What is the best treatment for venous insufficiency?

See vein specialist: Your best choice is to see a vein specialist and be evaluated. Then you can get a recommendation that is specifically tailored to your needs. You will need a venous ultrasound evaluation to see if you have any underlying vein trouble that isn't visible at the surface. If you do and you have symptoms, treatment should be considered. Otherwise, compression stockings might be considered.

Ultrasound: The mainstay for evaluating patients with venous insufficiency is ultrasound. This enables locating the point where the valves in the veins are not closing properly and then planning a course of treatment. Though compressive hose are still recommended, over 90% of patients do not get relief with the use of hose.

Vein Treatment MD: That will depend on the severity of your vein condition and what type of symptoms that you have. You would be best served by seeing a vein specialist (typically a vascular surgeon) to obtain recommendation for your condition. Moderate to severe disease can be treated with laser (evlt) or radiofrequency ablation (vnus) as well as sclerotherapy or surgery. Mild disease can be managed with stockings.

Venous stasis: The treatment for venous stasis is compression. Your clinician will order tests to confirm that your arterial supply is adequate for compression. Once that occurs, the management will differ but the end goal is the appropriate compression for your legs that is comfortable but adequate to compress. Compression stockings are made by many companies so find one that you are comfortable with.

Grades of CVI: There is a classification of venous insufficiency called CEAP which grades venous insufficiency in 6 categories from 1 to 6 with 6 being the worse. 1 is spider veins, 2 is varicose veins, 3 is edema, 4 is skin changes, 5 is healed ankle ulcer and 6 is an active ulcer. There are treatments for each level. See a vein specialist.