Chronic Venous Insufficiency (CVI) is a common but often misunderstood condition that affects how blood flows through the veins in your legs. When the valves inside your leg veins become weakened or damaged, blood can begin to pool instead of returning efficiently to the heart. This backward flow increases pressure within the veins, leading to swelling, discomfort, and visible changes in the skin or vein appearance.
While CVI may develop gradually, it can significantly impact your quality of life if left untreated. It’s more than just a cosmetic issue, it’s a progressive form of vein disease that requires medical attention to prevent serious complications.
What Causes Chronic Venous Insufficiency?
CVI typically develops over time and is often linked to underlying vein disease. Factors such as aging, genetics, pregnancy, obesity, prolonged standing or sitting, and lack of physical activity can all contribute to its development. If you have a personal or family history of varicose veins or blood clots, your risk may be even higher. Over time, the valves inside the veins lose their ability to keep blood moving upward, leading to the symptoms associated with CVI.
Symptoms of Chronic Venous Insufficiency
The symptoms of chronic venous insufficiency often start out mild but worsen if not addressed.
CVI Symptoms
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Leg swelling, especially around the ankles
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Aching, heaviness, or fatigue in the legs
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Varicose veins
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Skin changes (itching, flaking, or discoloration)
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Restless legs or cramping
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Venous ulcers (open, non-healing sores near the ankles)
Complications of Untreated CVI
When left unmanaged, chronic venous insufficiency can lead to:
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Worsening varicose veins
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Thickened, leathery skin
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Increased risk of skin infections
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Painful venous ulcers that are slow to heal
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Reduced quality of life and mobility
Diagnosing Chronic Venous Insufficiency
At USA Vein Clinics, we begin with a thorough medical evaluation, which may include a vascular ultrasound to assess blood flow in your legs. This painless, non-invasive test allows our specialists to pinpoint areas where valves are malfunctioning and determine the severity of your condition. From there, we create a personalized treatment plan tailored to your symptoms and lifestyle.
Treatment Options for CVI
USA Vein Clinics offers minimally invasive treatments for chronic venous insufficiency, performed in a comfortable outpatient setting. Our procedures are FDA-approved, require no general anesthesia, and allow you to return to normal activities quickly.
Common CVI Treatments Include:
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Endovenous Laser Therapy (EVLT): Uses laser energy to close diseased veins
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Ultrasound-Guided Sclerotherapy: Injects a solution into the vein to collapse and seal it
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Radiofrequency Ablation (RFA): Uses heat to treat affected veins
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Varithena® Foam Treatment: A specialized foam that targets larger varicose veins
Each treatment is customized to your condition and designed to improve circulation, relieve symptoms, and prevent future complications.
Take Control of Your Vein Health
If you’ve been living with leg pain, swelling, or visible veins, don’t ignore the signs of chronic venous insufficiency. Early diagnosis and treatment can help prevent complications and restore your comfort, mobility, and confidence.