
Expert Care for Varicose Veins & Venous Insufficiency
What is Venous Insufficiency?
Venous insufficiency occurs when the valves in your leg veins don't work properly, allowing blood to pool in your legs instead of flowing back to your heart. This condition can lead to varicose veins (large, bulging veins), spider veins (small, web-like veins), and other symptoms that affect your comfort and appearance.
How Do Varicose Veins Develop?



When vein valves become damaged or weakened, blood flows backward and pools in your legs. This increased pressure causes veins to stretch, twist, and become visible as varicose veins. Risk factors include age, pregnancy, obesity, prolonged standing, and family history.
Signs of Venous Insufficiency & Varicose Veins

- Visible varicose veins—large, bulging, twisted veins that are dark purple or blue.
- Spider veins—small, web-like clusters of red, purple, or blue veins.
- Leg pain, aching, or heaviness, especially after standing for long periods.
- Swelling in your ankles and feet, particularly at the end of the day.
- Itching or burning sensation around the affected veins.
- Skin changes like darkening, thickening, or ulcers near the ankles.
When to Seek Treatment for Vein Problems
- You have visible varicose veins that cause pain or discomfort.
- Your legs feel heavy, achy, or tired, especially after standing.
- You experience swelling in your ankles or feet that doesn't improve with rest.
- You notice skin changes or ulcers near your ankles.
- Your varicose veins are affecting your confidence or quality of life.
Venous insufficiency is a progressive condition that can worsen over time. Early treatment can prevent complications like skin ulcers and improve your comfort and appearance.
The Discomfort of Venous Insufficiency
Why It Hurts
When blood pools in your legs due to faulty vein valves, it creates pressure that stretches the vein walls and irritates surrounding tissues. This pressure causes the characteristic aching, heaviness, and discomfort that many patients experience, especially after prolonged standing.
Patient Experience
"My legs would feel so heavy and achy by the end of the day. I couldn't wait to put my feet up, and the varicose veins made me self-conscious about wearing shorts or skirts."
Modern vein treatments are minimally invasive and highly effective. Many patients experience significant relief from symptoms and improved appearance after treatment.
How We Treat Venous Insufficiency & Varicose Veins
We begin with a thorough evaluation and then coordinate with our in-office cardiologist who specializes in venous conditions. Treatment options may include compression therapy, lifestyle modifications, and advanced procedures like sclerotherapy, laser therapy, or vein ablation performed by our cardiologist.
Our approach focuses on both symptom relief and addressing the root cause. Dr. Marzano works closely with our cardiologist to ensure you receive the most appropriate treatment for your specific venous condition.

Don't Let Vein Problems Hold You Back.
Whether you're concerned about appearance or experiencing discomfort, varicose veins and venous insufficiency can be effectively treated. Schedule a consultation with Dr. Marzano to explore your treatment options.