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What is Venous Insufficiency?

To help the blood make the steep climb up to the limbs, the veins need to work properly & efficiently to get the blood to the heart. Sometimes the veins do not function properly which can be related to pressure, obesity, heredity, valve deficiency, and other causes.  When this happens, blood can pool in the veins which puts pressure on the walls of the veins. This is known as venous insufficiency or venous disease.

PAD Senior Woman Leg Pain
Venous Insufficiency Symptoms

Like many conditions, venous insufficiency is easier to treat when it’s diagnosed early. If left untreated, venous insufficiency can lead to severe pain, varicose veins, ulcers, swelling, and open wounds. These ulcers can be difficult to heal and are prone to infection. That’s why it is important to make a consultation with the American Endovascular affiliated team of physicians if you or someone you know is suffering from any one of these symptoms.

  • Swelling in lower legs and ankles—particularly after prolonged standing
  • Aching or tiredness in legs—characterized by tightness in the calves or itchiness
  • Varicose veins—especially new ones near the calves and ankles
  • Flaking skin—Can be extremely itchy near the feet

Venous Insufficiency Causes

There are many reasons why the leg veins can break down. It could be a result of age, reduced mobility, or even extended sitting. It is quite common. It tends to affect people above the age of 50, and more often women. The following are other factors that may cause venous insufficiency.

  • Overweight
  • Pregnancy
  • Family history of venous insufficiency
  • Damaged leg due to an injury, or previous blood clots
  • High blood pressure
  • Prolonged periods of sitting or standing
  • Lack of exercise
  • Smoking
  • Phlebitis (inflamed vein close to the skin)
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Schedule an Appointment

Schedule an Appointment at your nearest American Endovascular affiliated center.

Venous Insufficiency Treatment

Venous insufficiency will not go away on its own, and the disease can become more dangerous as it progresses. If you or someone you know is suffering from symptoms of venous insufficiency, it is essential that you schedule an appointment at an American Endovascular affiliated center. 

Our team can diagnose and treat venous insufficiency with a variety of minimally invasive-image guided techniques that can successfully minimize or eliminate the condition. Prior to treatment, a thorough physician exam, history, and duplex ultrasound is necessary. We offer the following venous insufficiency treatments at American Endovascular.

Endovenous Thermal Ablation

This cutting-edge technique helps minimize the effects of venous insufficiency via high-frequency radio waves or a laser. Both work by heating up the vein and eliminating the bad veins, with minimal bleeding or bruising.  As a result, less blood pools in the leg, dramatically improving blood flow while reducing the bulging veins common with venous insufficiency.

Mini Phlebectomy

Minimally invasive specialized tool to remove abnormal bulging veins (varicose veins) with a tiny incision so small that it does not even need a suture.

Image Guided Sclerotherapy

Ultrasound &/or fluoroscopic guided sclerotherapy can also be utilized for more complex venous insufficiency channels that may be very deep and/or portuous requiring this adjunctive sophisticated technique.

Stenting Abnormal Deep Veins

In more advanced venous insufficiency, the main problem may be a very narrowed or occluded vein from a prior occlusive event such as blood clot, thrombis, a prior trauma, or an active compressive effect such as portuous artery (May-Thurner Syndrome).  In these cases, the vein will be re-opened with a variety of techniques ultimately requiring a stent to re-establish the normal framework of the vein wall.

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What to Expect from Venous Insufficiency Treatment

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Less Invasive
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Same Day Procedure
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No Hospital Stay
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Shorter Recovery Time

Venous Insufficiency FAQ

What is the Most Common Cause of Venous Insufficiency?

Venous insufficiency is most commonly caused by deep vein thrombosis (DVT). Your leg vein is damaged by a blood clot. Those with a history of DVT are at a higher risk of developing chronic venous insufficiency.

What are the Early Stages of Venous Insufficiency?

In order to treat venous insufficiency, being aware of the symptoms can help you catch it at the earliest possible stage. The early warning signs of venous insufficiency are varicose veins, leg pain, swelling in your lower leg, and changes in your skin, such as discoloration.

