The blood vessels on the legs like earthworms are usually caused by varicose veins in the lower limbs. The blood vessels on the legs like earthworms are generally caused by varicose veins. Due to prolonged heavy work, overwork or prolonged standing, it will cause the expansion of blood vessels in the legs, resulting in local varicose phenomenon. Clinical manifestations are mainly lower extremity soreness, numbness, lower extremity skin can be seen earthworm-shaped, tortuous, dilated blood vessel mass, occasionally accompanied by local itching discomfort, can be targeted for Doppler ultrasound and lower extremity phlebography and other examinations, and then according to the specific circumstances of the treatment given. The use of compression stockings can be considered for treatment, and the affected limbs can be elevated appropriately when sitting or lying down, which is conducive to the alleviation of the condition, and surgical treatment can be carried out if necessary.