Varicose veins may be symptom free and this might only be a blemish. Most people however have some symptoms that may be unclear. Fatigue, irritability, pain, swelling and cramp are common symptoms. If varicose veins have been untreated for a long time there may occur permanent damage in the skin and there may also be wound formations. These wounds are frequently chronic and difficult to treat and have a tendency to re-appear.