Chronic Venous Insufficiency (CVI)

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:

• Deep vein thrombosis
• Extended periods of sitting or standing
• Family history
• Inactivity
• Obesity
• Pregnancy
• Smoking
• Varicose veins

Tests

Treatments

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
• Exercising regularly
• Losing weight
• 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.