Venous Insufficiency

What is Venous Insufficiency

Venous insufficiency is the inability or difficulty of the leg veins to return blood back to the heart. As the blood pools in the leg it leads to heaviness and swelling at the end of the day and over time it may gradually progress to spider veins, varicose veins and even skin discoloration and ulcers at advanced stages.

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Symptoms of Venous Insufficiency

Often patients with venous insufficiency show no visible signs of bulging veins, however they may experience leg heaviness and mild swelling at the end of the day that usually improves after bed rest. 

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Diagnosis of Venous Insufficiency

Varicose and spider veins are usually visible, but the severity of the underlying venous insufficiency can only be diagnosed with a Venous Ultrasound.

It is inappropriate to initiate any kind of treatment before your vascular surgeon rules in or rules out venous insufficiency and its severity, to formulate a complete treatment plan, targeted to the specific problem.

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Treatment of Venous Insufficiency

Venous insufficiency that is not significant, as determined by the severity of symptoms and the venous ultrasound findings, does not necessarily require any kind of invasive treatment, but just conservative management.

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vascular health

Vascular Surgeon

Dr. Efthymios (Makis) Avgerinos is a Vascular Surgeon, Associate Professor of Surgery in the Division of Vascular Surgery, University of Pittsburgh School of Medicine in USA.


Scientific Editing

Efthymios D. Avgerinos, MD, PhD, FEBVS
Associate Professor of Surgery
Division of Vascular Surgery, University of Pittsburgh
Medical Center Pennsylvania, USA