Venous Insufficiency Treatment

Diagnosis and minimally invasive treatment for venous insufficiency symptoms in Queens

Medically Reviewed by Dr. Amir Salem, MD · April 28, 2026

About Venous Insufficiency Treatment

Chronic venous insufficiency happens when leg vein valves do not move blood back toward the heart efficiently. Blood can pool in the legs, increasing pressure and causing heaviness, aching, swelling, restless legs, visible varicose veins, spider veins, skin discoloration, itching, and slow-healing wounds near the ankle. At M&S Vascular and Orthopedic Group in Forest Hills, Queens, Dr. Amir Salem evaluates venous insufficiency with a focused exam and duplex ultrasound when appropriate. The goal is to identify whether symptoms are coming from superficial vein reflux, deeper vein disease, prior blood clots, or another cause. Treatment may include compression therapy, walking and calf-pump guidance, skin care, sclerotherapy, endovenous ablation, phlebectomy, or coordinated wound care when needed. For patients comparing leg vein treatment in Queens, varicose vein treatment in Forest Hills, or a vein doctor near Rego Park and Kew Gardens, this page explains when symptoms are more than cosmetic and why ultrasound-guided diagnosis matters. Because M&S combines vascular, interventional radiology, orthopedic, and foot and ankle perspectives, patients with leg swelling or walking discomfort can be evaluated for overlapping vein, artery, joint, nerve, and foot problems in one coordinated setting. We serve patients from Forest Hills, Rego Park, Kew Gardens, Jamaica, Flushing, Great Neck, and nearby Queens and Long Island communities.

What to Expect

Your Visit, Step by Step

Your venous insufficiency visit starts with a review of symptoms, risk factors, prior clots or procedures, and how swelling or heaviness changes during the day. Dr. Salem may examine visible veins, skin changes, swelling, pulses, and tenderness. If vein reflux is suspected, duplex ultrasound can map blood flow and valve function. Your treatment plan may include conservative care first, or minimally invasive vein procedures when symptoms, ultrasound findings, and medical necessity support treatment.

Who Is This For?

Adults with leg heaviness, aching, swelling, restless legs, varicose veins, spider veins, ankle discoloration, itching, or slow-healing lower-leg wounds who need venous insufficiency evaluation in Forest Hills, Queens.

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Frequently Asked Questions

What are the symptoms of chronic venous insufficiency?

Common symptoms include leg heaviness, aching, swelling, throbbing, itching, restless legs, varicose veins, spider veins, ankle discoloration, skin irritation, and slow-healing sores near the lower leg or ankle.

How is venous insufficiency diagnosed?

Diagnosis usually starts with a history and physical exam. Duplex ultrasound may be used to check whether vein valves are leaking and to identify which veins are contributing to symptoms.

Can venous insufficiency be treated without surgery?

Yes. Many patients start with compression stockings, walking, leg elevation, and skin care. When symptoms persist or ultrasound shows significant reflux, minimally invasive options such as sclerotherapy, endovenous ablation, or phlebectomy may be recommended.

Is leg swelling always caused by vein disease?

No. Swelling can come from vein disease, heart or kidney problems, medications, lymphedema, injury, arthritis, or other conditions. A medical evaluation helps identify the cause and safest treatment.

When should leg swelling be checked urgently?

Sudden one-sided swelling, warmth, redness, severe pain, chest pain, or shortness of breath should be treated urgently because a blood clot or another serious condition may be present.

Schedule an Appointment

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Serving patients in:

Forest Hills / Queens · Rego Park · Kew Gardens · Flushing · Bayside · Jamaica · Elmhurst · Fresh Meadows · Jackson Heights · Great Neck / Long Island · Manhasset