





Leg pain and swelling can have many causes, but when they become chronic or worsen throughout the day, your veins could be to blame.
One of the most common culprits is chronic venous insufficiency (CVI), a condition where the veins in your legs can’t efficiently return blood back to your heart. This leads to blood pooling in the lower limbs, causing symptoms like aching, heaviness, throbbing, fatigue, and visible swelling—especially after long periods of standing or sitting.
Other contributing factors may include varicose veins, deep vein thrombosis (DVT), lymphedema, or injury. Hormonal changes, pregnancy, weight gain, and prolonged immobility can all worsen symptoms. While some people may brush off leg discomfort as a normal part of aging or busy days, persistent pain and swelling are never something to ignore.
We take a comprehensive approach to leg pain and swelling—starting with a detailed evaluation of your symptoms, medical history, and circulatory health.
One of the first steps is often a Venous Doppler ultrasound, which allows us to see how well blood is flowing through your leg veins and detect signs of venous reflux or clots. From there, we develop a personalized treatment plan based on your diagnosis and unique needs.
Our treatments may include compression therapy, lifestyle modifications, and minimally invasive procedures such as sclerotherapy, Varithena foam treatment, VenaSeal, or radiofrequency ablation—all designed to improve blood flow and relieve symptoms. We also address contributing conditions like varicose veins or vein blockages. Our goal is not just to reduce swelling or discomfort temporarily, but to improve the long-term health of your veins and help you feel confident and pain-free in your daily life.
You don’t have to live with heavy, aching legs.
At Commonwealth Vein Center, we understand how frustrating leg pain and swelling can be—not just physically, but emotionally. These symptoms can limit your activity, affect your mood, and disrupt your quality of life. That’s why we focus on treating the root cause with compassion and expertise, empowering you to take back control of your health and mobility.
Better vein health means more than physical comfort—it’s about feeling energized, independent, and free to enjoy the moments that matter most. If your legs are holding you back, it’s time to take the first step toward relief. Reach out to schedule your personalized vein evaluation at one of our Central Virginia locations today.
If you notice swelling that worsens throughout the day, is accompanied by aching or heaviness, or if the skin feels tight or discolored, it’s important to get evaluated. Sudden or severe swelling could also signal a blood clot.
Yes. Venous insufficiency can exist beneath the surface of the skin without visible veins. An ultrasound exam is the best way to determine if poor vein function is contributing to your symptoms.
Wearing compression stockings, elevating your legs, staying active, and maintaining a healthy weight can all help. However, if symptoms persist, it’s important to seek medical evaluation to address the underlying cause.
Posted on Google Alfred DarlingtonTrustindex verifies that the original source of the review is Google. This is a real great professional vein specialist my legs have definitely improved a great deal amount and I'm only partially through the procedures very very carefully and polite while you're getting your procedures I was nervous in a little bit scared but it was just mental thing because physically I barely felt anything I look forward to finishing the rest of my procedure and having two sexy legs instead of one LOL that's the area I'm getting fixed my left leg so I can match my right leg it's already showing a big improvement according to what family members have told me and I can see it too but I'd rather take their advice or their opinion if you have any issues with your legs or other places on your body that looks like popcorn or bubbles from your veins have the procedures done sign up immediately you have a great experience getting your body back the way it's normally should look thank you very much doctor and staffPosted on Google Jean HunlockTrustindex verifies that the original source of the review is Google. Hes amazing.. Great doc..Posted on Google Danell MillerTrustindex verifies that the original source of the review is Google. I had the BEST experience with Dr Samee and Dr Rehman…. I was scared to have the vein ablations(4) done but they put my mind at ease and talked to me and encouraged me the entire procedure….along with the assistant’s!!! Would recommend 100%. They are the best!!…. The front office is AMAZING as well…. Very kind and understanding and always accommodating!! Thank you all so much for your hard work and dedication !!Posted on Google Claudette SaundersTrustindex verifies that the original source of the review is Google. Dr Samee is very good & shows you he cares about your health. Mychaela is awesome to. Everyone at desk is polite.Posted on Google Molly JoestenTrustindex verifies that the original source of the review is Google. I came here after experiencing symptoms all my other doctors had deemed untreatable for three years. I had visited countless specialists and had been misdiagnosed or just ignored. When I met Dr. Rehman I finally had hope I was in the right place. He took the time to listen to me, answer all my questions, and thoroughly explain the process. He even accommodated me because he knew I was driving a significant distance to get to the office. Dr. Aubrey did the ablations, and she was so amazing. She explained what she was doing as she was doing it which was extremely helpful. All of the ladies at the front are extremely friendly and accommodating as well. I am so thankful to the entire staff here.Posted on Google Orlando CritzerTrustindex verifies that the original source of the review is Google. A totally professional organization. I highly recommend them and completely trust them. I am glad I was referred to the Commonwealth Vein Center!Posted on Google Brenda BartleyTrustindex verifies that the original source of the review is Google. My sister and I have been going to Dr.Samee for about two years now .He and his staff has excellent bed side manners ,very knowledgeable, and conscientious. The office is clean with a warm and caring atmosphere. “Thank You”, Commonwealth Vein for your “ White Gloves Service “ you have always provided my sister and I.Posted on Google Deborah KarrTrustindex verifies that the original source of the review is Google. Very nice and polite! Very thorough explaining and showing me signs of restrictive blood flow. I would recommend Dr. Samee!