Venous insufficiency is neither rare nor harmless. Treatment aims to alleviate symptoms while treating the underlying issue if possible.

No oral drug has yet been shown to be effective in the treatment of venous illness. Graduated compression is the foundation of contemporary venous insufficiency treatment.

What is venous insufficiency?
Your arteries are the vessels that deliver blood from your heart to the rest of your body. Your veins return blood to your heart, and valves in the veins prevent blood from going backward.

Chronic venous insufficiency (CVI) happens when one or more veins, mostly in the legs, can't properly do their job of returning depleted blood to the heart, causing blood to pool in the vein. If blood is having difficulties returning to the heart for refortification and reoxygenation, the vein may look like a varicose vein or spider vein due to increased pressure in that location. If the vein is located deeper within your body, it can cause aches and pains.

Venous insufficiency can cause swelling, irritation, and, in extreme cases, deep vein thrombosis (DVT). CVI can also cause skin ulcers if the vein breaks through the skin if left untreated, which can lead to a severe infection.

Causes of venous insufficiency
Blood clots or varicose veins are the most common causes of venous insufficiency.

In healthy veins, blood flows continuously from the limbs back to the heart. And the valves in the veins help to prevent blood backflow.

When normal blood flow through the veins is stopped, as in the case of a blood clot, it accumulates behind the clot, resulting in venous insufficiency.

The valves of varicose veins are frequently absent or damaged, allowing blood to seep back through the damaged valves. In some circumstances, venous insufficiency can be exacerbated by weakening in the leg muscles that squeeze blood forward.

Other risk factors are: obesity, pregnancy, smoking, cancer, muscle weakness, leg injury, or trauma, and swelling of a superficial vein (phlebitis).

If there is any genetic history of venous insufficiency, you may have this problem someday.

Long hours of sitting or standing without moving also may lead to venous insufficiency.

Treatments for chronic venous insufficiency
Compression therapy (such as wearing compression socks) and medication to enhance blood flow in the veins are two of the earliest noninvasive types of venous insufficiency treatment methods. If those methods are ineffective or you require more extensive treatment, you may want to consider the minimally invasive surgical procedures listed below:

Sclerotherapy
Sclerotherapy may be the best option for you if you have tiny varicose veins. Sclerotherapy entails the doctor putting a substance directly into the problematic vein, damaging it, and finally causing it to collapse. The vein will eventually be absorbed and removed by the body. The blood will be rerouted automatically through adjacent healthy veins.

Endovenous Ablation
Endovenous thermal ablation may be more successful for moderate to severe varicose veins. It generates heat by using either laser light or high-frequency radio waves to kill the problematic veins.

Laser therapy involves inserting a tiny fiber into the vein and then introducing heat. Before administering heat, a small catheter is directed into the afflicted vein using high-frequency radio waves.

Because of the heat, the vein closes and is finally absorbed by the body. These techniques can aid in the restoration of normal blood flow to the veins.

Microphlebectomy
A micro phlebectomy may be recommended by your vein doctor if your veins are too bloated and twisted for endovenous ablation or sclerotherapy. The doctor uses tiny incisions to remove the affected vein during this surgery.

Conclusion
For the best treatment of venous insufficiency, spider veins, and varicose veins, consult with your doctor. They will examine your veins and find the most suitable treatment for you.