The Vein CompanyThe Vein Company

    Leg Swelling & Heaviness

    Chronic leg swelling and heaviness occur when veins in the legs cannot efficiently return blood to the heart. This condition, known as chronic venous insufficiency (CVI), causes fluid to accumulate in the lower legs and ankles. Patients often notice their symptoms worsen throughout the day, especially after sitting or standing for extended periods.

    Swollen feet and ankles showing edema, puffy tight skin from venous insufficiency.

    What leg swelling can look like

    Example of chronic lower leg and ankle swelling caused by venous insufficiency.

    Contains clinical photography | click to expand | © The Vein Company

    Symptoms of Leg Swelling & Heaviness

    Do you have one or more of the following?

    • Swollen ankles and lower legs, especially by evening
    • Deep sock marks that take time to fade
    • Heavy, tired, or restless legs
    • Tight or full feeling in the calves
    • Skin discoloration around the ankles
    • Thickening or hardening of the skin

    How we treat leg swelling & heaviness

    1

    Diagnostic venous ultrasound to identify the source of insufficiency

    2

    Endovenous Radiofrequency Ablation (RFA) to close malfunctioning veins

    3

    Sclerotherapy for smaller contributing veins

    4

    Compression therapy and lifestyle modifications

    Why it matters

    Chronic swelling and heaviness are not a normal part of aging. When caused by venous insufficiency, these symptoms typically worsen over time and can progress to skin damage, non-healing wounds, and significant quality-of-life impact.

    Frequently asked questions

    Leg Swelling & Heaviness treatment near you

    We treat leg swelling & heaviness at all of our locations across East Tennessee and Southwest Virginia.

    Think you might have leg swelling & heaviness?

    A quick consultation and ultrasound can show what's happening and what your options are.