What is Chronic Venous Insufficiency (CVI)?


Chronic Venous Insufficiency (CVI) occurs when leg veins are damaged, hindering proper blood flow. Normally, these valves ensure blood flows toward the heart, but when damaged, they fail to close properly, causing blood to flow backward, known as venous reflux, rather than upward toward the heart. Due to the increased pressure, over time, CVI can significantly impact quality of life and lead to serious complications.

• Slowing blood flow to the heart from the legs
• Bursting capillaries in the legs
• Causing reddish-brown discoloration of the skin
• Increasing susceptibility to skin breakage
• Inducing tissue inflammation and damage
• Leading to venous stasis ulcers

Signs and Symptoms of CVI May Include:


• Achy or tired legs
• Burning, tingling, or “pins and needles” sensations in the legs
• Nighttime leg cramps and Restless Leg Syndrome (RLS)
• Reddish-brown skin discoloration
• Leg and ankle swelling, especially after prolonged standing

• Flaking or itching skin on the legs or feet
• Full or heavy feeling in the legs
• Leathery sensation in the legs
• Presence of ulcers near the ankles, potentially infected and painful
• Varicose veins and spider veins

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What Are The Treatments For CVI?


Treatment for chronic venous insufficiency can include lifestyle changes and compression therapy. If these measures aren’t enough, your provider may recommend a procedure. The best treatment for you depends on how far your condition has progressed and other medical conditions you may have. Your provider will tailor a treatment to your individual needs.

Recommended lifestyle changes may include:

• Elevating the legs
• Regular exercise
• Effective weight management
• Avoiding smoking and tobacco use
• Refraining from wearing tight girdles or belts
• Avoiding prolonged sitting or standing
• Engaging in regular movement breaks
• Adopting a heart-healthy diet with reduced sodium intake

Compression Therapy

Compression therapy is a treatment method involves wearing specially designed compression garments, such as compression stockings or socks, which apply gentle pressure to the legs.

Radiofrequency Vein Ablation (RFA)

The ClosureFast procedure uses RFA energy to close diseased veins in the legs. During RFA, a small catheter is inserted into the affected vein under local anesthesia. The catheter delivers radiofrequency energy, which heats and seals the vein shut, redirecting blood flow to healthier veins. This procedure offers patients a safe and effective alternative to traditional vein treatments, with minimal discomfort and downtime.

The goals of treatment are to:

• Help your blood flow better in your veins
• Help ulcers heal and limit their chances of coming back
• Improve your skins appearance
• Reduce pain and swelling

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