What Is Chronic Venous Insufficiency? Signs, Symptoms & When to Get Checked

If you've been experiencing persistent leg discomfort, swelling, or changes in the appearance of your veins, you may be wondering what's causing it—and whether it's something you should be concerned about. One possible underlying cause is chronic venous insufficiency, a common circulation condition that affects the veins in the legs.

Chronic venous insufficiency, often referred to as CVI, develops gradually and is frequently overlooked in its early stages. While symptoms can start off mild, they may progress over time if left unaddressed. Understanding what CVI is, how it presents, and when to seek professional evaluation can help you take an informed, proactive approach to your vein health.

What Is Chronic Venous Insufficiency?

Chronic venous insufficiency is a condition in which the veins in the legs have difficulty returning blood back to the heart efficiently. Normally, one-way valves inside the veins help keep blood moving upward against gravity. When these valves weaken or stop functioning properly, blood can pool in the legs instead of circulating as it should.

Vein valve function animation

Over time, this increased pressure within the veins can lead to a range of symptoms that affect comfort, mobility, and overall leg health. CVI is a medical condition that develops gradually and is best evaluated by a physician with expertise in vein health.

Common Signs and Symptoms of Chronic Venous Insufficiency

Symptoms of chronic venous insufficiency can vary from person to person and may worsen as the day goes on. Common signs patients report include:

  • Persistent or intermittent leg swelling, especially around the ankles or calves
  • A feeling of heaviness, aching, or fatigue in the legs
  • Leg pain that worsens after standing or sitting for long periods
  • Itching or irritation of the skin on the lower legs
  • Skin discoloration or darkening around the ankles
  • Visible varicose veins or bulging veins
  • Cramping or restlessness in the legs, particularly at night

Not everyone experiences the same symptoms, and having one or more of these signs does not automatically mean you have CVI. However, ongoing or worsening symptoms are a reason to seek professional evaluation.

Experiencing Symptoms?

If you're noticing persistent leg discomfort, swelling, or visible vein changes, a professional vein screening can provide the clarity you need.

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Why Chronic Venous Insufficiency Can Develop

Several factors can contribute to the development of chronic venous insufficiency. These may include:

  • Family history of vein disease
  • Prolonged standing or sitting
  • Pregnancy
  • Aging
  • Prior blood clots or vein issues
  • Excess pressure on the veins over time

CVI often develops slowly, which is why many people dismiss early symptoms as normal aging or temporary discomfort. A medical evaluation can help determine whether circulation issues are contributing to your symptoms.

When to See a Vein Specialist

It may be time to consult a vein specialist if you notice symptoms that are persistent, worsening, or interfering with your daily activities. Signs that warrant professional evaluation include:

  • Swelling that does not improve with rest
  • Increasing leg pain or heaviness
  • Skin changes or irritation near the ankles
  • Visible veins accompanied by discomfort
  • Symptoms that progress over time

A consultation and testing is designed to provide information and clarity—it does not obligate you to pursue treatment.

How Vein Issues Are Evaluated

Evaluation for chronic venous insufficiency typically involves a review of your symptoms, medical history, and a non-invasive ultrasound examination. This allows a physician to assess how blood is flowing through the veins and whether valve function may be impaired.

The goal of a consultation to evaluate venous disease is to understand what's happening beneath the surface and determine whether follow-up care is appropriate based on your individual situation.

Schedule a Vein Screening

If you're experiencing symptoms such as leg swelling, discomfort, visible veins, or changes in skin appearance, a professional vein consultation can help identify whether circulation issues are contributing to the problem.

A screening is designed to evaluate your vein health, provide clarity about your symptoms, and help determine whether additional care may be recommended. There is no obligation to move forward with treatment—just expert insight into what's happening and what options may be available.

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