Common
Chronic Venous Insufficiency
Veins unable to pump blood efficiently back to the heart
What is it?
Chronic Venous Insufficiency (CVI) occurs when the venous wall and/or valves in the leg veins are not working effectively, making it difficult for blood to return from the legs to the heart. Blood pools in the leg veins, increasing pressure.
Symptoms
- Swelling in the ankles and legs
- Aching, tired, or heavy-feeling legs
- Leathery-looking skin on the legs
- Flaking or itching skin
- Varicose veins
- Leg ulcers (in severe cases)
Causes & Risk Factors
- Damaged or weak vein valves
- Deep vein thrombosis
- Prolonged sitting or standing
- Obesity
- Pregnancy
- Family history
Diagnosis
Diagnosed using duplex ultrasound to evaluate blood flow and valve function. Severity is classified using the CEAP classification system.
Treatment Options
Compression stockings
Leg elevation
Exercise
Sclerotherapy
Endovenous ablation
Surgical stripping (less common)
When to Seek Medical Advice
See a vascular specialist if you notice persistent leg swelling, skin changes, or non-healing sores on your legs or feet.