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CHRONIC VENOUS INSUFFICIENCY

Frequently asked questions

Below are answers to frequently asked questions. The information on this site should not be used as a substitute for talking with your doctor, it is important to make an appointment with a doctor to discuss treatment options.  Take the symptom quiz and download the results to help you prepare for an appointment with a doctor. 

What is chronic venous insufficiency?

Chronic venous insufficiency (CVI) is a condition where the veins in the legs have difficulty returning blood to the heart, resulting in a backup of blood and fluid in the lower legs known as Venous reflux1

What are the causes of CVI?

CVI is most commonly caused by damaged or weakened valves in the veins, which normally help to keep blood flowing in the correct direction.

What are the symptoms of CVI?

Symptoms of CVI may include:2

  • Varicose Veins
  • Swelling
  • Heaviness or tiredness
  • Restlessness
  • Aching or pain
  • Cramping
  • Itching, sores or ulcers
  • Skin changes and /or discolouration

What are varicose veins?

Varicose veins are swollen, twisted veins that usually occur in the legs and can be seen just beneath the surface of the skin. They are a common sign of venous insufficiency, where blood is not flowing properly through the veins. Varicose veins occur when the valves in the veins that help blood flow back to the heart become weakened or damaged. This can cause blood to pool in the veins, leading to their enlargement and visible appearance. Varicose veins can cause symptoms such as pain, aching, heaviness, and fatigue in the legs. In severe cases, they can also cause skin changes, ulcerations, and bleeding.

How is CVI diagnosed?

CVI is typically diagnosed through a physical exam, medical history, and tests such as ultrasound and venography. The presence of varicose veins can also help to diagnose CVI.

What are the treatment options for CVI?

Treatment for CVI may include lifestyle changes, compression stockings, medications, and medical procedures such as sclerotherapy, thermal ablation, cyanoacrylate ablation and surgical stripping. It is important to make an appointment with a doctor to discuss treatment options.

Can CVI be prevented?

Preventive measures may include exercise, maintaining a healthy weight, and avoiding prolonged sitting or standing.

Are there any risk factors for CVI?

Risk factors for CVI may include:2
 

  • Family history
  • Smoking
  • Current or previous pregnancies
  • Obesity or excess weight
  • Prolonged sitting or standing
  • Leg injury or trauma
  • Lack of exercise

 


Please always speak to a healthcare professional for more information.

References

1.Eberhardt RT, Raffetto JD. Chronic venous insufficiency. Circulation. 2014;130:333-346.

2.Chronic Venous Insufficiency. Johns Hopkins Medicine. Available at: https://www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-venous-insufficiency(opens new window). Accessed March 10, 2022.

TEST
Find a specialist

If you think you have CVI or just want to know more about your symptoms, you can start by speaking with your regular doctor using your symptom quiz answers.

If you do have CVI, you may need to speak with a specialist. These doctors are trained in diagnosing and treating CVI.*