CVI - chronic venous insufficiency of the lower extremities

Constant violations of venous outflow, problems with blood circulation in the legs lead to the emergence of CVI syndrome - chronic venous insufficiency. About 10-15% of the adult population suffers from this disease. This syndrome is a companion of varicose veins.


  1. Causes of chronic venous insufficiency
  2. Symptoms of CVI
  3. Stages of venous insufficiency
  4. Diagnosis of CVI
  5. CVI in pregnancy
  6. Complications of CVI
  7. Treatment of chronic venous insufficiency
  8. CVI Prevention
  9. Frequently Asked Questions for Our Patients on the Internet

CVI - causes of chronic venous insufficiency


CVI is a symptom complex in which there are problems with the lumen of the veins. Usually the vessels have a normal lumen. In case of violations, the capacity of the veins is significantly reduced. Overloading the venous system leads to impaired blood return, which is manifested by the appearance of symptoms of chronic venous insufficiency.

Valve function in chronic venous insufficiency

Violation of the return of venous blood leads to the appearance of symptoms of CVI


Is CVI dangerous? Wikipedia claims that CVI actively develops and progresses in women 30-50 years old, especially those with a hereditary predisposition. CVI symptoms often appear during pregnancy - when body weight increases significantly.

Among the factors leading to CVI, called weak physical activity.

The appearance of CVI provokes:

  • travel in transport without changing position;
  • long static position in the workplace;
  • excess weight;
  • propensity to constipation;
  • stay on the heat for a long time;
  • straining when lifting weights.

In addition, CVI can occur with systematic exercise and taking hormonal contraceptives, often with CVI during pregnancy.

CVI - symptoms


CVI may not appear for a long time, but the symptoms that appear significantly affect the patient's quality of life. The first symptoms are a feeling of heaviness in the legs, very often there are swelling of the lower leg and foot. Further - bursting pains. The calf muscles can cramp at night, the patient experiences a sensation of heat in the lower extremities.

Advanced forms of venous insufficiency - trophic eczema and ulcers

Advanced forms of venous insufficiency - trophic eczema and ulcers


Vascular "stars" and veins begin to appear through the skin, which with varicose veins become significantly visible in the form of plexuses, similar to bunches of grapes. The skin becomes drier, covered with brown "islets" that grow as the disease progresses. Finally, a trophic ulcer forms in their center.

CVI - stages of chronic venous insufficiency


The disease has several stages:

  • the venous wall first changes;
  • the valves stop functioning;
  • there is a perverse blood flow leading to venous hypertension;
  • there is varicose veins;
  • changes skin pigmentation;
  • can develop varicose eczema;
  • at this stage thrombosis often affects the deep veins;
  • among the complications - thrombophlebitis, pulmonary embolism.

The walls of the veins become more permeable, the lymph enters the blood, the trophic is broken and inflammation occurs (10-15% of cases). The last stage of CVI is a venous trophic ulcer (4% of cases)

CVI - Diagnostics


Patients usually turn to a phlebologist when obvious signs of CVI are visible to the naked eye and it is easy to make a diagnosis. Specialized clinics for the diagnosis of CVI use ultrasound methods:

  • the state of the vessels is studied;
  • it is estimated how the blood flow is on them;
  • violations in the work of venous valves.

UZDS gives a complete picture of the causes of CVI

UZDS gives a complete picture of the causes of CVI


When UZDS-examination, the doctor receives a three-dimensional image of the vessel, reliable information about its functioning, and can deliver an objective diagnosis.

CVI in pregnancy


In pregnant women, chronic venous insufficiency of the lower limbs is very common. Usually it manifests itself in the form:

  • expansion of small caliber veins located under the skin;
  • changes in subcutaneous veins accompanied by edema;
  • perineal dilatation;
  • phlebopathy - the development of CVI symptoms in the absence of obvious changes.

Pregnant women are prescribed therapeutic agents aimed at improving phlebodynamics.