What is the Most Serious Complication of Venous Insufficiency

Insufficient blood flow to the legs may indicate the presence of a blood clot deep inside, a condition called deep vein thrombosis (DVT). A pulmonary embolism can occur if pieces of the clot break off and travel to your lungs, which can be fatal and a life-threatening medical emergency.

Our Vascular Specialists

American Endovascular is proud to be affiliated with vascular specialists in NY that represent the “best of the best.” Our affiliated physicians at our vascular centers are nationally recognized as leaders in vascular and interventional radiology, providing high-quality and compassionate care for our patients living with PAD. Our affiliated vascular specialists perform venous insufficiency treatments for patients in New York.

Our Vascular Centers in NY & NJ

American Endovascular has vascular centers in New York. Our centers offer venous insufficiency treatments using the the latest minimally invasive-image guided technology in an outpatient setting.

Brooklyn, NY
71 Carroll Street
Brooklyn, NY 11231
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Harlem, NY
505 East 116th Street,
2nd Floor
Harlem, NY 10029
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Queens, NY
30-30 Northern Blvd
Suite 501
Queens, NY 11101
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What Our Patients Are Saying

Very Professional and Caring Environment. Without any hesitation, I would recommend the Endovascular Center of Harlem.
Nikki
Nikki
22:25 10 Feb 26
Love my visits smooth
Charmaine Lawrencr
Charmaine Lawrencr
15:35 07 Feb 26
Very professional. Kept me informed through the procedure.
Laurence Clarke
Laurence Clarke
21:55 28 Jan 26
P very smooth cool and pleasant experience
Peter Handras
Peter Handras
22:34 22 Jan 26
I didn’t have to wait long to see Dr Shams he checked my wound and everything looked good the nurses were very efficient and took good care of me
Lynn Brightman
Lynn Brightman
16:56 18 Jan 26
I cannot say enough great things about Dr. Joseph N. Shams and his entire team. From the moment you walk into his office, you are treated with genuine care, respect, and professionalism that truly sets this practice apart. Dr. Shams is not only extremely knowledgeable and thorough, but he also takes the time to actually listen to his patients. He explains everything clearly, answers questions patiently, and makes sure you feel comfortable and confident every step of the way.What truly makes this office exceptional is the team of nurses and staff who work alongside him. Every single person you encounter is kind, attentive, and welcoming. The nurses go above and beyond to make sure patients feel cared for, never rushed, and always supported. You can tell they genuinely love what they do, and that positive energy carries throughout the entire office.Appointments are well-organized, wait times are reasonable, and the overall environment is clean, calm, and professional. It’s rare to find a medical office where every single staff member consistently delivers such a high level of service, but Dr. Shams and his team manage to do exactly that.If you’re looking for a doctor who truly puts patients first and an office where compassion and excellence are the standard, not the exception, I highly recommend Dr. Joseph N. Shams and his incredible staff. This is healthcare done the right way.
Ken C
Ken C
03:00 16 Jan 26
Excellence all around. The doctor clearly explained the treatment and what was to be expected during recovery phase of healing.I am pleased with the outcome.The facility was clean, and the staff were very friendly. I highly recommend the. Thanks.
J B
J B
16:15 19 Dec 25
Dr. Shams is amazing. He takes his time and addresses your concerns and questions
Regina Jones
Regina Jones
22:22 05 Dec 25
The visit was great good service from everyone staffs / doctors very professional and on time I will give a 10+
Linda Noriega
Linda Noriega
23:06 25 Nov 25
Dr. Shan is a blessing sent from god. After seeing him my leg/ feet swelling was down. After being on my feet for hours. The staff were all attentive very professional. Answered any questions and concerns I had at the time. The entire team was great. I am so pleased I did my research and change Vascular doctors. You guys are all great. You make your patients fell welcome. Keep doing what you guys are doing. God bless you all.
