A common chronic condition that can impact quality of life
Chronic venous insufficiency (CVI) is a condition in which the veins in the legs malfunction and allow blood to leak backward, causing blood to pool in the legs and putting increased pressure on the veins.
CVI is one of the most common chronic conditions in the United States and can cause significant pain, swelling, and reduced mobility. Our vascular and endovascular program team will work with you to develop a treatment plan to manage your symptoms and help avoid serious complications.
When left untreated, chronic venous insufficiency can lead to skin that is sensitive when bumped or scratched and can cause tissue damage and open sores on the skin’s surface, known as ulcers.
What are the symptoms of chronic venous insufficiency?
The earlier you are diagnosed and treated for CVI, the better your chances of preventing serious complications.
See your doctor if you experience any of these symptoms:
Swelling, aching, or tiredness in the legs
Discoloration of the legs (often a brown discoloration)
Hard, thick, skin around the ankles
Leg ulcers, particularly around the ankles
Varicose veins (spider veins)
What are the risk factors of CVI?
Chronic venous insufficiency occurs more frequently in women and people older than 50. Other risk factors include:
Extended periods of sitting or standing
Cardiac catheterization is a minimally invasive way to diagnose and treat a variety of heart and vascular conditions by guiding thin, flexible tubes called catheters through blood vessels to problem areas.
The cardiac computed tomography scan, or cardiac CT, uses X-rays to create three-dimensional images of your heart and blood vessels.
An electrocardiogram, also known as an ECG, measures the heart’s electrical activity.
A fluoroscopy is an imaging technique that uses a continuous X-ray beam passed through the body to create real-time, moving images of your internal structures.
Magnetic resonance imaging, better known as cardiac MRI, is a combination of radio waves, magnets and computer technology to create images of your heart and blood vessels.
Stress tests are used to assess how your heart works during physical activity. There are several types of stress tests, including treadmill or bike stress tests, nuclear stress tests, stress echocardiograms, and chemically induced stress tests.
There are several treatment options for chronic venous insufficiency. Often, the initial treatment is conservative and may include:
Avoiding long periods of sitting or standing
Elevating your legs while sitting and lying down
Wearing compression stockings or Unna’s boots, which are gauze bandages coated with zinc oxide to create a semi-rigid boot
If these treatments are unsuccessful, you doctor may recommend more advanced treatment.
Vascular and endovascular program
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Have questions for our heart and vascular program? Email us at AskMHVI@medstar.net.