Venous Insufficiency Treatment at M&S Vascular and Orthopedic Group — minimally invasive treatment in Forest Hills, Queens & Great Neck, Long Island
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Venous Insufficiency Treatment in Forest Hills, Queens

Venous insufficiency and leg swelling evaluation in Forest Hills, Queens, with ultrasound-guided vein care options

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 heavy legs, ankle swelling, aching, 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. Persistent ankle swelling, heavy legs, or skin changes deserve an evaluation, even when visible veins are not painful. At a Forest Hills visit, describe when swelling begins, whether one or both legs are affected, and how symptoms change with standing or walking. Patients coming from Rego Park and Kew Gardens can bring prior ultrasound reports and any prescribed compression details to help the team compare findings. 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. The plan should address the cause of leg swelling, not only the appearance of the veins.

Venous Insufficiency Treatment — what to expect

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

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.
Do I need an ABI test before wearing compression stockings in Queens?
If you have known or suspected peripheral artery disease, a non-healing leg wound, weak pulses, or concerning circulation symptoms, a clinician may recommend an ankle-brachial index (ABI) or other arterial testing before prescribing compression. Diabetes or kidney disease can make ABI readings less reliable, so toe pressures or ultrasound may also be needed. At your Forest Hills evaluation, the care team can determine whether compression is appropriate and which pressure and fit are safe for your circulation.
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?
New one-sided leg swelling with warmth, redness, or calf pain needs prompt medical assessment because a blood clot is one possible cause. Call 911 for chest pain, sudden shortness of breath, or a suddenly cold, severely painful, numb, or weak foot or leg. Do not wait for a routine vein appointment or try to manage unexplained sudden swelling with compression alone.

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