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Doctor insights on: Venous Insufficiency

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Go to: Sirweb. Org. Click patient tab at top. Click on varicose veins from left side menu. ...Read more

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

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

Compression stocking: Start compression at 20-30 mmHg. If not tolerated, can reduce to 15-20mmHg. ...Read more

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

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

Venous reflux grades: Venous insufficiency grading is an older method of quantifying severity. Hach proposed 4 grades. Grade three describes saphenous vein reflux extending to or just below the knee. A grade four would be down to the foot level. ...Read more

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. ...Read more

Not sure: It is interesting that you receive that information. I am not aware of grade 3 venous insufficiency classification. Ther is a ceap classification. C3 corresponds to patients that have edema as a consequence of venous insufficiency, however gets a bit more complex when add the other components.
Would be better for the general publc to refers as mild/moderate/severe. ...Read more

Vascular surgeon: Training provided to vascular surgeons to learn about the pathophysiology of the disease and the treatment options. ...Read more

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

Chronic venous insuf: Chronic venous insufficiency is due to the back flow of blood in the veins usually in the lower extremities. Back flow is usually protected by valves in the veins that become faulty over time allowing blood to pool. This increases the pressure of blood in the veins and fluid (and a small amount of blood) leaks into the tissues causing swelling, pain, inflammation, and on the skin ulcerations. ...Read more

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

Go to: Sirweb. Org. Click patient tab at top. Click on varicose veins from left side menu. ...Read more

Explanation: Venous insufficiency is caused by damage to the valves in your veins. This can lead to swelling, varicose veins, discoloration, and ulcerations. Initial therapy consists of compression stocking therapy, as well as evaluation for surgical therapy. All of these options will be discussed when you have your appointment with your doctor. ...Read more

Close bad veins: When superficial veins are insufficient, they are structurally broken. The vein walls are too stiff and don't have enough elastic in them. Vein valves that keep blood from flowing backwards are broken too. Nothing works right in these veins and we don't the technological ability to fix them yet. So we remove them. This can be done with surgery, sclerotherapy, and/or thermal ablation (laser/rf). ...Read more

Cvi risks: Chronic venous insufficiency risks are symptomatic, like pain and throbbing, or physical, like swelling, inflammation, dermatitis, pigmentation, and ulceration.
Also, enlarged varicosities can encourage clot formation through stasis of blood flow. ...Read more

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

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. ...Read more

Chronic venous insuf: Chronic venous insufficiency is due to the back flow of blood in the veins usually in the lower extremities. Back flow is usually protected by valves in the veins that become faulty over time allowing blood to pool. This increases the pressure of blood in the veins and fluid (and a small amount of blood) leaks into the tissues causing swelling, pain, inflammation, and on the skin ulcerations. ...Read more

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

Yes: There is a syndrome which can be diagnosed by cavernosography which can show a leak from the penile veins, particularly at the base, which can be a cause of erectile dysfunction, called veno occlusive ed. With the advent of the pde-5 inhibitors, this has become a procedure that is performed less often. ...Read more

Sure: As dr. Gotvald so nicely explained, pulses are felt in arteries but venous insufficiency results from vein trouble and not artery. Many people with venous insufficiency have no arterial trouble and their pulses are completely normal. It would be uncommon, but not unknown, for someone to have arterial (and no pulses) and vein trouble. ...Read more

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

Local effect: Generalized edema is called anasarca and due to renal or cardiac etiology.
See MD for appropriate work-up ...Read more