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Doctor insights on:
Venous Insufficiency
Venous Insufficiency (Overview)
A condition where the flow of blood through the veins is inadequate, causing blood to pool in the legs. It is most often caused by either blood clots or varicose veins.
1
Does arterial insufficiency cause edema like chronic venous insufficiency?

Venous edema: One of the hallmarks of chronic venous insufficiency is ankle and leg swelling. In the early stages of venous insufficiency, ankle and leg swelling occur at the end of the day and are relieved by leg elevation. In longstanding venous insufficiency, leg swelling is constant. Arterial insufficiency patients do not typically complain of lower extremity swellling. ...Read more
See 1 more doctor answerVenous Insufficiency (Overview)
A condition where the flow of blood through the veins is inadequate, causing blood to pool in the legs. It is most often caused by either blood clots or varicose veins.
2
What does venous insufficiency mean anyways and what outlook for me?

Valves malfunction.: Venous stasis is due to venous insufficiency which is a result of the valves in the venous system malfunctioning . This can be due to the valves in the deep system, superficial system or connecting system. Deep system valve malfunction could be due to prior clots, superficial problems could lead to varicose veins and perforator malfunction could lead to venous ulcers. ...Read more
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3
What's chronic venous insufficiency?

There are two types: Chronic venous insufficiency is when veins do not pump enough oxygen-poor blood back to the heart. This is caused by the valves in the veins leaking or flowing backwards. It usually occurs in the leg . It can be caused by the deep veins leaking [ less common ] or the superficial veins leaking[ more common] . Superficial venous insufficiency is the underlying cause of varicose and spider veins. ...Read more
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4
Does Venous insufficiency cause DVTS ?

Dvt: DVT happens in veins where blood movement is sluggish or even minimal. Venous stasis predisposes to DVT. Particularly when leg muscles are not active. ...Read more
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5
Compression stockings help with chronic venous insufficiency?

Yep...sure can: Compression stockings can be very useful and actually the primary treatment in those patients with venous insufficiency, whether of the deep veins or the superficial veins. They aid in lessening the distention of varicose veins which causes aching, decreasing fluid accumulation in the tissues, and also help by decreasing inflammation. ...Read more
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6
What are the common symptoms of venous insufficiency?
Varicose veins: Varicose veins, swelling and possibly brownish discoloration of the legs. Pain and discomfort may also be associated. If you have any of these symptoms you should see your doctor and ask for vascular surgical opinion. ...Read more
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7
Can venous stasis lead to decreased venous return?

Venous stasis: The issue is one of vein hypertension, due to the impeded flow of blood returning to the heart, especially in the legs. This is due to incompetent valves in the veins. With increased blood pooling in the legs comes 'heavier' legs, swelling, pain from swelling, pitting in the skin, leakage of fluid and blood into the tissues, leakage of the fluid onto the skin causing maceration and destruction... ...Read more
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8
Venous insufficiency of lower limbs make veins worse?

Valves malfunction.: Bad veins lead to venous stasis and insufficiency which is a result of the valves in the venous system malfunctioning . This can be due to the valves in the deep system, superficial system or connecting system. Deep system valve malfunction could be due to prior clots, superficial problems could lead to varicose veins and perforator malfunction could lead to venous ulcers.See a vein specialist. ...Read more
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9
Do compression stockings help with venous stasis ulcers?

Venous Ulcer RX: Compression is the key to treating venous stasis ulcerations. In a comprehensive wound care center, there are many different types of compression used. First, make sure that the level of compression that is being used is safe to use. Your wound care professionals will be able to assist you through this process. ...Read more
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10
What is venous stasis?

Valves malfunction.: Venous stasis is due to venous insufficiency which is a result of the valves in the venous system malfunctioning . This can be due to the valves in the deep system, superficial system or connecting system. Deep system valve malfunction could be due to prior clots, superficial problems could lead to varicose veins and perforator malfunction could lead to venous ulcers. ...Read more
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11
Have diagnosis of pcos, hypothyroid, venous insufficiency. 2 blood test in 6mths show elevated WBC and calcium and ck serum of 20. What could cause?

Talk to your doctor.: A combination of knowing your health history, performing a physical exam, and performing/reviewing lab results would be best in helping you in this situation. The best thing to do is see your doctor. ...Read more
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Diagnosed with venous insufficiency. What kind of doctor could advise on types of excersize to do or avoid? Using compression stockings and nsaids.

Venous insufficiency: Generally speaking a vascular surgeon as well as a rehabilitation doctor can help with this. The exercises for most people include movements that activate the calf muscles (e.g. Slow ankle pumps) to improve the venous return to the heart. Increasing the amount of time with the legs elevated as close to or above the level of your heart will also help passive drainage. ...Read more
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13
Portal vein thrombosis?