Tina McLaughlin
Tina McLaughlin
05:52 18 Nov 25
Outstanding. Kindness, patience and excellence. Im doing well.
Deborah Moss
Deborah Moss
15:03 14 Nov 25
Dr Shams is a wonderful n caring person so is his whole staff.
Ana Rosario
Ana Rosario
17:20 12 Nov 25
He show unusual compassion and skill. I was soo nervous but the center’s team & DR was Excellent!
Verian Evans-Pimble
Verian Evans-Pimble
21:16 23 Oct 25
Dr. Shams Such a amazing vascular Surgeon knows him a little while, he knows exactly what should be done to makes everything better, I’m very satisfied with my procedure and also his work ethic, the vascular office included everything inside is a 5 Star luxury, thank – you to all the staff . MoniqueV Francois.
MoniqueV Francois
MoniqueV Francois
20:55 23 Oct 25
The staff and the doctor were very professional and treated me with the best care possible.
Sargent Rivera
Sargent Rivera
20:56 17 Oct 25
Great experience
bob f
bob f
16:37 25 Sep 25
The best vascular doctor in the tri state area and a good friend
Darryl Jacobs
Darryl Jacobs
05:25 03 Sep 25
Staff and Dr. shams very friendly made me feel at ease. Explained to me what was wrong and what needed to be done so that I can understand.
Debra Santos
Debra Santos
22:16 02 Sep 25
Everything was perfect and professional. I am feeling fine and delighted with the results
Fred Spinowitz
Fred Spinowitz
22:12 02 Sep 25
It was great the service hope it continues
Joanna Morales
Joanna Morales
17:43 14 Aug 25
Dr Shams is good!!!!
David Forbes
David Forbes
18:48 24 Jul 25
Was treated very nice by the personal
Milton williams
Milton williams
19:56 03 Jun 25
Very good staff. Did not have to wait to see the doctor.
Moises Cuevas
Moises Cuevas
01:19 23 May 25
It 1 thing to to know. The GOD HAS many to show great work. Thank you staff. I feel good . That there is feed back .Thank Angels for showing the Grace of GOD IS AT. HERE AT. PLACE.
Patt Craig
Patt Craig
20:55 23 Apr 25
Looking forward to my next appointment! Best care I’ve had in many
Deborah “Debbie”
Deborah “Debbie”
19:40 23 Apr 25
Great location.
Dr shams is amazing along with his team they make you feel at home.
Angela Poueriet
Angela Poueriet
15:19 27 Feb 25
Excellent consultation. Answered all questions.
Nichelle Abney
Nichelle Abney
20:39 25 Feb 25
Excelente Dr y su equipo medico, información claro que lo que a uno como paciente está experimentado altamente recomendado
A ñ Ivan Yanez
A ñ Ivan Yanez
17:51 13 Feb 25
I Just Love The Doctors And All The People Friendly Staff. Everyone is Caring, Warm, Personable And Professional. They Are The Best🩷
Shirley Monroe
Shirley Monroe
02:00 04 Feb 25
Excellent work
Javier Acevedo
Javier Acevedo
16:34 17 Jan 25
I Like The Doctor and all his Staff, everyone in the Office where Very Professional
Dolphus Fudge
Dolphus Fudge
18:28 04 Dec 24
Love this Dr and staff. They are all kind courteous and professional with excellent medical care. I would highly recommend them to anyone in need.
Sybil Wilkins
Sybil Wilkins
13:05 05 Sep 24
Professional and friendly from my phone call to make an appointment to my visit I felt I was is safe hands not just a number. Everyone was knowledgeable and explained the procedures.
James Mullen
James Mullen
19:47 17 Aug 24
Dr David Mobley was kind right to the point. Explained & solved my issue. The whole staff is professional.
Lizette
Lizette
17:52 03 Aug 24
Sheer perfection. The care and expertise and teamwork are the best I have ever experienced. I’m a former nurse and I recognize and give a shout out to the best!!!!
Barbara Murray
Barbara Murray
16:22 02 May 24
First Impressions are lasting impressions! First, the staff are phenomenal! How is it possible that each and every one of them are incredibly kind, caring, professional, personable and treat you like you are THE most important person in the world!? Well, meet this team for an experience that will make you feel valued as a person, not just as a patient. In walks this amazing Doctor and now you understand why his team are the way they are! They regard each other with the utmost respect, and kindness, and they communicate with each other like family. And as a new patient, I had the honor and pleasure to experience excellence in patient care and concern. I am so very grateful to have found a Doctor who is in my opinion perfect with a team who are exceptional! I’m excited for my next visit, honestly! I write this with a great big Smile on my face!
