increases pressure in the veins, leading to burning, throbbing, or itching sensations that can worsen throughout the day. Over time, untreated vein disease may cause visible varicose veins, skin discoloration, or even open sores near the ankles. Persistent burning or discomfort should never be ignored — it’s your body’s way of signaling that your veins may need professional care.

Varicose Veins Burning

Understanding the Circulatory Link for Leg Burning Sensation

Your legs contain a vast network of veins that carry blood back to your heart. When vein valves weaken or become damaged, blood can pool in the legs instead of flowing upward. This leads to increased pressure in the veins, causing burning sensations, swelling, heaviness, and pain—hallmarks of chronic venous insufficiency (CVI).

Left untreated, CVI can progress to varicose veins, skin changes, or even venous ulcers. Recognizing early warning signs like burning or tingling can help prevent complications later on.

Common Causes of Burning in the Legs

1. Chronic Venous Insufficiency (CVI)

CVI occurs when the veins in your legs can’t effectively push blood back to the heart.

Chronic Venous Insufficiency Symptoms include:

  • A burning or throbbing sensation, especially after standing or sitting for long periods

  • Swelling around the ankles or calves

  • Visible varicose veins

  • Leg cramps or itching at night

  • Skin discoloration or thickening near the ankles

This condition is one of the most common vascular causes of leg burning and discomfort.

2. Varicose Veins

Bulging, twisted veins beneath the skin can cause irritation and a burning sensation in the surrounding area.

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Why it happens:
When blood pools in damaged veins, it creates pressure and inflammation that can cause localized warmth or burning.

Varicose vein pain may worsen with heat, prolonged standing, or hormonal changes.

3. Peripheral Artery Disease (PAD)

PAD occurs when arteries become narrowed due to plaque buildup, restricting blood flow to the legs.
Symptoms:

  • Burning or aching in the legs when walking (known as claudication)

  • Cool skin or poor wound healing

  • Numbness or weakness in the lower legs

Unlike CVI, which affects the veins, PAD affects the arteries that bring blood to the legs. Both conditions require medical attention.

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4. Nerve-Related Conditions

If you have diabetes, spinal issues, or nerve compreshttps://www.veinclinics.com/our-clinics/sion, you may experience burning sensations caused by nerve damage (neuropathy).
While USA Vein Clinics focuses on vascular health, our specialists often collaborate with other providers to help patients identify whether their symptoms stem from nerve or circulation problems.

When to Seek Medical Help for Burning Sensation in the Legs

You should contact a vein specialist if you experience:

  • Persistent burning, heaviness, or pain in your legs

  • Symptoms that worsen after sitting or standing

  • Visible varicose or spider veins

  • Swelling that improves after elevating your legs

  • Skin discoloration, dryness, or sores that don’t heal

Ignoring these symptoms may lead to more advanced vein disease and a greater risk of complications.

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How USA Vein Clinics Can Help

At USA Vein Clinics, our board-certified vein specialists diagnose and treat the underlying causes of burning sensations using non-surgical, outpatient procedures such as:

  • Endovenous Laser Therapy (EVLT)
    A minimally invasive laser treatment that closes diseased veins and reroutes blood flow to healthier ones.

  • Ultrasound-Guided Sclerotherapy
    A quick injection-based treatment that targets small to medium-sized varicose veins.

  • Varithena® and Radiofrequency Ablation (RFA)
    Innovative procedures designed to restore circulation, reduce pain, and improve leg appearance.

Our treatments are performed in-office, take less than an hour, and allow most patients to walk immediately afterward.

Take the First Step Toward Relief

A burning sensation in your legs isn’t something to brush off—it could be your body’s way of saying your veins need care. Early diagnosis and treatment can help you prevent complications, improve comfort, and regain confidence in your legs.

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