Facts about Venous Insufficiency

Oct 25, 2023

Understanding Venous Insufficiency

Venous insufficiency, also known as chronic venous insufficiency (CVI), is a condition where the veins, primarily in the legs, fail to circulate blood effectively. This condition is often underdiagnosed but is actually quite common, affecting up to 40% of the U.S. population. Understanding the causes, symptoms, and treatment options for this condition is crucial.

Causes of Venous Insufficiency

CVI often results from damage to the veins or the valves within them. These valves ensure that blood flows towards the heart, preventing backward flow. When these valves are damaged or weakened, blood can pool in the veins, leading to venous insufficiency. Common causes include deep vein thrombosis (DVT), varicose veins, obesity, pregnancy, smoking, cancer, muscle weakness, leg injury, or simply aging.

Symptoms to Look Out For

Many people with CVI may not initially show symptoms. However, as the condition progresses, symptoms may become more evident. These include:

  1. Swelling in the legs or ankles
  2. Pain that gets worse when you stand and gets better when you raise your legs
  3. Leg cramps
  4. Skin changes, such as color changes or thickening
  5. Varicose veins
  6. Ulcers on the legs
personal trainer helping woman stretch in gym
Leg Elevation for Venous Insuficiency

Diagnosing Venous Insufficiency

Your healthcare provider may suspect venous insufficiency based on your symptoms and a physical examination. However, to confirm the diagnosis, you may need to undergo a duplex ultrasound. This non-invasive test uses sound waves to visualize the blood flow in your veins and detect any abnormalities.

Treatment Options

Treatment for venous insufficiency aims to reduce symptoms and prevent complications. Depending on the severity of the condition, your healthcare provider may recommend:

  • Compression stockings: These help improve blood flow in your legs and reduce swelling.
  • Lifestyle changes: Regular exercise, weight loss, and leg elevation can help manage symptoms.
  • Medication: Certain drugs can improve blood flow or treat complications like ulcers.
  • Surgery or minimally invasive procedures: For severe cases, procedures to repair veins or valves, or to remove damaged veins, may be necessary.
treatment venous insufficiency

Preventing Venous Insufficiency

While you can't always prevent venous insufficiency, there are steps you can take to reduce your risk. Regular exercise, maintaining a healthy weight, avoiding long periods of standing or sitting, and not smoking can all help keep your veins healthy.


Venous insufficiency is a common but often overlooked condition. By understanding its causes and symptoms, you can seek timely medical help and prevent complications. Remember, early detection and treatment are key to managing this condition effectively.