Worried your leg heaviness, swelling, or visible veins mean something more? Adam Hicks, MD, Board-certified vascular surgeon with Franciscan Health, and Cassie Himes, NP, Board-certified Nurse Practitioner, explain when to seek evaluation for venous disease. They describe common symptoms (aching, swelling, end-of-day heaviness), risk factors like pregnancy and prolonged standing, how office ultrasound identifies reflux, and when lifestyle measures or procedural treatment may be recommended.