CC
CC
14:57 24 Apr 24
EXCELLENT, EXCELLENT, EXCELLENT ALL AROUND!!! THANK YOU!!!
Marion Moore
Marion Moore
13:44 17 Apr 24
Excellent, professional, organized and efficient all best describes the service here.
Delsi Cunningham
Delsi Cunningham
17:28 05 Apr 24
Very nice and friendly staff.I was so nervous, they all made me feel relaxed and comfortable.They explained everything to me step by step.
Keith Dickens
Keith Dickens
13:10 02 Apr 24
Excelente servicio es lo mejor que me a pasado gracias a sus buenos tratamiento ya no tengo dolor
The staff are the best. Very elated,with the exceptional care,professionalism, and genuine concern, displayed by all the staff.
Constance Sidberry
Constance Sidberry
03:50 17 Mar 24
I felt very comfortable with him. Excellent bedside manner, proper teaching , and knowledgeable. I highly recommend him!
Jamel Jackson
Jamel Jackson
14:07 27 Feb 24
Yes it was a good place
Carmen Diaz
Carmen Diaz
14:22 20 Feb 24
The absolute BEST Dr!! Detailed, caring & kind! The best medical procedure I’ve ever had from consultation to post procedure, perfect! 10s all around 👏🏽👍🏽👍🏽 many thank yous🙏🏾
Josi W
Josi W
22:04 12 Jan 24
Is good to be with friendly and professional staff at doctor’s offices like this one.
Dr. Joseph Sham and the entire Team were very professional, knowledgeable, informative and had incredible patience with me by answering all my questions and concerns. Great Team…Thank you all! 👍
Marion
Marion
22:17 27 Dec 23
I was treated very well. The staff was very professional and made me feel comfortable. Looking forward to my next visit.
Stephen Lapinsky
Stephen Lapinsky
20:17 20 Dec 23
This experience was great I’m so happy with everything
stephanie suazo
stephanie suazo
22:53 13 Dec 23
I love this place stuff is helpful an they all were nice. I had a wonderful experience Dr Shams was great.
Victoria Pacheco
Victoria Pacheco
22:07 17 Nov 23
Professional services
Ricky Mo
Ricky Mo
22:14 15 Nov 23
I like the doctor they were kind of pretty thorough he says that he could help me he found out the filter in my abdomen from the surgery I had in 1996 has been clogging my blood flow for 25 years and that’s causing the swelling at every other doctor told me was lymphedema it was not lymphedema it caused the lymphedema because no other doctor took the time or care enough to find out the reason for my leg swelling this doctor was the only one who finally found out and he’s going to see if you could put a stent inside the filter to open it up and and stop my legs from swelling hopefully this will all go good it hasn’t happened yet but I’ll keep you posted thankful for this docto I just pray and hope that it works otherwise I like the doctor very much
Mitchell Dedios
Mitchell Dedios
21:01 27 Oct 23
Excellent service , good customer service and friendly staff. Thanks
Raysa Polanco
Raysa Polanco
20:54 27 Oct 23
You may likely have to wait. Avoid anxiety and frustration. Schedule extra time for the visit. Allow for personal attention to your care needs once in the examination room. Friendly, nice staff and doctor puts you at ease. Bottom line: worth the wait!
Sisle
Sisle
21:49 26 Oct 23
Excellent service and staff i’ll let you feel relaxing and comfortable
kadine campbell
kadine campbell
21:01 23 Oct 23
I was given good advice about my blood circulation
Emma Bb
Emma Bb
17:04 08 Oct 23
Dr. Shams office is amazing. Whitney and Angela were AMAZING. Great sense of humor. Staff is WONDERFUL.
Sara Correa
Sara Correa
21:13 18 Sep 23
Nice office, personnel friendly, & caring, good informative information concerning my care.
Loretta Johnson
Loretta Johnson
21:26 22 Aug 23
Really like this doctor, talks in your language, just over all regular nice person.
Linda Thoomey
Linda Thoomey
22:03 21 Jul 23
