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Vein Symptoms

Understanding Venous Insufficiency

Venous insufficiency is a condition where your leg veins struggle to send blood back to your heart. It can be mild, or it can be severe, and the longer it goes unaddressed the higher the risk of complications.

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A woman sitting on a bed resting her hand on her leg
A foot and ankle with prominent damaged veins

The Cause

What Is Venous Insufficiency?

Valves inside your leg veins are meant to keep blood moving in one direction, toward your heart. When they are damaged or weakened, blood flows backward and pools in your legs.

Valve damage comes from a clot in a deep vein, extra weight, pregnancy, long hours sitting or standing, or smoking. Some people are born with faulty valves. It can affect deep veins, surface veins, or the perforating veins that connect them.

Treatment

Treatment Options for Venous Insufficiency

Most people start with compression and lifestyle changes. When that is not enough, closing the damaged vein is a short outpatient procedure.

  • Compression Therapy
  • Regular Exercise
  • Healthy Weight
  • Leg Elevation
  • Thermal Ablation
  • Sclerotherapy
Sclerotherapy treatment illustration

Sclerotherapy

A vein treatment using an injectable medicine

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Radiofrequency Ablation treatment illustration

Radiofrequency Ablation

A vein treatment using heat from radio waves

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Laser Ablation treatment illustration

Laser Ablation

A vein treatment using targeted laser energy

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VenaSeal treatment illustration

VenaSeal

A vein treatment using a medical adhesive

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ClariVein treatment illustration

ClariVein

A vein treatment using a rotating catheter and medicine

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Varithena treatment illustration

Varithena

A vein treatment using an injectable foam

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When to Act

When to See a Doctor for Venous Insufficiency

A venous duplex ultrasound settles it quickly. Book an evaluation if you notice any of these.

  • Persistent leg pain and swelling after standing
  • Aching, cramping or heaviness in your legs
  • Skin changes: itching, dryness or hardening
  • Reddish-brown discoloration or open sores
Book an Evaluation
A woman seated on a bed holding her shin
A woman in slippers rubbing her aching calf

Don't Wait

The Reason You Don't Want to Wait

Chronic venous insufficiency is graded C0 to C6. It only moves in one direction without treatment:

  • C1: spider veins or reticular veins
  • C2: varicose veins
  • C3: swelling, with no skin changes yet
  • C4: pigmentation, eczema or hardened skin
  • C5: a venous ulcer that has healed
  • C6: an active, open venous ulcer
C6the final stage, an open venous ulcer, is what early treatment prevents

Catching it at C1 or C2 means compression and a short outpatient procedure. Waiting for C5 or C6 means wound care that can take months.

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