Understanding Chronic Venous Insufficiency

What is Chronic Venous Insufficiency?

Chronic venous insufficiency (CVI) is a medical condition where the veins in your legs struggle to send blood back to your heart. This happens because the valves in the veins, which usually keep blood flowing in the correct direction, become damaged or weakened. As a result, blood pools in the legs, causing a variety of signs and symptoms. CVI is a common condition that affects millions of people worldwide and can significantly impact quality of life if left untreated.

What are the Signs and Symptoms of Chronic Venous Insufficiency?

Chronic venous insufficiency manifests through several signs and symptoms, which can vary in severity. Common findings include:

• Swelling in the lower legs and ankles, especially after prolonged standing
• Aching, throbbing, or a heavy feeling in the legs
• Itching and tingling in the affected area
• Varicose veins (enlarged, twisted veins that are visible under the skin)
• Skin changes such as discoloration, dryness, or a leathery texture
• Venous ulcers or open sores on the legs

These symptoms tend to worsen over time, highlighting the importance of early diagnosis and treatment.

Is Chronic Venous Insufficiency Dangerous?

CVI can be dangerous if not managed properly. While it is not typically life-threatening, it can make the affected tissue unhealthy and lead to serious complications. These include recurrent venous ulcers, skin changes, and an increased risk of infections. In severe cases, these complications can lead to limb amputation. So, it is crucial to seek medical attention if you suspect you have CVI to prevent these potential complications.

How is Chronic Venous Insufficiency Diagnosed?

Diagnosing CVI typically involves a combination of a physical examination and diagnostic tests.

During the physical exam, we will check for visible signs of the condition, such as swelling, skin changes, and varicose veins. Additionally, you may undergo a Doppler ultrasound, a non-invasive test that uses sound waves to visualize blood flow in the veins. This helps us to identify any blockages or valve dysfunctions.

What Causes Chronic Venous Insufficiency?

CVI occurs when the valves in the veins that help blood flow back to the heart wear out and/or become damaged. Several factors can contribute to this condition, including:

• Genetics: A family history of CVI or varicose veins can increase your risk.
• Age: The risk of CVI increases with age, due to the veins and valves naturally weakening over time.
• Prolonged Standing or Sitting: Occupations or lifestyles that require long periods of standing or sitting can impede blood flow and increase the risk of CVI.
• Obesity: Excess body weight puts additional pressure on the vein valves in your legs.
• Pregnancy: The increased blood volume and hormonal changes during pregnancy can weaken vein walls and valves.
• Inactivity: Lack of exercise can lead to poor circulation and therefore increase the likelihood of developing CVI.

What are the Risk Factors for Chronic Venous Insufficiency?

Certain factors can elevate the risk of developing CVI, including:

• Gender: Women are more likely to develop CVI at an earlier age, due to hormonal factors and the physiologic changes associated with pregnancy. But by the time we get into our 60’s and 70’s, men and women have about the same level of risk.
• Lifestyle: Lack of physical activity, poor diet, and obesity can put you at risk.
• Medical History: A history of superficial vein thrombosis (SVT)/deep vein thrombosis (DVT), leg surgeries or leg injuries can increase the risk.

How is Chronic Venous Insufficiency Treated?

Treatment for CVI aims to improve blood flow, reduce symptoms, and prevent complications. Common treatment options include:

• Compression Therapy: Wearing compression stockings helps reduce swelling and improve blood flow.
• Supplements: High-quality Diosmin and Hesperidin bioflavonoids, such as those found in Vein Formula and Lymphatic Formula, can decrease the inflammation within the blood and lymphatic vessel walls that damages those vessels.
• Chemical Ablation (Sclerotherapy/Varithena): A procedure where we inject a solution into the affected veins, causing them to collapse and fade.
• Thermal Ablation: Minimally invasive procedures using heat in the form of laser or radiofrequency energy to close off damaged veins.
• VenaSeal Closure: A minimally invasive procedure that uses a medical adhesive to permanently seal varicose veins, effectively treating chronic venous insufficiency. This quick, outpatient treatment offers relief with minimal discomfort and no need for compression stockings post-procedure.

Can Chronic Venous Insufficiency be Cured?

While there is no definitive cure for CVI, we can help you effectively manage it with proper treatment and lifestyle changes. Early intervention is key to slowing the progression of the disease and minimizing symptoms. Maintaining a healthy weight, exercising regularly, and avoiding prolonged periods of inactivity can help manage CVI and improve overall vascular health. Regular follow-ups are also essential to monitor the condition and adjust treatment as needed.

Vein Care Specialists

At Southlake Vein Care, we provide comprehensive care and develop personalized treatment plans for our patients. We have years of experience treating chronic venous insufficiency and other venous disorders. For more information or to schedule a consultation, request an appointment online or call our office at 972-378-5347.

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