CVI - complications of chronic venous insufficiency


Many patients are of the opinion that CVI is not too dangerous, that this is just cosmetics. In fact, disturbances in the venous blood flow of the legs provoke the formation of blood clots. Therefore, CVI has two major complications: thrombosis and thrombophlebitis. In the first disease, deep veins suffer:

  • the affected area acquires a bluish tint,
  • tissues swell,
  • movements are accompanied by pain.

 In thrombophlebitis, blood clots form in the superficial veins. Wherein

  • skin turns red;
  • painful seals develop under the skin
  • when walking, the patient experiences sharp pain in his legs.

A torn off blood clot can clog a large vessel and cause death. Acute manifestations of these diseases are treated only in a surgical hospital. You can be convinced of the danger of CVI - photos, the results are on sites on the Internet.

Chronic venous insufficiency - treatment in Moscow


In the early stages of the disease, much can be done to treat the symptoms of CVI. Treatment is conservative in the following activities:

  • compression action is prescribed, in particular, compression hosiery and pneumatic massage;
  • the diet is adjusted, as often CVI is a consequence of a set of excess weight;

CVI - drug treatment


If you need to remove CVI, treatment (Moscow offers many drugs) is based on the following points:

  • special attention is paid to sports, in particular, to swimming;
  • appointed strengthening preparations - venotoniki, gels and ointments.

 Do you have CVI? Treatment of CVI without surgery is real! It is only necessary to find a doctor who will explain everything correctly and accessible.

CVI. How to treat the disease with creams?

Treatment with all kinds of ointments is very common at the household level. Many patients stop at this and stop treatment. Most ointments only temporarily relieve swelling and pain. CVI - how to treat? This question is asked by all patients. Such popular remedies as heparin ointment, venoruton, venitan, hepatrombin cope well with the external manifestations of CVI at an early stage, but they cannot eliminate its cause. For effective treatment that will give a long-term result, a visit to a phlebologist or vascular surgeon is mandatory.

CVI - how to cure without consequences?


You can do this even in difficult cases, treatment of CVI in Moscow can be carried out at a high level. However, then to restore the blood flow in the veins will need surgery. But in the early stages of a fairly conservative treatment of CVI without surgery. In particular, elastic compression is used. For this, special medical jersey is used in the form of stockings, golf, tights (conservative treatment).

In the treatment of CVI, it is very important not to waste time on the use of various ointments that give a local and short-term effect, and to seek help from a qualified specialist.

CVI - home treatment


Do not be afraid if you have diagnosed CVI. Treatment with folk remedies will ease the situation. For example, venotonizing drugs will help. They strengthen the walls of blood vessels, stimulate microcirculation, quickly relieve the feeling of fatigue, swelling. Also, patients undergo treatment with blood thinning medications.

 Need to ease CVI pain? Treatment with folk methods:

  • Apple vinegar. Twice a day for 30 min. put gauze soaked in vinegar on the feet for 30 minutes. Legs hold taller. Reviews about the tool are contradictory, but most note a positive weak effect.
  • Bell pepper. In a glass of hot water, a teaspoon of pepper powder is made and drunk three times a day. It stops pain in the legs and improves blood flow. But it is not so easy to go through CVI, treatment, the results are still not the same as when treated with a professional phlebologist doctor.

 Prevention of chronic venous insufficiency


If daily to carry out simple activities, the risk of CVI decreases at times. If they even detect CVI, treatment will not become so serious, especially in the early stages.

  • You should lead a healthy lifestyle, play sports.
  • Follow the diet.
  • Wear comfortable shoes, use orthopedic insoles.
  • Use elastic compression.

If the first signs of CVI still appeared, postpone the visit to the phlebologist can not. He diagnoses the degree of CVI. Any delay in time is fraught with complications. Some of them lead to death. If the disease still developed to a difficult stage, despair is not necessary. Even complex cases can be cured by the methods of modern endovascular surgery, check the photo on our clinic's website.

