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Vein Symptom Guide

Learn more about common vein symptoms, their causes, how we diagnose them, and the advanced treatments we offer.

01

Leg Pain / Aching / Cramping

Leg pain, aching, and cramping are common symptoms of vein disease. When the veins in your legs cannot efficiently return blood to your heart, pressure builds within the veins, leading to discomfort that often worsens after prolonged standing or sitting. Many patients notice temporary relief by elevating their legs or walking.

• Chronic venous insufficiency (CVI)
• Varicose veins
• Venous reflux disease

Your evaluation begins with a consultation to discuss your symptoms and medical history, followed by a physical examination and a painless duplex ultrasound. This allows us to identify damaged veins, evaluate blood flow, and determine the source of your leg pain.

When an evaluation identifies venous insufficiency as the cause of your symptoms, treatment may include:

02

Skin Changes / Discoloration

Darkening of the skin, redness, itching, or thickened skin around the lower legs may indicate chronic vein disease. These changes occur when increased pressure inside damaged veins affects the surrounding skin and tissue.

• Chronic venous insufficiency
• Venous hypertension
• Varicose veins
• Venous stasis dermatitis

A comprehensive evaluation includes reviewing your symptoms, examining your skin, and performing a duplex ultrasound to identify abnormal blood flow contributing to these skin changes.

When skin changes are related to underlying venous disease, treatment focuses on addressing the abnormal veins contributing to increased pressure. Options may include:

03

Leg or Ankle Swelling

Persistent swelling in the legs or ankles may be related to vein disease, lymphedema, or a combination of both. Problems with the veins can cause blood and fluid to accumulate in the legs, while lymphedema occurs when the lymphatic system cannot adequately drain excess fluid.

•Lymphedema
•Chronic venous insufficiency
• Venous reflux
• Varicose veins

We evaluate your symptoms and medical history to help determine the underlying cause of swelling. When vein disease is suspected, duplex ultrasound can evaluate blood flow and valve function. If lymphedema is contributing to your symptoms, we can develop an appropriate treatment plan based on your individual needs.

If venous insufficiency is contributing to your swelling, treatment may include:

04

Leg Heaviness & Fatigue

A feeling of heavy, tired legs is often one of the earliest signs of vein disease. Poor circulation forces your leg muscles to work harder, creating fatigue that often worsens later in the day.

• Venous insufficiency
• Varicose veins
• Venous reflux
• Prolonged standing

Your specialist will perform an ultrasound evaluation to determine whether damaged vein valves are preventing healthy circulation.

When these symptoms are caused by venous insufficiency, treatment may include:

05

Ulcers / Sores / Open Wounds

Open sores on the lower legs or ankles are often associated with advanced vein disease. These wounds develop when long-term pressure inside damaged veins interferes with healthy circulation and skin healing.

• Chronic venous insufficiency
• Venous hypertension
• Varicose veins

We examine the wound, review your medical history, and perform an ultrasound to identify the underlying vein disease preventing proper healing.

When chronic venous disease is contributing to a wound, treatment may involve addressing the underlying abnormal veins. Options may include:

06

Restlessness in the Legs

An uncontrollable urge to move your legs, particularly at night, may be associated with underlying vein disease. Poor circulation can contribute to leg discomfort that interferes with rest and sleep.

• Chronic venous insufficiency
• Varicose veins
• Venous reflux

After discussing your symptoms, we use duplex ultrasound to determine whether abnormal vein function is contributing to your restless legs.

If your evaluation identifies underlying venous disease that may be contributing to your symptoms, treatment may include:

07

Tingling or Burning in the Legs

Burning, tingling, itching, or pins-and-needles sensations may occur when poor circulation affects the nerves and tissues of the lower legs. These symptoms often worsen as vein disease progresses.

• Chronic venous insufficiency
• Venous reflux
• Varicose veins

Using duplex ultrasound, we evaluate your circulation and identify damaged veins that may be contributing to these symptoms.

Because burning and tingling can have many causes, treatment depends on your diagnosis. When underlying venous disease is identified, options may include:

08

Varicose Veins

Varicose veins are enlarged, twisted veins caused by weakened valves that allow blood to flow backward and collect within the veins. In addition to their appearance, varicose veins can cause pain, swelling, heaviness, and other symptoms of chronic venous insufficiency.

• Chronic venous insufficiency
• Venous reflux
• Genetics
• Pregnancy
• Prolonged standing

A duplex ultrasound allows us to evaluate blood flow, identify reflux, and determine which veins require treatment.

Treatment is customized based on your ultrasound findings and the size, location, and type of veins involved. Options may include:

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(847) 277-9100
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