Venous insufficiency, also called chronic venous insufficiency (CVI) or leaky veins or venous reflux or varicose veins, is a condition where the veins in the legs aren’t able to pump blood back to the heart effectively. This is usually because the valves inside the veins, which normally prevent blood from flowing backward, become weakened or damaged. As a result, blood can pool in the veins, causing a range of symptoms.
Common symptoms of venous insufficiency include:
There are several factors that can contribute to venous insufficiency, such as:
Diagnosis of venous insufficiency
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Generally, venous insufficiency can be easily diagnosed by understanding symptoms and obtaining non-invasive ultrasound study.
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This technique uses sound waves to visualize the flow of blood through the vasculature and estimation of leak time to diagnose venous insufficiency.
Treatment for venous insufficiency aims to improve blood circulation and reduce symptoms. This can include:
- Lifestyle changes: Regular exercise, weight management, and elevating the legs
- Compression stockings to help with circulation
- Medications to reduce swelling or pain
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Endovenous treatments or procedures, such as Radiofrequency ablation (heating up inside of diseased vein), chemical ablation of the vein (sclerotherapy), laser therapy, or surgery in more severe cases
If venous insufficiency is left untreated, it can worsen and lead to complications like venous ulcers or deep vein thrombosis (DVT), so it’s important to seek treatment if you’re experiencing symptoms.
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