There is no way to completely prevent varicose veins but you could delay their occurrence or reduce the risk by improving the circulation of your legs. These are the same measures you take to reduce the discomfort from varicose veins. The measures include:
1. Many obese patients with severe pain in the legs but no obvious visible veins due to the obese legs go repeatedly to the orthopaedic surgeon or the neurologist with no relief and ultimately land up in psychiatric care. A simple Colour Doppler study may reveal severe reflux at the SF junction and large varicose veins. On treating these their pain settles completely.
2. Occasionally patients present with unusual problems not documented in the literature like one patient presented with black spots on the sole of the feet which were painless but present for years and only progressively increasing. He had added severe varicose veins. On our treating his veins the spots progressively disappeared over the following couple of months.