Chronic Venous Insufficiency (CVI) is a progressive vascular condition that occurs when the veins in the legs fail to circulate blood efficiently back to the heart, leading to swelling, pain, varicose veins, and skin changes. Over time, untreated CVI can result in venous ulcers and severe complications that impact daily life.
At Vascular Surgery Associates, our top vascular specialists in Los Angeles and Santa Monica provide advanced diagnosis and personalized treatment options to improve circulation, relieve symptoms, and prevent long-term damage.
What is Chronic Venous Insufficiency?
CVI develops when the valves inside the leg veins weaken or become damaged, causing blood to pool in the lower extremities instead of flowing back to the heart. This leads to increased venous pressure, swelling, and skin changes that can worsen over time.
According to the American Venous Forum, over 40% of people over the age of 50 experience some degree of CVI, making it one of the most common circulatory disorders in the United States.
Recognizing the Symptoms of CVI
The symptoms of Chronic Venous Insufficiency typically develop gradually and worsen without treatment. Common signs include:
- Leg swelling that worsens after long periods of standing or sitting
- Aching, heaviness, or cramping in the legs
- Varicose veins or spider veins
- Itchy, dry, or irritated skin on the lower legs
- Skin discoloration (brown or reddish patches)
- Venous ulcers or slow-healing sores on the legs or ankles
If you experience persistent swelling, pain, or skin changes, it’s important to seek evaluation from a vascular specialist to prevent complications.
What Causes Chronic Venous Insufficiency?
Several factors contribute to the development of CVI, including:
Aging
Vein valves naturally weaken over time, increasing the risk of CVI
Prolonged sitting or standing
Reduces circulation and increases pressure in the leg veins
Obesity
Extra weight places strain on the veins, making it harder for blood to flow upward
Pregnancy
Hormonal changes and increased blood volume contribute to vein dilation
History of deep vein thrombosis (DVT)
Blood clots can damage vein valves, leading to CVI
Family history of venous disease
Genetic factors play a role in vein health
Smoking
Weakens blood vessels and increases the risk of venous insufficiency
Without proper management, CVI can progress, leading to venous ulcers, skin infections, and decreased mobility.
How Our Vascular Experts Diagnose CVI?
At Vascular Surgery Associates, we use state-of-the-art vascular imaging to accurately diagnose Chronic Venous Insufficiency and determine the best treatment plan for each patient.
Doppler Ultrasound
A non-invasive imaging test that evaluates blood flow and detects vein dysfunction
Venous Duplex Scanning
Provides detailed images of vein structure to assess valve function and blockages
Venography
Uses contrast dye to visualize abnormal vein flow and deep vein conditions
Early diagnosis allows for timely intervention, reducing the risk of venous ulcers, skin changes, and severe complications.
Advanced Treatment Options for Chronic Venous Insufficiency
Our vascular specialists in Los Angeles and Santa Monica offer a range of minimally invasive and non-surgical treatments to improve circulation and relieve CVI symptoms.
Non-Surgical Treatments
Compression Therapy
Wearing medical-grade compression stockings improves circulation and reduces swelling
Lifestyle Modifications
Regular exercise, weight management, and leg elevation help prevent progression
Medications
Anti-inflammatory and diuretic medications can reduce swelling and discomfort
Minimally Invasive Procedures
Endovenous Laser Therapy (EVLT) or Radiofrequency Ablation (RFA)
Uses heat energy to close diseased veins, redirecting blood flow to healthier vessels
Sclerotherap
A specialized injection that seals small varicose or spider veins, improving circulation
Venous Stenting for Blocked Veins
Opens narrowed veins in cases of CVI associated with May-Thurner Syndrome
Foam Sclerotherapy
Treats larger varicose veins by injecting a medical foam that closes damaged veins
Varithena® Treatment
An FDA-approved microfoam therapy for improving vein function and reducing symptoms
Surgical Treatments for Severe Cases
Phlebectomy (Vein Removal Surgery)
Removes bulging varicose veins through tiny incisions
Venous Bypass Surgery
Reroutes blood flow around blocked or severely damaged veins
Venous Valve Repair
Restores function to damaged or malfunctioning vein valves
Most patients experience significant symptom relief with minimally invasive treatments, allowing them to return to normal activities quickly with minimal downtime.
Frequently Asked Questions About Chronic Venous Insufficiency
CVI is not life-threatening, but untreated cases can lead to venous ulcers, skin infections, and chronic pain, significantly affecting quality of life.
While the underlying vein damage cannot always be reversed, minimally invasive treatments can significantly reduce symptoms and prevent progression.
Maintaining a healthy weight, exercising regularly, avoiding prolonged sitting, and wearing compression stocking scan help improve circulation.
Varicose veins are a common sign of CVI, but not all cases of CVI cause visible varicose veins. A vascular evaluation can determine the extent of venous disease.
If you experience persistent leg swelling, pain, skin changes, or slow-healing ulcers, it’s important to seek care from a vascular specialist before complications arise.
Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
Expert CVI Treatment in Los Angeles & Santa Monica
Chronic Venous Insufficiency can significantly impact mobility and daily comfort, but effective treatment is available. At Vascular Surgery Associates, our specialized vascular team in Los Angeles and Santa Monica provides comprehensive diagnostics and state-of-the-art treatment options to improve circulation and prevent complications.
Contact us today to schedule a consultation and take the first step toward healthier veins.