Common Symptoms
- Leg swelling, especially after standing
- Aching, heaviness, or fatigue in legs
- Varicose veins
- Skin discoloration (often brownish)
- Itching or scaling skin
- Leg ulcers in severe cases
Understanding Chronic Venous Insufficiency
Chronic Venous Insufficiency (CVI) occurs when the veins in your legs don’t effectively return blood to your heart. Normally, valves in the veins prevent blood from flowing backward. When these valves are damaged or don’t work properly, blood pools in the legs, causing swelling and other symptoms.
How CVI Affects the Lymphatic System
CVI and lymphedema are closely related:
- When veins don’t function properly, fluid builds up in tissues
- This excess fluid puts stress on the lymphatic system
- Over time, the lymphatic system may become overwhelmed
- This can lead to a combined condition called phlebolymphedema
Many patients with CVI benefit from lymphedema treatment techniques, even if they don’t have “pure” lymphedema.
Risk Factors
You may be more likely to develop CVI if you:
- Have had blood clots (DVT)
- Have a family history of varicose veins or CVI
- Stand or sit for long periods
- Are overweight
- Are pregnant or have had multiple pregnancies
- Are female (higher incidence in women)
- Are over 50
Stages of CVI
Mild CVI
- Ankle swelling that improves overnight
- Varicose veins
- Leg heaviness after standing
Moderate CVI
- More persistent swelling
- Skin discoloration
- Itching and skin changes
Severe CVI
- Significant skin changes
- Hard, thickened skin
- Venous ulcers
The Importance of Early Treatment
Treating CVI early can:
- Prevent progression to more severe stages
- Avoid development of ulcers
- Prevent lymphatic system damage
- Maintain your mobility and quality of life
Our Treatment Approach
Compression Therapy
The cornerstone of CVI treatment:
- Graduated compression stockings
- Multi-layer bandaging for severe swelling
- Proper fitting and education
Manual Techniques
- Manual lymphatic drainage to reduce swelling
- Soft tissue techniques
- Scar management if ulcers have healed
Exercise
- Calf muscle pump exercises
- Walking programs
- Ankle mobility exercises
- Appropriate activity modifications
Education
- Skin care to prevent breakdown
- Elevation techniques
- Activity modifications
- Warning signs to watch for
Lifestyle Management
Activity
- Regular walking promotes blood flow
- Calf raises and ankle exercises
- Avoid prolonged standing or sitting
- Take movement breaks throughout the day
Compression
- Wear compression as recommended
- Put on stockings before getting out of bed
- Replace stockings when they lose elasticity
Skin Care
- Keep skin clean and moisturized
- Inspect legs daily for changes
- Treat minor injuries promptly
- Seek medical attention for any wounds
Weight Management
- Maintain a healthy weight
- Reduce pressure on veins
- Improve overall circulation
When to Seek Help
Contact us if you experience:
- Leg swelling that doesn’t resolve overnight
- Skin changes or discoloration
- Leg ulcers or wounds
- Increasing pain or heaviness
- Worsening symptoms despite current treatment
Working with Your Vascular Team
CVI often requires a team approach. We coordinate with:
- Vascular surgeons
- Primary care physicians
- Wound care specialists
This ensures you receive comprehensive care addressing all aspects of your condition.
How We Can Help
Our therapists provide comprehensive treatment for CVI-related swelling, including compression therapy, exercise programs, and patient education. We work with your vascular specialist to ensure coordinated care and optimal outcomes.