Leg Pain Specialist


Vein & Vascular Specialists Located in Granite Falls, NC and Seeing Patients from Hickory, Morganton, and Lenoir

When you experience leg pain without an injury, it may be a warning sign of a vein or vascular problem. Board-certified nurse practitioner Lindsey Castagna, MSN, APRN, ACNP-BC, and the team at Venaflux in Granite Falls, North Carolina, have extensive experience diagnosing the underlying cause of leg pain and treating the issue with the most advanced therapies. If you have leg pain or aching, cramping, or heaviness in your legs, call the office or request an appointment online today.

Leg Pain Q & A

What vascular conditions cause leg pain?

Leg pain has many possible causes. If your leg pain worsens during prolonged periods of sitting or standing, but elevating your legs brings relief, you may have one of the following vein conditions:

Varicose or spider veins

Varicose veins are enlarged and twisted veins that develop when blood pools and stretches the wall of the vein. Blood pooling is usually due to chronic venous insufficiency, also known as venous reflux.

Chronic venous insufficiency

The veins in your legs need to fight against gravity to return blood to your heart, so they contain valves that prevent blood from flowing backward. Chronic venous insufficiency occurs when these valves weaken, causing blood to reflux and pool in the legs.

Deep vein thrombosis

Deep vein thrombosis (DVT) is a blood clot that forms in a vein deep in your body, typically in the leg. DVT is a potentially serious condition because a piece of the clot can detach and travel through the veins to the heart and lungs, causing a pulmonary embolism.

Leg swelling

Leg swelling, or edema, can be a sign of a wide range of medical conditions, including lymphedema, cellulitis, or venous disease.

If your leg pain worsens with walking or at night that cause you to have to hang your foot over the side of the bed for relief, you may have an arterial problem:


Is a vascular disease that is caused by a build-up of plaque in the inner lining (intima) of arteries that restricts or blocks blood flow to a specific organ or region of the body.

Peripheral Arterial Disease (PAD)

Results from a progressive thickening of an artery’s lining caused by a buildup of plaque, which narrows or blocks blood flow, reducing circulation of the blood to a specific organ or region of the body.

What other symptoms might occur with leg pain?

When leg pain is due to a vein problem, you might experience the following symptoms:

  • Heaviness in the legs
  • Swelling in the lower legs, worse in the morning
  • Itching and burning
  • Changes in skin color
  • Leg cramps

You may also have a venous ulcer, which looks like an open sore or discoloration on the lower leg, drainage that appears “wet” especially around the ankle. 

When leg pain is due to an artery problem, you might experience the following symptoms:

  • Leg cramps
  • Leg pain with walking and relieved with periods of rest
  • Leg pain at night
  • Loss of hair on lower extremity

You may also have an arterial ulcer, which looks like an open sore with a “punched out” appearance, pale to black in color with minimal drainage.

How is leg pain diagnosed and treated?

First, Lindsey Castagna, MSN, APRN, ACNP-BC, carefully reviews your symptoms and medical history. She conducts a physical exam and carefully examines where you are having pain in your leg(s). Then, diagnostic imaging tests are performed on-site by a registered vascular sonographer to help determine the specific cause of your leg pain.

Then, the team develops an individualized treatment plan addressing both your symptoms and what is found on your ultrasound test. Depending on the cause and severity of your leg pain, treatment(s) may include:

  • Compression socks and assistive devices
  • Elevating your legs
  • Exercising your legs
  • Venoactive medications
  • Blood-thinning medications for DVT
  • Cosmetic or Ultrasound-guided sclerotherapy
  • Ambulatory phlebectomy
  • Endovenous ablation
  • Referral to wound care, lymphedema management, or surgeon

For personalized care for leg pain, call Venaflux, or request an appointment online today.