Leg Swelling / May-Thurner Syndrome

Do you experience leg swelling? Do you feel that one leg is larger or more swollen than the other? Have you noticed that even after you elevate your leg(s), the swelling quickly returns?

If so, you may be experiencing a condition known as Iliac Vein Compression Syndrome, sometimes referred to as May-Thurner Syndrome.

This condition usually affects women between the ages of 20-50, but we have also seen an increasing number of men who experience the same problem. This condition appears to be the reason why leg swelling and varicose veins tend to be more frequently seen on the LEFT side. However, there are times when this problem affects the right leg as well.

If you believe that you may have this problem, please let us evaluate you. Leg pain is not normal, and swelling is a sign that something is wrong. However, this can be a complex matter and as a Board Certified Vascular Surgeon I am in an unique position to help you.

If you have been evaluated by a different “vein center,” please feel free to seek a second opinion from us. We often find that these centers do not do a thorough enough job of diagnosing your problem. And more importantly, they usually do not have the ability to treat you.


  • Leg swelling, particularly if one leg is larger than the other
  • Achiness, heaviness and tiredness
  • Varicose veins that are located in the upper thigh
  • Pain with prolonged standing or even weakness of the leg with standing or walking


  • A thorough physical exam
  • A special abdominal ultrasound


Iliac compression syndrome is a complex problem. Diagnosis is dependent upon a number of factors. If after appropriate testing and examination, we feel that you have this condition, we typically suggest a venogram, a special picture of your veins. At the time of the procedure, we use Intravascular Ultrasound (IVUS) to help us decide as to whether treatment is indicated. If so, a special stent is introduced. This is all minimally invasive and does not involve any surgery.

This procedure is performed at our state of the art office. You can go home the same day and you can resume your daily activities the next day. We specialize in this condition. Our expertise will be evident when you are evaluated at Bloomfield Vein and Vascular.

No other center in Metro Detroit has as much experience in treating this condition as the staff at Bloomfield Vein and Vascular.