Under the supervision of a double board-certified Ivy league educated vascular specialist, trained at Columbia University and NYU Medical Center, you should receive a comprehensive evaluation of the circulation in your legs. Ultrasound evaluation of your leg's vein and arterial circulation will determine exactly what your issue is. Varicose veins and spider veins are visible signs of leaky dilated veins, a condition called venous insufficiency. Some people do not have these visible vein problems, but instead have aching, painful, or burning legs or swelling of their ankles as the only indication of the underlying dilated and leaky leg veins. This problem of venous insufficiency is seen in up to 25% of the adult population and is common in women who have had children, men, or women who are overweight, or who stand up on their feet for many hours a day. We can help you both look better and feel better!