Clotting of vein: The portal vein carries blood from bowel to the liver. It also runs near the pancreas. Portal vein thrombosis can occur with inflammatory conditions or cancers. Patient may need blood thinners or other treatments. ...Read more
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What is cortical venous thrombosis?

Rare condition: Cerebral venous sinus thrombosis (cvst) is a rare form of stroke that results from thrombosis (a blood clot) of the dural venous sinuses, which drain blood from the brain. Symptoms may include headache, abnormal vision, any of the symptoms of stroke such as weakness of the face and limbs on one side of the body, and seizures. ...Read more
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Could patients reverse deep venous thrombosis?

Yes,: it can resolve with treatment.
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16
Difference between lymphadema and venous insufficiency?
Lymphedema: balls of the issues lymphedema and venous insufficiency can cause swelling of the lower extremities. However with venous insufficiency there is very often a valve dysfunction causing the problem which can be corrected by destruction of the vein. In both cases use of a compression stocking during daily activities would be of benefit to help reduce or prevent the swelling. ...Read more
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17
What are the tests for venous insufficiency?

Venous insufficiency: Venous reflux, also known as venous insufficiency, is best evaluated with a test called a venous reflux ultrasound. This test visualizes the direction of venous blood flow and can detect faulty valves within the veins. Ultrasound is useful since it is a dynamic test that can visualize the movement of blood. This test is typically used to diagnose the cause of varicose veins or leg swelling. ...Read more
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What leads to venous thrombosis?

Several causes: Venous thrombosis, or blood clots in the veins, can result from a number of causes such as injury to the vein wall, sluggish blood flow (as might occur when one is bedridden), and clotting abnomality where the blood has a tendency to clot (also known as hypercoaguability). ...Read more
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Is the discolouration from venous insufficiency reversible?

No : If you have discoloration, your venous insufficiency is serious and you are at risk of developing a leg ulcer, even if your legs feel fine. Elevate your legs. Wear compression stockings daily. See a phlebologist or vein specialist. Phlebology.Org for a referral. Treatment is office based and under and hour. Covered by almost all insurance. ...Read more
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20
How could you have venous insufficiency in both legs/thighs when there is no discoloration no swelling no varicose veins no ulcers only spider veins ?

Terminology: It's unclear why you may have been told you have venous insufficiency. True "chronic venous insufficiency" implies some of the following: leg swelling, discoloration, eczema to hardening of the skin of the lower leg , and/or a leg ulcer, all because of veins with poor valve function leading to increased pressure in your veins. One can have spider veins without "chronic venous insufficiency. ...Read more
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21
Can autonomic peripheral cause venous insufficiency? I have pain and tingling in right leg but US was normal. Previous removal of right saphenous.

Neuropathic pain: Autonomic peripheral dysfunction usually causes an involuntary dilation of arterioles with flushing, sometimes pain. a sympathectomy or injection is useful to control. Venous insufficiency results from damage to vein valves, allowing gravity to pull blood downwards. Saphenous vein removal can result in nerve damage and pain, but not usually autonomic. Also, too tight stockings can cause pain. ...Read more
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22
What causes jugular venous reflux?

Heart failure: Mostly fluid overload on the right side of the heart leading to jugular venous dissension and reflex. ...Read more
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23
What conditions apart from chronic cerebrospinal venous insufficiency (ccsvi) require ijv angioplasty?

Few: Aside from ccsvi angioplasty of the central veins is most commonly done to relieve narrowings caused by previous intrumentation (central lines, dialysis access, pacemakers, etc). In the ijv it is usually done to restore or improve access for insertion of a central venous catheter of some sort. Tumors can also narrow the central veins to the point where dilation is needed. ...Read more
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24
What is venous thrombosis?

Vein Blood Clot: Venous thrombosis most often occurs in the leg veins. If it is in the deep leg veins it is called a deep venous thrombosis (dvt). This is a dangerous condition requiring medical attention and treatment with blood thinners. If the clot is in veins under the skin it is not particularly serious and is treated with moist heat and drugs like motrin. ...Read more
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Can cortical venous thrombosis be cured?

Treat Yes: Specific therapy for cvt involves anticoagulation or thrombolytic therapy existing data support the use of systemic anticoagulation as an initial therapy in all patients, even in the presence of intracranial hemorrhage. ...Read more
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Could chronic venous insufficiency (fluid retention in lower legs) be reversed?

