I am doctor Fahim. I welcome you to HCM and will help you with your Query . . . Varicose veins have six stages, and your stage appears to be Stage Four, now also there is inflammation. It needs treatment otherwise it can result in ulcer formation, which is a complication of varicose vein. For Varicose vein treatment you need to see a General Surgeon or most suitably a VASCULAR SURGEON. Treatment options include Ultrasound guided Foam Sclerotherapy, Endovenous Radiofrequency Ablation, Endovenous Laser Ablation. These above mentioned techniques require special equipment and are performed by only Vascular Surgeon, so these are quite expensive. Another treatment option which is LIGATION AND STRIPPING of the varicose vein. Its relative simple and cost effective option. This is performed by almost every GENERAL SURGEON. I hope I answered your Question well. Please rate my answer if you like it and feel free to ask any further Questions. Regards