Norman Chideckel MD Vein Center
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Understanding Chronic Venous Insufficiency: Causes, Symptoms, and Treatment

Chronic venous insufficiency (CVI) is a condition that affects the veins’ ability to return blood from the legs to the heart efficiently. This condition can lead to various symptoms and complications if left untreated. In this blog post, we’ll delve into the causes, symptoms, and treatment options for CVI to help you better understand and manage this condition.

Understanding Chronic Venous Insufficiency- Causes Symptoms Treatment

Causes of Chronic Venous Insufficiency

CVI occurs when the valves in the veins of the legs become damaged or weakened. These valves are responsible for ensuring that blood flows in one direction—back toward the heart. When they fail to function properly, blood can pool in the veins, leading to increased pressure and vein damage. Several factors can contribute to the development of CVI, including:

  • Age: As you age, the valves in your veins can become weaker.
  • Family History: Genetics can play a role in the development of CVI.
  • Prolonged Standing or Sitting: Occupations or lifestyles that require long periods of standing or sitting can increase the risk.
  • Obesity: Excess weight puts additional pressure on the veins in the legs.
  • Pregnancy: Increased blood volume and hormonal changes during pregnancy can weaken vein walls and valves.
  • Previous Vein Conditions: A history of deep vein thrombosis (DVT) or other vein problems can increase the risk of CVI.

Symptoms of Chronic Venous Insufficiency

The symptoms of CVI can vary in severity and may include:

  • Swelling: Often occurring in the lower legs and ankles.
  • Pain or Discomfort: Aching, throbbing, or a heavy feeling in the legs.
  • Skin Changes: Skin near the affected veins may become discolored, thickened, or develop rashes.
  • Varicose Veins: Enlarged, twisted veins that are visible just under the surface of the skin.
  • Leg Cramps: Especially at night.
  • Ulcers: Severe CVI can lead to the development of venous ulcers, particularly around the ankles.

Treatment Options for Chronic Venous Insufficiency

Treating CVI involves addressing the symptoms and preventing further complications. Depending on the severity of the condition, treatment options may include:

Compression Therapy

Compression stockings are often the first line of treatment for CVI. They apply gentle pressure to the legs, helping to improve blood flow and reduce swelling.

Lifestyle Changes

Adopting a healthier lifestyle can significantly impact the management of CVI. This includes:

  • Regular Exercise: Activities like walking, swimming, and cycling can improve circulation.
  • Weight Management: Maintaining a healthy weight reduces pressure on the veins.
  • Elevating the Legs: Elevating your legs when resting can help reduce swelling.

Medications

In some cases, medications may be prescribed to improve blood flow, reduce swelling, or treat complications such as ulcers.

Minimally Invasive Procedures

Several minimally invasive procedures can effectively treat CVI, including:

  • Sclerotherapy: A solution is injected into the affected veins, causing them to collapse and be reabsorbed by the body.
  • Endovenous Laser Treatment (EVLT): Laser energy is used to seal off the damaged veins.
  • Radiofrequency Ablation (RFA): Radiofrequency energy is used to close off the affected veins.

Surgery

In severe cases, surgical intervention may be necessary to remove or repair damaged veins.

Understanding Chronic Venous Insufficiency: Contact Dr. Norman Chideckel for Treatment

If you’re experiencing symptoms of chronic venous insufficiency, Dr. Norman Chideckel at the Vascular Surgery & Vein Center in New York City can provide expert diagnosis and personalized treatment plans.

With years of experience, Dr. Chideckel is dedicated to helping patients manage and treat vein conditions effectively. To schedule a consultation and learn more about your treatment options, contact us at:

Dr. Norman Chideckel
212-993-6133

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