Chronic Venous Insufficiency (CVI) Vein Treatment

Blog Post
By BASS Vein Center
Chronic Venous Insufficiency (CVI) Vein Treatment
January 18, 2024

Chronic Venous Insufficiency or CVI, also commonly referred to as venous reflux disease (VRD), is a condition that causes blood to pool or start to collect in the veins. When the valves of the veins in the legs stop working as they should, it makes it difficult for blood to pump back to the heart. The valves can become damaged and that leads to blood leaking backward which causes CVI.

Chronic Venous Insufficiency is often caused by a disease known as DVT or Deep Vein Thrombosis, which causes blood clots to form in the deep veins of the legs. CVI can also be a result of vascular malformations and pelvic tumors. However, it can also form due to unknown reasons.

Who Is At Risk of CVI?

Understanding the risk factors for Chronic Venous Insufficiency (CVI) is crucial for proactive vein health. Individuals over 50 face an increased susceptibility, as aging can impact vein functionality. Women, due to hormonal changes during pregnancy and menopause, also have a higher likelihood of developing CVI.

Occupational factors matter; prolonged sitting or standing without breaks, as well as limited mobility, elevate the risk. A history of Deep Vein Thrombosis (DVT), vascular malformations, pelvic tumors, or a family history of venous issues can further contribute to CVI risk. By recognizing these factors, individuals can take informed steps to minimize the risk and prioritize their vein health.

What are the Symptoms of CVI?

Recognizing the signs of Chronic Venous Insufficiency (CVI) is crucial for timely intervention. If you experience any of the following symptoms, it's essential to consult with a healthcare professional:

  • Swelling: Persistent swelling of the lower legs and ankles, particularly noticeable after extended periods of standing.
  • Varicose Veins: Development of new varicose veins, which are enlarged, twisted veins often appearing near the surface of the skin.
  • Skin Issues: Flaking or itching of the skin on the feet and legs, indicating potential circulation issues.
  • Leg Discomfort: Aching or a persistent feeling of tiredness in the legs, especially after periods of inactivity.
  • Skin Changes: The skin on the legs may take on a leathery appearance, signaling underlying vascular issues.
  • Ulcers: Appearance of statis ulcers or venous stasis ulcers, which are open sores that may develop due to impaired blood flow.

If you identify with any of these symptoms, seeking medical advice is crucial for a comprehensive evaluation and appropriate management.

Remember, early detection and intervention can significantly improve outcomes and enhance your overall vascular health. 

What CVI Treatment is Available?

There are several options available for the treatment of CVI. Some are minimally invasive while others are surgical treatments. Non-surgical treatment includes Sclerotherapy and Endovenous Thermal Ablation.


With Sclerotherapy, a solution is injected into the affected veins. This solution causes the veins to collapse and later disappear. More than one sclerotherapy treatment may be needed to achieve the best results. This procedure is simple and can be performed in-office. It can help to eliminate the pain and discomfort caused by varicose veins. And it can also help eliminate the unsightly appearance of spider veins. For that reason, this treatment is often performed for cosmetic reasons.

Endovenous Thermal Ablation

This CVI treatment uses a laser or a radiofrequency to create local heat in the affected vein. During the procedure, the heat is used to help close off the veins causing them to fade and disappear. The veins are left in place, instead of being removed, so that there is minimal bleeding or complications with bruising afterward. This minimally invasive process is faster and less painful than many of the other methods used to remove varicose veins.

Surgical Treatments for CVI

While most patients can see results from minimally invasive treatment options like sclerotherapy and Endovenous Thermal Ablation, some require surgical treatment.

Ligation and Stripping

Ligation and stripping are a combination of surgical treatments that are often performed together. With vein ligation, the surgeon will cut and tie off the affected veins. Many patients recover from this procedure in a few days and can return to their usual activities.

Stripping involves the surgical removal of larger veins by using two small incisions to access them. This is a much more extensive procedure and can require as many as 10 days for recovery. The patient may also experience bruising for a few weeks following the treatment.

CVI Vein Treatment Near Me

If you live in Alamo, Walnut Creek, Alameda, or anywhere in the East Bay Area, and would like to learn more about CVI Treatment, give our experts here at BASS Vein Center a call today. We can help you find the right treatment options for your vein issues.

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