Healthy veins are essential for proper circulation, but when they stop working as they should, a wide range of symptoms can develop, many of which are easy to overlook or misattribute. Whether you’re noticing leg swelling, discomfort, or changes in skin appearance, these could all be early signs of a vein condition that needs attention.
Refine Vein Center in Franklin, Tennessee, helps patients throughout Williamson County understand and manage vein-related health issues. Led by Dr. J. Avery Reynolds, a board-certified vein specialist, our practice focuses on accurate diagnosis and effective, non-surgical treatment options.

Common Vein Conditions We Treat
Vein conditions often develop gradually and may go undiagnosed for years. Below are some of the most common symptoms that could indicate an underlying vein issue:
Vein health affects everything from daily comfort to long-term circulation. When valves inside the veins weaken or fail, blood can pool in the lower legs, leading to pressure, inflammation, and visible changes. Addressing vein issues early is key to preventing complications like skin damage or ulceration.
These large, bulging veins are often visible just beneath the skin and can cause heaviness, throbbing, or aching in the legs. While some consider them cosmetic, varicose veins often point to underlying chronic venous insufficiency and can worsen without treatment.
Smaller and closer to the skin’s surface, spider veins may appear as red or blue web-like patterns. They’re usually painless but may signal early vein dysfunction. Many patients seek treatment for both cosmetic reasons and relief from burning or itching.
RLS causes uncomfortable sensations in the legs that make it hard to stay still—especially at night. Many people with RLS also have venous insufficiency, and improving circulation can significantly reduce symptoms.
DVT is a serious condition where a blood clot forms in a deep vein, often in the leg. It can cause pain, swelling, or warmth, and if left untreated, may lead to complications like pulmonary embolism. Timely diagnosis and care are essential.
Swelling in the lower legs can occur when blood and fluid build up due to poor vein function. If you notice persistent or worsening swelling, it may be a sign of chronic venous insufficiency or another circulatory issue that requires evaluation.
These slow-healing wounds typically form near the ankles and are often the result of untreated vein disease. They’re painful, prone to infection, and can take weeks or months to resolve without proper treatment targeting the source of the problem.
Hormonal changes and increased pressure from pregnancy can worsen vein issues. Many women develop varicose veins during or after pregnancy—especially if they’ve had more than one child. Treatment after delivery can reduce symptoms and prevent progression.
Even active individuals can experience vein problems. Repetitive strain, muscle fatigue, and long periods of standing or travel may contribute to venous insufficiency in athletes. Early detection helps avoid long-term damage and preserve performance.
Do I Need to Get an Ultrasound Exam?
You have full control when it comes to making medical decisions for your specific case, but we highly recommend having a duplex ultrasound done for several reasons. First, the duplex ultrasound is the only non-invasive way to clearly and thoroughly check the condition of your veins. Second, because of the insight the ultrasound gives us, we are able to make faster and more accurate diagnoses.
Once we have your diagnosis, we will be able to assign you a treatment plan that is best for your situation, thus getting you on your way to improved health and pain-free living much quicker than without the ultrasound.
Are Varicose and Spider Veins Dangerous?
Varicose and spider vein issues have different symptoms and effects on a person’s life, so it is important to consider them both individually.
Regarding spider veins, one does not normally have to worry about any health concerns other than itching, burning, or other unfavorable sensations in their legs. Spider veins may be a sign of a more complex and serious issue, such as blood backup, but it is rare and comes with its own set of symptoms.
Varicose veins, on the other hand, may or may not come with severe symptoms. If symptoms do happen in your case, you might experience noticeable discomfort like throbbing and aching.
Varicose veins do raise more concern for potential health problems that could develop if the varicose veins are left untreated, and these issues range from:
How Can I Prevent Varicose and Spider Veins?
Unfortunately, it is not possible to prevent all varicose or spider veins. However, the following suggestions can help with the varicose and spider veins you already have, plus prevent new ones from forming:
Can Varicose and Spider Veins Return After Treatment?
Although modern treatments keep varicose and spider veins under control for several years, more abnormal veins can still develop over time. Unfortunately, weak or damaged vein valves cannot be cured, but they can be managed by getting regular ultrasounds and keeping a watchful eye on venous insufficiency. If necessary, ongoing treatment will keep any additional vein issues under control.
Why Choose Refine Vein Center for Vein Conditions?
Dr. Reynolds is board-certified in internal medicine and venous and lymphatic medicine, with years of experience treating complex vein conditions. He brings a personalized, diagnostic-first approach to each case, ensuring the right solution is matched to your symptoms and lifestyle.
Our Franklin office offers in-house diagnostic imaging, modern minimally invasive treatments, and compassionate support at every step. Whether you’re dealing with visible veins or unexplained symptoms like swelling or fatigue, we’re here to help you find clarity and relief.
Get Answers and Start Feeling Better
If you’re experiencing symptoms related to vein health, don’t wait for them to worsen. Early evaluation and treatment can prevent long-term complications and help you feel more comfortable in your day-to-day life.
Call (615) 716-8346 to schedule an appointment at Refine Vein Center in Franklin, TN. We proudly serve patients throughout Williamson County and beyond.