Chronic venous insufficiency is common, treatable

By Kate Reid
Central Georgia Vein Center

Vein disease is incredibly common — and manageable. But if left untreated, what starts as a small issue can lead to potentially dangerous complications.

Chronic venous insufficiency (CVI) is a medical condition in which a person’s veins are unable to transport blood from the legs back to the heart properly. It’s a condition that impacts many, as more than 200,000 cases of CVI are reported in the U.S. alone each year.

Vericose veins_small
Chronic venous insufficiency (CVI) is a medical condition in which a person’s veins are unable to transport blood from the legs back to the heart properly. It’s a condition that impacts many, as more than 200,000 cases of CVI are reported in the U.S. alone each year. Photo used with permission.

The most common symptom associated with CVI is the appearance of varicose and spider veins in the leg area, which doesn’t sound particularly concerning on the surface. However, if left untreated, venous insufficiency can cause serious complications like ulcers, bleeding, and a life-threatening condition called deep vein thrombosis or (DVT).

To make sure you don’t fall victim to these complications, the first step is to identify if you could be suffering from even a mild case of CVI. If any of the following characteristics apply, you are potentially at higher risk of developing the condition and should consider consulting a physician or vein specialist: if you are overweight, female, pregnant, older, physically inactive, cigarette smoker, or if you have a family history of varicose veins.

Chronic Venous Insufficiency symptoms can range from the cosmetic to the potentially life-threatening. Some of the most common include swelling of the feet and ankles, itchy and irritated skin, cramping, aching legs, skin discoloration, skin sores or ulcers, and varicose or spider veins. If left untreated, varicose veins, in particular, can pose a significant threat, as they become enlarged and/or deteriorate over time. If your venous insufficiency is so significant that blood pools in the varicose veins and causes them to swell further, painful ulcers may develop and spontaneous bleeding can occur. Although the extent of these complications will, of course, vary from case to case, leaving CVI untreated at the very least will result in the continued display of symptoms like swelling, itching, pain, and fatigue.

In more extreme cases, patients can develop DVT, the formation of a blood clot in the leg that can prove fatal if it makes its way to the lungs. So if you’re exhibiting any symptoms of CVI, it’s crucial that you seek immediate treatment to eliminate the potential for DVT altogether.

Today, patients have access to a wide range of available treatments for CVI — but often, the best approach is to simply take proactive measures to improve blood flow through the legs. For instance, one of the most common treatments doctors recommend for CVI is to wear compression stockings. These specially-designed socks gently compress the veins in your legs to increase circulation and reduce pain in the area. In some instances, merely elevating your legs can get the blood circulating properly.

Of course, you can boost the efficacy of all of these treatment methods by making healthy lifestyle choices that promote better circulation — such as exercising regularly, eating a balanced diet, avoiding sitting or standing for extended periods, and wearing comfortable shoes.

Should your symptoms become so severe as to warrant a medical procedure, there are several options to remove the damaged vein. Endovenous Laser Treatment (ELT), Radiofrequency Ablation (RFA), Venaseal Closure System and sclerotherapy are all distinct, approved methods of targeting and destroying malfunctioning veins, but the end goal is the same: allowing the body to reroute blood flow to healthier veins naturally.

ELT and RFA both entail the insertion of a small catheter into the vein; then, either a laser or a high-frequency radio wave heats the tissue, dissolving it back into the body. Venaseal Closure System is a nonthermal procedure that uses medical adhesive to close the vein. Sclerotherapy works similarly but instead uses a saline solution to dissolve the vein.

While Chronic Venous Insufficiency is unlikely to be life-threatening in itself, the complications that arise from neglecting treatment are too serious to ignore. And with so many cost-effective treatment options available, there’s no reason not to address the issue at the onset. If you suffer from varicose veins or any of the symptoms listed, call Central Georgia Vein Center in Macon, Georgia, about the simple steps you can take to prevent or treat venous insufficiency.

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