Dr. Himanshu Verma

Vascular & Endovascular Surgeon

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Fortis Memorial Research Centre, Opposite HUDA City Centre, Sector 44, Gurugram, Haryana 122003

Dr. Himanshu Verma

Vascular & Endovascular Surgeon

Chronic Venous Insufficiency

Expert diagnosis and personalized treatment for leg swelling, venous ulcers, and chronic venous insufficiency.

What is chronic venous insufficiency?

Chronic Venous Insufficiency (CVI) is a long-term condition where the veins in your legs struggle to send blood back to the heart. The valves inside the veins weaken or become damaged, allowing blood to pool in the legs. Over time, CVI can affect daily comfort, skin health, and mobility if not managed early.

If you notice leg heaviness or swelling that worsens by evening, it may be time to take action before symptoms progress.

Feeling tired in your legs by evening? Learn how you can manage Chronic Venous Insufficiency today.

How does chronic venous insufficiency affect my body?

Chronic venous insufficiency typically occurs in the lower legs and is characterized by high pressure in the veins due to inadequate blood return. This condition leads to swelling of the legs and damage to the skin. The effects of chronic venous insufficiency will worsen over time and may cause:

  • The buildup of fluid in the ankles and legs
  • Skin that is discolored and itchy
  • Reduced oxygen in the tissue
  • Wounds that heal slowly
  • Reduced walking comfort and quality of life

Chronic venous insufficiency may also decrease comfort with walking, thereby decreasing one's overall quality of life.

Symptoms and Causes

What are the signs and symptoms of chronic venous insufficiency?

There are several common symptoms of Chronic Venous Insufficiency:

  • Leg heaviness or aching
  • Swelling after prolonged sitting or standing
  • Visible varicose veins ((large, bulging veins in your legs))
  • Darkened skin around the ankles
  • Leg cramps or restless legs
  • Venous ulcers (open sores) are a sign of advanced chronic venous insufficiency.

If you can relate to any of these symptoms, seeking treatment early can slow down the progression of your disease.

What causes chronic venous insufficiency?

Chronic venous insufficiency usually arises as a result of any of the following:

  • Weak or damaged vein valves
  • Prolonged standing or sitting
  • Obesity (overweight people) or
  • Lack of physical activity, having previous pregnancies, or
  • Due to prior leg vein injury/clots.

Learning the specific cause of chronic venous insufficiency allows for the provision of more personalized treatment.

What are the stages of chronic venous insufficiency?

Chronic Venous Insufficiency deteriorates through stages:

  • Swelling and leg ache
  • Prominent varicose veins
  • Skin that becomes thicker and changes in color;
  • Leg ulcers that do not heal

You may find that early stage Chronic Venous Insufficiency is more easily treated when you seek medical treatment early.

Diagnosis & Lifestyle Role

Diagnosing chronic venous insufficiency consists of a physical examination and imaging studies to evaluate the veins. The following lifestyle habits have a significant impact on the management of chronic venous insufficiency:

  • Physical examination and vein imaging
  • Regular exercise by walking.
  • Elevating your legs.
  • Maintaining a healthy weight
  • Not remaining in one position for long periods of time.

Making incremental changes can lead to meaningful results.

Treatment of Chronic Venous Insufficiency

The Management of Chronic Venous Insufficiency will include minimizing swelling, promoting healthy blood circulation, and supporting the general health of the legs as a whole. Some common treatments are:

Compression Therapy: Support stockings, bandages, or socks are tools used to help the venous function of the legs, which will ultimately assist in reducing swelling of the legs.

Manual Lymphatic Drainage (MLD): This is a gentle, hands-on approach that encourages the movement of fluids and provides relief from discomfort.

Lymphedema Treatment Program: A combined program that uses compression, exercise, and skin care to reduce long-term swelling in the legs.

Ulcer Healing Protocols: Address skin protection for chronic venous insufficiency-related ulcers and assist with the promotion of healing.

Iliac vein Stents for Ulcers that do not heal: Surgical procedure performed on deeper veins to increase blood circulation for more stubbornly non-healing ulcers.

When Chronic Venous Insufficiency is identified early and treated properly it will result in an easier way of life and lessen the chance of developing complications.

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