Pain in the legs at rest or while sleeping is unlikely to be due to varicose veins. It could be due to a large disc prolapse, in which case he should also have numbness and/or weakness in the legs. Another cause is deep vein thrombosis, which is associated with calf swelling with or without fever or breathlessness. Finally do rule out arterial insufficiency like Buerger's disease, especially if he is a chronic smoker.
Pain in leg is called claudication it may be neural due to sciatica or vascular due to vericose vein. Both the cases physiotherapy will be highly effective. Kindly visit a MPT qualified and registered physiotherapist nearby u will find benefit.
May be a lumbar disc prolapse or lumbar sponylosis can cause back pain and leg pain..it will be a electric shock like pain associated with weakness, numbness etc.consult a neurosurgeon and undergo complete neurological examination and follow his advice
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