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Lorton (571) 418-8670 Fredericksburg (540) 898-6500
Dynamic Medical Centers
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Interventional Vein Ablation · Lorton & Fredericksburg, VA

Heavy legs by 3 p.m. isn’t just getting older.

Aching, swelling and bulging veins are often a sign of venous insufficiency — valves that no longer push blood back to your heart. We find the vein that’s failing with ultrasound, then close it in a short, in-office procedure.

Check my symptoms → Call Lorton
In-officeNo hospital stay
Same dayMost patients walk out
4.9 ★Google rating
Physician treating a patient's leg veins
No referral needed in most casesMost major insurance
Ultrasound-guided
Close the problem vein. Your body reroutes the flow.
Book
now ↘
HeavinessSwellingAching calvesNight crampsRestless legsBulging veinsItchingSkin changes HeavinessSwellingAching calvesNight crampsRestless legsBulging veinsItchingSkin changes
01 — 30-second symptom check

What are your legs telling you?

1Tap what you feel2See what it may mean3Book — we add it to your request
Tap every symptom you’ve noticed in the last few months
Your result
0 of 8
Nothing selected yet — tap a symptom.
Start tapping what feels familiar.
Even one or two of these, happening regularly, is worth a quick ultrasound.
02 — Why it happens

Tiny one-way valves. One gives out.

Leg veins work against gravity. Small valves open to let blood rise and snap shut so it can’t fall back. When they weaken, blood slips backward and pools — that pressure is what you feel as heaviness, swelling and ache, and what you see as bulging veins.

Blood slips back and pools.
A valve that can’t close lets blood fall back down with every step. Pressure builds in the lower leg, stretching the vein wall — which is how varicose veins form. Ablation closes this vein so blood takes a healthier route.
↑ TO HEART
FOOT
Direction
Backward
Valves
Leaking
You feel
Heavy, swollen
03 — What to expect

From first scan to walking out.

Vein ablation uses gentle heat through a thin catheter to seal the faulty vein from the inside. Healthy veins nearby take over the work.

Duplex ultrasound maps the problem vein
A plan built around what the scan shows
Minimally invasive, local anesthesia
Compression, walking, and a follow-up scan
Step 01 Duplex ultrasound maps the problem vein
Dawit Ayalew, MD, MS
04 — Who treats you

Dawit Ayalew, MD, MS

Venous insufficiencyInterventional pain managementSports medicine

Your consult, ultrasound mapping and procedure are handled by the same physician, inside a multi-specialty practice. If your leg pain turns out to be joint, nerve or foot related, our podiatry, PT and sports medicine teams are down the hall — no outside referral.

“Staff has been on it as far as my recovery and procedural appointments. Very welcoming!”
Keiman Dillon · Google review · 4.9 ★ practice rating
05 — Straight answers

The questions everyone asks.

Something else on your mind? Our front desk can answer insurance and scheduling questions on the phone.

Call Lorton · (571) 418-8670
The area is numbed with local anesthetic, so most patients feel pressure rather than pain. Some tenderness or bruising along the treated vein for a few days afterward is normal.
When vein disease is causing symptoms like pain, swelling or skin changes, treatment is often considered medically necessary and covered by many plans. We verify your coverage before your procedure.
Most people walk out the same day and return to work and everyday activities within a day or two. We’ll give you specific guidance on exercise and compression.
In most cases, no. You can book directly with either of our offices.
Not always. Spider veins can be cosmetic, but they can also point to a deeper vein that isn’t working. The ultrasound tells us which, so you only treat what matters.
06 — Book your vein screening

Lighter legs start with one scan.

Pick the office closest to you. We’ll call to confirm a time and check your insurance before you arrive, so there are no surprises.

☏ Prefer to talk? Call Lorton(571) 418-8670
Request an appointment
Our team is here for your every step.

Date of Birth
Dynamic Medical CentersMulti-specialty orthopedic & vein care · Lorton & Fredericksburg, VA
ProvidersLocationsNew patients©2026 Dynamic Medical Centers
☏ (571) 418-8670 Book a screening