Frequently Asked Questions for Our Patients on the Internet

I have permanently swollen legs, how can I restore blood circulation in my legs? Maria asks from Arkhangelsk: 

Dear Maria! To restore blood circulation in the legs, you must first find out the cause of swelling. As a rule, from a modern perspective, you need to start with ultrasound duplex scanning of veins and a phlebologist's consultation.

How to identify blood clots in the legs? Oksana from Vladimir is interested in: 

Dear Oksana! If you have the slightest suspicion of thrombosis, you must urgently seek medical help. A good diagnosis begins and always includes an ultrasound examination of the vessels. This technique allows you to accurately determine not only blood clots in the legs, but also the cause of their occurrence. However, the method has a pronounced operator dependence, and it is better to trust the professionals in their field.

How to understand that there are blood clots in the veins? Maxim from Yekaterinburg is interested in: 

Dear Maxim! It is reliable to understand that there are blood clots in the veins, or only a specialist can exclude this situation. Thrombosis can be suggested by the following signs:

  • Edema of the limb.
  • Pain and / or redness.
  • A feeling of heaviness and fullness in the limb.
  • Vein thrombosis has already been diagnosed, since blood clots in the veins often recur.

The best solution would be to consult a phlebologist with ultrasound scanning of venous vessels. You can sign up for a consultation at our center at any time convenient for you by phone: + 7 (495) 641-62-70.

How to check veins for blood clots in your legs? Valentina asks from Smolensk: 

Dear Valentine! Check veins for blood clots on the legs using ultrasound duplex or triplex scanning of veins of the lower extremities at a reception with a phlebologist.

How to treat chronic venous insufficiency at home? Zinaida from Tambov asks: 

Dear Zinaida! It is necessary to treat chronic venous insufficiency at home only after a good consultation with a specialist who will diagnose and give recommendations. Otherwise, you have a good chance of getting complications of the disease. Getting to sites where it is colorfully painted how and what to treat at home, remember, most often professional doctors have no relation to such recommendations.

How to deal with the symptoms of chronic venous insufficiency? Nelly from Ufa asks: 

Dear Nelly! It is better to start fighting the symptoms of chronic venous insufficiency on the legs before the onset of these symptoms, that is, with prevention: regular physiological stress, balanced nutrition, the use of compression hosiery with excessive loads, air travel. If there are signs of CVI: swelling, severity, varicose veins, you should consult a good specialist. Only in this way can you count on success.

PS I do not advise you to treat CVI symptoms at home on the Internet.

How to quickly relieve pain in chronic venous insufficiency at home? Alexander from Tyumen asks: 

Dear Alexandra! The appearance of pain with varicose veins, most often, is a symptom of a developed complication, varicothrombophlebitis or deep vein thrombosis. If there is pain with varicose veins, stopping it at home is an extremely dangerous event. It is necessary to quickly seek medical help, it is possible to call an ambulance team. Pain can be relieved quickly using any NSAID, for example, ketoprofen or meloxicam (Movalis). But this is, exclusively, a temporary measure.

Varicose veins started, what to do? Maria asks from Nizhny Novgorod: 

Dear Maria! If you have started varicose veins, there are pronounced signs of varicose veins, you need to contact the professionals. The most competent diagnosis and subsequent treatment can be provided to you by specialized venous pathology treatment centers. After the study, the center specialist will explain in detail what and how to do.

What is a good prevention of varicose veins in the legs? Nadezhda from Orenburg is interested in: 

Dear Hope! Prevention of varicose veins in the legs includes the following aspects:

  • The closest to the physiological load on the lower extremities, the involvement of the calf muscles, reducing the time of the static load.
  • A complete, balanced diet.
  • With prolonged static, air travel - wearing compression hosiery I-II compression class.

What is the current treatment for varicose veins of the lower extremities? Marina from Almetyevsk is interested in: 

Dear Marina! Modern treatment of varicose veins of the lower extremities involves the use of innovative technologies. Good clinics and phlebology centers use only new techniques.

Modern treatment of varicose veins of the lower extremities:

  • Endovasal thermobliteration (laser, radio frequency).
  • Miniflebectomy according to Varadi, Ash.
  • Sclerotherapy.