Chronic venous insufficiency (CVI) is a condition in which the veins in the legs have difficulty returning blood efficiently to the heart. It may cause leg swelling, aching, heaviness, skin changes, visible varicose veins, and, in advanced cases, venous ulcers. Early evaluation can help manage symptoms and reduce the risk of complications.
Diagnosis and Treatment
Treatment begins with an assessment of symptoms, medical history, and circulation. A duplex ultrasound scan may be recommended to evaluate blood flow and identify problems with the veins. Depending on the severity and underlying cause, treatment may include compression therapy, regular physical activity, leg elevation, lifestyle changes, medications for selected symptoms, or minimally invasive vein procedures.
For suitable patients with problematic veins, procedures such as endovenous ablation, radiofrequency ablation, or sclerotherapy may be considered. More extensive surgery is generally reserved for selected cases where other approaches are unsuitable.