Artery & Vein Specialists

Enlarged, rope-like surface veins often caused by underlying venous reflux (weak valves). Symptoms can include aching, heaviness, swelling, itching, or nighttime cramps.

• Evaluation: Duplex ultrasound to map refluxing veins.
• Treatment: Endovenous ablation of the reflux source, ambulatory phlebectomy for surface veins, and/or sclerotherapy for residual clusters.
• Recovery: In-office care, small entry sites, compression and walking after the procedure.

Small, red-purple surface veins that may sting or itch but are most often a cosmetic concern.

• Primary treatment: Injection sclerotherapy with a very fine needle to collapse target veins.
• Assessment: Visual exam; ultrasound if symptoms suggest deeper reflux.
• Aftercare: Compression, walking, and sun-protection guidance.

When leg-vein valves don’t close well, blood can pool and increase pressure in surface veins. This can cause aching, heaviness, swelling, skin changes near the ankles, and varicosities.

• Diagnosis: Duplex ultrasound while standing to check flow direction and valve timing.
• Treatment path: Address refluxing trunks (often with endovenous ablation) then tidy surface veins (phlebectomy/sclerotherapy) as needed.

Vein narrowing or clot (acute or chronic) can contribute to swelling, pain, and heaviness. Management depends on location, timing, and risk factors.

• Workup: Ultrasound or advanced imaging to locate obstruction.
• Treatments: Compression/medication in many cases; selected cases may benefit from image-guided therapy (thrombolysis, angioplasty, stenting) per specialist review.

Some arterial conditions are assessed and, when appropriate, treated with minimally invasive, image-guided techniques.

• Examples: Narrowings treatable with angioplasty/stenting; targeted embolization for specific issues.
• Plan: Coordinated with your primary or referring provider.