Chronic Venous Insufficiency (CVI)

Chronic venous insufficiency is a very common condition when the blood doesn’t travel up the leg to heart properly. Blood can flow backward and pool in the legs. Although this condition is not life-threatening, it can be life-limiting and a very painful condition.

Common symptoms of chronic venous insufficiency:

  • Spider Veins
  • Varicose veins (dilated and engorged veins)
  • Leg and ankle swelling
  • Leg pain, cramping, heaviness, tiredness, and achiness that worsen upon standing or sitting, and progresses toward the end of the day.
  • Skin color change (red, brown or tanned), also called “venous stasis hyperpigmentation”
  • Skin redness, itchiness, and dryness, (venous stasis dermatitis or cellulitis).
  • Skin hardening like a wood (induration).
  • Sores (ulcers) mostly oozing, (venous stasis ulcer).

Common causes of chronic venous insufficiency

  • Mostly hereditary (you are born with the genes)
  • A clot in a vein
  • Leg injury or surgery
  • Obesity
  • Pregnancy
  • Prolonged standing or sitting

How to diagnose chronic venous insufficiency

  • Leg Venous Sonogram
  • Treatments for chronic venous insufficiency
  • Compression Stockings
  • Exercise, losing weight, leg elevation
  • Ambulatory phlebectomy for varicose veins
  • Endovenous Laser Ablation

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