I’m very satisfied of my visit for the first time, everyone was concerned about me, and Dr David was very patient to listen to my long health stories, after that He gave me good explanation for my problem, that was great 👍
Claude Jean Pierre
Claude Jean Pierre
22:38 18 Jul 23
Follow up to a procedure. Dr Mobley and his staff are great and always helpful
DanLiza Diehl
DanLiza Diehl
21:25 10 Jul 23
David monkey,MD and the grupo are excellent very kind and helpful.i will return to them.the attention.its very satisfied.thank u ..
Luis Sarria
Luis Sarria
12:16 29 Jun 23
I had a good experience with my procedure and Dr. Mobley’s follow-up calls are great. I’ve never had a doctor who has been so concerned about following up after a procedure to see how I’m doing and if there are any post-procedure problems I may have experienced (which there aren’t). I’d highly recommend Dr. Mobley.
Hey Beej
Hey Beej
16:42 23 Jun 23
Dr Mobley was so helpful, informative and made me feel secure in making my future medical plan. Supportive and kind. Highly recommended.
Amanda L Browder
Amanda L Browder
15:57 23 Jun 23
Doctor was very thorough. Explaining what the procedure is all about. Tell me what I could realistically expect. Couldn’t have asked for a better consultation. Highly recommended if you have a prostate issue
John Buric
John Buric
16:26 15 Jun 23
I was very pleased and satisfied on how Dr. David Mobley examined me and explained everything on what I need to know regarding my condition. He’s very professional and knowledgeable in all aspects of his profession. I would highly recommend him to my other friends!
Celine Parcon
Celine Parcon
23:16 07 Jun 23
He puts his patients before himself, returning calls and e-mails quickly. Not only is he kind and considerate, he is an excellent physician. I had to have a procedure that requires me to be awake, and he talked me through it and kept me at ease. If I could give him more stars, I would.
Great doctor. Everyone is so kind and caring. Great place to go
Joan Jurica
Joan Jurica
14:46 30 May 23
The best in Astoria I recommend Dr mobley and staff 100 percent
michaela1951
michaela1951
21:25 30 Mar 23
The doctor was very nice and professional. He explained the tests that I need and why I need them.
Judith AndersonNeal
Judith AndersonNeal
22:12 27 Mar 23
This was the best experience I have had in such a long time and I have had quite a few procedures in the past both in patient and out including the procedure I was currently present for. No other surgeon has been so kind, transparent, and gentle. Not only did he personally come out beforehand to provide me with education on my procedure, but he talked me through every step of the way and made me feel so comfortable and relaxed. Not to mention his amazing staff! Despite being extremely nervous they kept me smiling and laughing throughout the whole process. 10/10 would recommend. Thank you so much guys!!
Riah L.
Riah L.
13:49 22 Mar 23
Excellent bedside manners and the procedure was a breeze.
sen-pei hsia
sen-pei hsia
18:26 20 Mar 23
Los mejores/ the best💖🙏
Ruthy Ochoa
Ruthy Ochoa
04:17 03 Mar 23
I went with my mom who just had a hip surgery. The whole team was very caring, nice and very professional. I did appreciate that the surgeon took the time to explain to me what was wrong with my mom’s arm and what he did to fix it.
mouna khalyat
mouna khalyat
14:37 24 Feb 23
Although I didn’t meet with the doctor, the receptionist, assistant and nurse were great.
Theresa Gaines
Theresa Gaines
13:25 13 Feb 23
Every thing and the process are being done properly ..Terissa you are very Carey ..thank you so much every body are very polite and very professional.. Thank you so much to Dr.Mobley..God blessed you all .🙏🙏🙏👍
Remigio Ruda
Remigio Ruda
03:28 31 Jan 23
Very knowledgeable, personable and professional. I came to Dr. Mobley to correct another surgeons work and I was pleased with the outcome. There is a Hispanic woman that runs things in the O.R.She is great! The whole staff is wonderful and caring.Highly recommend
Lakesha Kingdom
Lakesha Kingdom
15:57 17 Jan 23
I had a wonderful PA take care of me, & the nurses were very sweet. I was happy with my visit
Aurora Anello
Aurora Anello
19:20 10 Jan 23
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