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Swollen, Achy, or Tired Legs – What Can Be Done?

Have your legs been tired, heavy, achy, swollen, crampy, or throbbing? There are many reasons that cause these symptoms every now and then. However, if your legs are bothering you for more than a month, it may indicate underlying varicose veins, even if there are no visible veins on the surface.

Venous insufficiency is the condition in which blood flow from your legs back to your heart is reduced. Not all varicose veins bulge on the surface, and many men and women may experience pain and discomfort without a visible indicator of the problem. In other cases, people may not experience any symptoms but have very visible varicose veins.

Prevention and At-Home Treatment Options

If your symptoms are minimal or mild, conservative methods should be tried first to see if they help reduce your symptoms including:

  • Avoid sitting or standing for extended periods of time
  • Wear compression socks or stockings
  • Avoid tight-fitting clothing around the waist, groin, and legs
  • Exercise regularly to improve circulation
  • Lose weight (if overweight)

If you are experiencing moderate to severe symptoms, New York Skin & Vein Center offers several pain-free, in-office treatment options.


Sclerotherapy is a highly effective procedure used to treat small varicose veins and spider veins. During the procedure, an FDA approved medication is injected into the vein to make it collapse and close it off. This reroutes the blood to normal veins. Sclerotherapy is a popular choice for treating small veins because it is minimally invasive and can treat large areas in a short time.

Ultrasound-Guided Foam Sclerotherapy

Ultrasound-Guided Foam Sclerotherapy is a fast, minimally invasive treatment for treating veins close to the skin’s surface. An ultrasound is used to find the problem vein, often located in a hard-to-treat area. This procedure is highly effective in reducing the physical symptoms of vein disease and improving cosmetic appearance.

Consultations Available Now

The first step is to schedule an in-person consultation with one of our highly trained providers at New York Skin & Vein Center located in Oneonta, NY, serving the surrounding New York City areas with additional offices in Norwich, Binghamton, and Cobleskill.

Simply fill out the form on this page and we will reach out to you promptly to schedule your appointment. Your journey to a healthier, happier you can start today.

Laser Light Therapy

Pulsed light therapy is a non-surgical treatment that uses concentrated wavelengths of light to heat small spider veins and seal them shut. New York Skin & Vein Center uses the Excel V laser depending on the location, color, and size of the veins.

Endovenous Laser Treatment (EVLT)

Endovenous laser therapy (EVLT), also known as endovenous laser ablation (EVLA), uses internal laser energy to seal off blood flow to problem feeder veins. The great or small saphenous veins (GSV or SSV) are treated in an in-office procedure that takes less than an hour. EVLT provides almost immediate relief of symptoms and requires no downtime.

Ambulatory Phlebectomy

Ambulatory Phlebectomy is a minimally-invasive, outpatient procedure that removes bulging surface varicose veins through tiny incisions in the skin. It is a good choice for treating symptomatic superficial veins. This procedure can be combined with other therapies to enhance your legs’ cosmetic appearance.

The best way to determine which treatment(s) will work for your individual needs is through an in-person consultation with Dr. Dohner. He’ll be able to assess your concerns and create a custom treatment plan to relieve vein issues.


*Individual Results May Vary

Dr. Dohner and his team strive to provide the best experience for everyone who chooses their practice for their aesthetic and vein needs. Read why our patients love their results & experience with Dr. Dohner and his team of expert providers at New York Skin & Vein Center in New York.

Take the Next Step

To schedule your in-person swollen, achy, or tired legs consultation, call New York Skin & Vein Centers at (607) 286-0672 or simply fill out the form on this page. We look forward to working with you!

*individual results may vary

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