CVI treatable.: Chronic venous insufficiency is due to malfunctioning of valves in the superficial, deep or both venous systems. Although not reversible, it is treatable. The superficial valves, if leaking, can be closed via laser. The deep valves are treated symptomatically with elevation, compression hose, possibly lymphedema massage and compression pumps. The goal is to prevent worsening of the cvi ...Read more
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I was diagnosed with chronic venous insufficiency. What should I do to treat it?
See an expert: This is not a simple problem to answer here- some might say wear stockings, or get some treatment. This needs a diagnosis and then treatment. A surgeon who specializes in vein therapy is best to guide that therapy and answer. ...Read more
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What is the difference between chronic venous stasis and chronic arterial insufficiency?

Significant: Chronic venous stasis (cvi) is a result of long standing venous insufficiency due to malfunctioning of the valves of either the superficial, deep or both systems of veins. Chronic arterial insufficiency is due to long standing decrease arterial blood flow into either the legs or arms. Venous problems cause leg swelling and discoloration while arterial problems cause pain and even gangrene. ...Read more
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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. ...Read more
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30
I have rheumatic heart disease and some venous insufficiency; are there single drugs that treat both?

2:1 Drug Rx: These are two different disease processes. Venous insufficiency is treated most often without medication but with compression. With your ra, you may feel uncomfortable with the compression that may require some compromise (a palliative approach) between yourself and your clinician. ...Read more
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What does a sharp pain/ice cold sensation on a leg with chronic venous insufficiency mean, that also gets worse upon touching?

Depends: Venous disease causes many diffeent symptoms. If you have painful vv with palpation, this likely indicates ongoing inflammation related to too much pressure from valvular incompetence. ...Read more
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32
Dad(67) has a 12-hour flight. Cardiac risk factors, venous insufficiency in his legs, t2dm. Other than compression socks, he takes 81mg of aspirin daily. Should he take 325mg aspirin before?

Options: Low dose aspiring is reasonable but not a great way to prevent dvt. Exercises and stockings good idea. Some folks occasionally consider a dose of Lovenox (enoxaparin) around the time of the flight. A question you could ask you pcp. ...Read more
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33
What is the trouble chronic venous insufficiency and what do people have to do to prevent it early on?
CVI: Terminology can be confusing. There is venous insufficiency (vi), or venous reflux as dr. Gotvald said, and there is chronic venous insufficiency (cvi). Cvi indicates that you have had severe reflux for a long time and there is already damage. On the other hand, although reflux is genetically determined and no preventable, if you have vi prevention of progression to cvi might be possible. ...Read more
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34
Is the discolouration from venous insufficiency reversible?
No : If you have discoloration, your venous insufficiency is serious and you are at risk of developing a leg ulcer, even if your legs feel fine. Elevate your legs. Wear compression stockings daily. See a phlebologist or vein specialist. Phlebology.Org for a referral. Treatment is office based and under and hour. Covered by almost all insurance. ...Read more
See 2 more doctor answers
35
I need to know what does venous insufficiency mean anyways?

Go to: Sirweb.Org. Click patient tab at top. Click on varicose veins from left side menu. ...Read more
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What is the definition or description of: Venous insufficiency?
CVI: Venous insufficiency is described as the reduced ability of the veins to provide an adequate return of blood back to the heart from the lower extremities. The fault typically is with the walls and/or the valves located in the veins of the legs. The failing valves allow a back flow of blood which increase the pressure on the vein walls thus resulting with varying degrees of pedal edema. ...Read more
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37
What does venous insufficiency mean anyways and what outlook for me?
Valves malfunction.: Venous stasis is due to venous insufficiency which is a result of the valves in the venous system malfunctioning . This can be due to the valves in the deep system, superficial system or connecting system. Deep system valve malfunction could be due to prior clots, superficial problems could lead to varicose veins and perforator malfunction could lead to venous ulcers. ...Read more
See 4 more doctor answers
38
I was just diagnosed with mild venous insufficiency ( It started less than a week ago). Is there a general compression level that I can start with?
Compression stocking: Start compression at 20-30 mmHg. If not tolerated, can reduce to 15-20mmHg. ...Read more
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39
What's chronic venous insufficiency?
There are two types: Chronic venous insufficiency is when veins do not pump enough oxygen-poor blood back to the heart. This is caused by the valves in the veins leaking or flowing backwards. It usually occurs in the leg . It can be caused by the deep veins leaking [ less common ] or the superficial veins leaking[ more common] . Superficial venous insufficiency is the underlying cause of varicose and spider veins. ...Read more
See 4 more doctor answers
40
Does Venous insufficiency cause DVTS ?
Dvt: DVT happens in veins where blood movement is sluggish or even minimal. Venous stasis predisposes to DVT. Particularly when leg muscles are not active. ...Read more
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