Welcome to the Vascular Institute of the Pines blog, where we get to pick the brain of renowned Pinehurst vascular surgeon, Dr. Leah Hershman. In this blog, we’ll dive into the intricate world of chronic venous insufficiency (CVI), shedding light on its causes, symptoms, and cutting-edge treatments. If you or a loved one is suffering from leg discomfort, swelling, or other worrisome symptoms, you’re in the right place. Let’s embark on a journey to understand this common condition and explore potential solutions.
Chronic Venous Insufficiency (CVI) Defined:
Chronic Venous Insufficiency, often abbreviated as CVI, is a medical condition that affects the veins in the legs. To understand CVI, it’s crucial to comprehend the role of veins in our circulatory system. Veins are responsible for returning deoxygenated blood back to the heart. In the legs, this means carrying blood against gravity. The condition arises when the valves in the leg veins become damaged or weakened, causing blood to flow backward and pool in the legs, rather than returning to the heart.
What Causes CVI?
CVI can result from a variety of factors, and it often develops gradually over time. Some of the key causes and risk factors include:
1. Age: As we age, the risk of developing CVI increases.
2. Family History: A genetic predisposition can play a role.
3. Obesity: Excess weight puts additional pressure on the veins in the legs.
4. Prolonged Sitting or Standing: Occupations or lifestyles that involve prolonged periods of sitting or standing.
5. Pregnancy: Hormonal changes and increased pressure on the veins during pregnancy can lead to CVI.
6. Deep Vein Thrombosis (DVT): A history of DVT can damage the veins and increase the risk.
Common Symptoms of CVI:
Recognizing the symptoms of CVI is crucial for early intervention and treatment. Patients with CVI may experience the following:
1. Swelling of the lower extremities.
2. Pain or aching in the legs, which often worsens when standing.
3. Visible veins, often appearing as spider veins or varicose veins.
4. Skin changes, such as darkening or thickening of the skin, particularly around the ankles.
5. Leg ulcers, which can be painful and slow to heal, or non healing without treatment.
6. Itching or burning sensations.
7. Numbness or tingling of the legs or feet.
8. Cramps or restless legs, often at night.
9. Heaviness of the legs, often described as a sandbag feeling.
Treatment Options for CVI:
Dr. Hershman, our experienced vascular surgeon, offers a range of advanced treatment options to address CVI. The choice of treatment depends on the severity of the condition and individual patient factors. Some of the treatments available at Vascular Institute of the Pines include:
1. Lifestyle Modifications: Patients may be advised to make lifestyle changes, such as losing weight, staying active, and avoiding prolonged sitting or standing.
2. Compression Therapy: Wearing compression stockings can help improve blood flow and reduce swelling.
3. Radiofrequency Ablation (RFA): A minimally invasive procedure that uses radiofrequency energy to shut down the damaged veins.
4. VenaSeal: A procedure that uses specially formulated medical adhesive to seal — or close — the diseased vein.
5. Sclerotherapy: A procedure that involves injecting a solution into the affected vein to close it off.
6. Phlebectomy: In more advanced cases, this method is used to surgically remove the affected vein from the leg.
In conclusion Chronic Venous Insufficiency is a common condition that affects many individuals, causing discomfort and affecting their quality of life. If you suspect you may be suffering from CVI, it’s essential to consult with an experienced vascular surgeon like Dr. Hershman at Vascular Institute of the Pines. Her clinic is located in Pinehurst, NC, and patients have driven 3+ hours to see her. Timely diagnosis and appropriate treatment can make a significant difference in managing this condition, improving your symptoms, and enhancing your overall well-being. Don’t let CVI hold you back—take the first step towards healthier, happier legs today. Give VIP a call today at (910)338-3381.
