What we treat
Our physician-led team helps you understand what's medical, what's cosmetic, and what's right for you — without pressure or up-selling.
1 in 3
U.S. adults
have some form of chronic venous disease.
Often
Medical, not cosmetic
Symptoms like aching, swelling, or skin changes.
Covered
By most insurance
When ultrasound and symptoms support necessity.
Same day
Diagnosis
Ultrasound evaluation on site at every office.
Browse by category
Twisted, bulging veins that often cause aching, heaviness, or swelling and may be linked to venous reflux.
When to seek evaluation
If varicose veins are uncomfortable, growing, causing skin changes, or affecting daily activity.
Fine red, blue, or purple surface veins — most often cosmetic but occasionally a sign of underlying reflux.
When to seek evaluation
If spider veins are bothering you cosmetically, spreading, or accompanied by leg symptoms.
Raised, prominent veins that rise above the skin — often a sign of venous reflux and incompetent valves.
When to seek evaluation
If veins are painful, growing, or interfering with daily activity.
Flat blue-green surface veins, larger than spider veins but smaller than varicose veins.
When to seek evaluation
If reticular veins are spreading, uncomfortable, or accompanied by other vein symptoms.
New or returning varicose or spider veins after a previous procedure — often from a different feeder vein.
When to seek evaluation
If symptoms or visible veins return months or years after a previous procedure.
Persistent swelling — especially around the ankle by the end of the day — that may indicate venous disease.
When to seek evaluation
If swelling is persistent, one-sided, painful, or progressing.
A tired, weighted feeling in the legs that worsens with standing — often associated with venous reflux.
When to seek evaluation
If heaviness occurs daily, limits activity, or comes with swelling.
Dull aching or throbbing that worsens with standing and improves with movement or elevation.
When to seek evaluation
If pain is daily, affects sleep, or interferes with activity.
Legs that feel exhausted after a day on your feet — common in nurses, teachers, and service workers.
When to seek evaluation
If fatigue is daily or limits work or activity.
Sudden calf cramps at night that may reflect underlying venous disease in some patients.
When to seek evaluation
If cramps are frequent and associated with other leg symptoms or visible veins.
An uncomfortable urge to move the legs at rest — sometimes linked to venous disease.
When to seek evaluation
If restless legs are accompanied by visible veins, heaviness, or swelling.
Burning, tingling, or itching — often along a varicose vein or near the ankle.
When to seek evaluation
If burning or itching is persistent, near visible veins, or accompanied by skin changes.
Leg pain that develops with prolonged standing or sitting and improves with movement and elevation.
When to seek evaluation
If pain is daily or limits travel, exercise, or work.
Persistent swelling in only one leg can point to venous reflux, a prior DVT, or lymphedema — diagnostic ultrasound is the first step.
When to seek evaluation
Promptly if swelling is new, painful, warm, red, sudden, or follows a recent surgery, flight, or injury — these may suggest DVT and require urgent evaluation.
Brown, red, or rust-colored discoloration around the ankle from long-standing venous hypertension.
When to seek evaluation
As soon as discoloration appears — early treatment can prevent ulcers.
Inflamed, scaly skin around the lower leg or ankle caused by chronic venous hypertension.
When to seek evaluation
Promptly — dermatitis can progress to ulcers without treatment.
Persistent dryness or itching near the ankle that may be early venous eczema.
When to seek evaluation
If symptoms recur despite moisturizing or hydrocortisone.
Open wounds near the ankle caused by long-standing venous hypertension — they need urgent evaluation.
When to seek evaluation
Right away — venous ulcers need prompt medical care.
Cuts or scrapes near the ankle that take weeks to heal — often a sign of underlying venous disease.
When to seek evaluation
If a wound near the ankle takes more than 2–3 weeks to heal.
Long-standing impaired blood return from the legs caused by damaged or leaky vein valves.
When to seek evaluation
If you have ongoing leg symptoms or visible veins, especially with skin changes.
Backward blood flow in leg veins caused by valves that no longer close properly.
When to seek evaluation
If you have symptoms or visible veins suggesting underlying reflux.
Reflux or damage in the saphenous and other surface vein systems — the most common form of vein disease.
When to seek evaluation
If you have symptoms or visible veins; ultrasound determines next steps.
When the one-way valves inside leg veins no longer close properly, blood pools and pressure rises.
When to seek evaluation
If you have ongoing leg symptoms suggestive of venous disease.
Next step
Schedule a consultation and learn whether your symptoms are cosmetic, medical, or both.