Senior man outside stretching legs on jogging path

Chronic venous insufficiency (CVI), a medical condition that occurs when the veins in the legs cannot adequately circulate blood back up to the heart, affects more than 25 million Americans. While common, especially among older adults, it is a progressive condition that requires professional attention to prevent long-term complications.

At the Vein Care Center of Amelia Island, we believe understanding your vascular health is the first step toward lasting relief.

What Causes Venous Insufficiency?

Venous insufficiency occurs when the tiny valves in your leg veins—which are responsible for pushing blood back up to your heart—become weakened or damaged. Instead of flowing upward, blood pools in the lower legs, a process known as venous reflux.

Several risk factors contribute to the weakening of these valves:
Pair of legs walking in the sand on the beach during sunrise or sunset

  • Age: As we age, the valves in our veins can wear down.
  • Gender: Women are more likely than men to develop venous insufficiency, possibly due to hormonal changes during pregnancy and menopause.
  • Family history: Genetics play a significant role in your vascular health.
  • Obesity: Carrying excess weight can put additional pressure on the veins in the legs.
  • Sedentary lifestyle: Long periods of sitting or standing (common in office or retail work) hinder natural circulation.

Common Symptoms of Venous Insufficiency

The symptoms of venous insufficiency can vary depending on the severity of the condition. Look out for:

  • Swelling, or edema, in the legs, ankles, or feet
  • Heaviness or fatigue in the legs after a long day
  • Visible varicose veins, which are enlarged, twisted veins
  • Discomfort marked by aching, itching, or burning sensations in the legs
  • Skin discoloration or venous ulcers – these may occur in advanced cases

How Is Venous Insufficiency Diagnosed?

If you are experiencing symptoms of venous insufficiency, your doctor may perform a physical exam and ask about your medical history. 

They may also order imaging tests, such as an ultrasound, to get a better look at the veins in your legs and assess blood flow in real time, pinpointing exactly where the valves are failing.

Treatment Options for Venous Insufficiency

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Treating venous insufficiency usually involves a combination of lifestyle changes and medical interventions. Some common treatments include:

  • Compression stockings. These special stockings are designed to help improve circulation in the legs by putting pressure on the veins. They can help reduce swelling and pain associated with venous insufficiency.
  • Lifestyle modifications. Regular walking, weight management, and elevating your legs can significantly reduce pressure.
  • Sclerotherapy. A tiny injection used to close smaller varicose or spider veins.
  • Endovenous ablation. A modern, minimally invasive alternative to surgery that uses heat (laser or radiofrequency) to close off diseased veins.
  • Surgery. In more severe cases of venous insufficiency, surgery may be necessary to repair damaged veins or remove varicose veins.

How to Prevent Venous Insufficiency

While you can’t change your genetics, you can protect your veins by:

  • Moving your legs every 30 minutes if you work a desk job.
  • Incorporating low-impact exercise like swimming or cycling.
  • Maintaining a healthy BMI to reduce vascular strain.
  • Wearing compression hose during long flights or periods of standing.

Frequently Asked Questions

Is venous insufficiency serious?

While not usually an immediate emergency, it is a progressive disease. If untreated, it can lead to painful skin ulcers, leathery skin changes, and an increased risk of blood clots (DVT).

While the damaged valves themselves cannot be fixed, the condition can be managed effectively. Modern treatments allow us to close off diseased veins, so blood naturally reroutes to healthier, functioning veins.

Most insurance providers, including Medicare, cover venous insufficiency treatments if they are deemed medically necessary (i.e., you are experiencing pain, swelling, or other symptoms).

Modern vein care rarely requires traditional vein stripping surgery. Most patients are treated with minimally invasive, in-office procedures that require little to no downtime.

Take the First Step Toward Healthier Legs

You don’t have to live with leg pain or swelling. At the Vein Care Center of Amelia Island, our specialists are dedicated to restoring your comfort and confidence.

Contact us today to schedule your vascular ultrasound and personalized consultation.

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