Chronic Venous Insufficiency
Recognizing the Signs and Exploring Treatment Options
Varicose veins affect more than 30 million Americans and often represent more than a cosmetic issue. While early symptoms might be dismissed, untreated vein problems can progress and lead to serious health complications. Below are seven key warning signs of chronic venous insufficiency that may indicate underlying vein disease:
A dull ache or heaviness in the legs
Leg cramps, especially at night
Tingling or itching sensations
Pain that worsens when standing
Swelling in the legs or ankles
Changes in skin color or texture, particularly around the ankles
Development of skin ulcers or open sores
At Cellara Pain Institute, we offer advanced diagnostic tools and minimally invasive treatment options to manage venous disease effectively and restore leg health.
FAQS
What Is Chronic Venous Insufficiency?
Chronic Venous Insufficiency (CVI) is a condition that occurs when the valves within the veins of the legs become damaged or weakened, impairing the normal flow of blood back to the heart. As a result, blood can pool in the legs, leading to discomfort and various complications.
What Causes Chronic Venous Insufficiency?
Several factors can contribute to the development of CVI, including:
Genetic predisposition
Pregnancy
Obesity
Previous leg trauma or injury
Blood clots (deep vein thrombosis)
Smoking
High blood pressure
Sedentary lifestyle or lack of exercise
Phlebitis (inflammation of a superficial vein)
Is Chronic Venous Insufficiency Dangerous?
Yes, if left untreated, CVI can progress and cause serious issues such as:
Leg swelling
Pain and inflammation
Skin changes or discoloration
Development of venous leg ulcers
Prompt diagnosis and treatment are crucial to prevent complications.
How Is Chronic Venous Insufficiency Diagnosed?
Diagnosis begins with a comprehensive medical history and physical examination. To evaluate blood flow and vein function, a venous duplex ultrasound is typically used. This imaging test helps assess valve performance and identify any blockages or reflux.
What Are the Treatment Options for CVI?
Treatment depends on the severity of the condition and may include:
Lifestyle modifications: Regular exercise, weight management, and leg elevation
Compression therapy: Medical-grade compression stockings to improve blood flow
Medications: Including antibiotics for associated infections
Minimally invasive procedures:
Radiofrequency Ablation (RFA)
Sclerotherapy
Ambulatory Phlebectomy
Can Chronic Venous Insufficiency Be Prevented?
While not always preventable, you can significantly reduce your risk by:
Maintaining a healthy weight
Exercising regularly
Avoiding prolonged standing or sitting
Refraining from smoking
Can Chronic Venous Insufficiency Be Prevented?
While not always preventable, you can significantly reduce your risk by:
Maintaining a healthy weight
Exercising regularly
Avoiding prolonged standing or sitting
Refraining from smoking
How Common Are These Symptoms?
Symptoms such as leg pain, swelling, cramping, and restless legs are common among individuals with CVI. In many cases, these symptoms can worsen over time if not properly managed.
What Causes These Symptoms?
Varicose veins are one of the most common causes of these symptoms. Sometimes, varicose veins are not visible on the skin’s surface, making diagnosis more difficult without proper imaging.
How Are These Causes Diagnosed?
A physical exam combined with venous ultrasound helps determine the presence and severity of venous insufficiency. This allows for an accurate diagnosis and tailored treatment plan.
What Are the Treatment Options?
Depending on the underlying cause and severity, treatment may include:
Exercise and physical therapy
Antibiotics (if infection is present)
Minimally invasive procedures such as radiofrequency ablation or sclerotherapy
At Cellara Pain Institute, our specialists offer personalized, state-of-the-art vein care to improve your comfort, appearance, and overall leg health.