Chronic Venous Insufficiency (CVI) Treatment in Macon & Central Georgia

Chronic Venous Insufficiency (CVI) Treatment

What Is Chronic Venous Insufficiency (CVI)?

CVI occurs when the tiny one-way valves inside the leg veins become weak or damaged. Instead of keeping blood moving upward toward the heart, the valves allow blood to leak backward (a condition called venous reflux). This causes blood to pool in the veins, leading to increased pressure, swelling, and long-term damage to skin and tissue.

CVI is common, especially in adults over 40, but often goes undiagnosed until it progresses to more advanced stages.

Symptoms of CVI

Symptoms can start mild and worsen over time. Common signs include:

  • Leg swelling, especially around the ankles and calves
  • Aching, throbbing, or heavy legs that feel worse after standing
  • Restless legs or itching
  • Skin discoloration or thickening near the ankles
  • Varicose veins or bulging surface veins
  • Painful, slow-healing wounds (venous ulcers)

Cramping or burning sensations at night

Left untreated, CVI can progress to chronic skin changes, non-healing ulcers, and infections.

Causes & Risk Factors

CVI develops gradually, often due to a combination of genetics, lifestyle, and health factors. Risk factors include:

  • Family history of varicose veins or venous disease
  • Previous blood clots (DVT)
  • Pregnancy (especially multiple pregnancies)
  • Prolonged standing or sitting at work
  • Obesity
  • Age over 40
  • Sedentary lifestyle
  • Smoking
  • Female gender (more common due to hormonal influences)

Treatment Options for Chronic Venous Insufficiency

Conservative Care

Early or mild cases may improve with lifestyle changes:

  • Compression stockings
  • Regular exercise and walking
  • Elevating legs to reduce swelling
  • Weight management
  • Avoiding prolonged sitting or standing

These measures relieve symptoms but don’t repair faulty valves.

Modern treatments are safe, effective, and done in-office with little to no downtime:

  • Endovenous Ablation (Laser or Radiofrequency): Heat energy seals off diseased
  • Varithena® (Foam Therapy): FDA-approved foam injected into veins to collapse
  • Sclerotherapy: Medical solution injected into smaller or spider
  • Ambulatory Phlebectomy: Tiny incisions remove larger surface varicose veins.

Rare but sometimes necessary for advanced cases:

  • Vein Ligation & Stripping: Removal of diseased
  • Venous reconstruction procedures for patients with extensive disease.

Frequently Asked Questions (FAQs)

Do your legs swell after standing or sitting for long periods? Do you struggle with aching, heaviness, or restless legs at night? Have you noticed skin darkening or even sores near your ankles? These symptoms may point to Chronic Venous Insufficiency (CVI) — a circulation condition that develops when the veins in your legs can’t properly return blood to your heart.

At Premier Vascular, our board-certified vascular surgeons specialize in diagnosing and treating CVI. Serving patients across Macon and Central Georgia, we provide comprehensive care to restore healthy blood flow, relieve symptoms, and prevent complications like venous ulcers.

At Premier Vascular, diagnosis begins with a consultation and physical exam, followed by non- invasive testing:

  • Duplex Ultrasound: Gold standard test that evaluates blood flow, detects reflux, and identifies damaged valves.
  • Venography or Advanced Imaging: Occasionally used for more complex cases.

Testing is quick, painless, and done in-office.

While CVI isn’t usually life-threatening, untreated disease can cause:

  • Persistent swelling and discomfort
  • Skin thickening, darkening, and hardening (lipodermatosclerosis)
  • Venous ulcers that are painful and slow to heal
  • Increased risk of infection (cellulitis)
  • Reduced mobility and quality of life

Early treatment helps you feel better, prevents complications, and restores confidence.

CVI isn’t life-threatening, but it can cause serious skin changes and ulcers if untreated.

Not exactly. Varicose veins are a visible symptom of CVI, but CVI involves deeper vein dysfunction.

No. Without treatment, CVI usually worsens over time.

No. Minimally invasive procedures are well tolerated with little or no downtime.

Yes, when CVI causes pain, swelling, ulcers, or other medical issues, insurance (including Medicare) typically covers treatment.

Schedule a consultation and duplex ultrasound to confirm whether your veins are working properly.

Why Choose Premier Vascular?

  • Board-certified vascular surgeons with decades of venous expertise
  • Full spectrum of care, from compression therapy to advanced procedures
  • In-office treatments with minimal downtime
  • Focus on long-term circulation health and limb preservation
  • Trusted local team serving Macon and Central Georgia

Take the First Step Toward Healthier Legs

You don’t have to live with heavy, swollen, or aching legs. At Premier Vascular, we provide safe, effective treatments for Chronic Venous Insufficiency to restore circulation and improve your quality of life.

Call Us Today

Call 478-250-9785 today to schedule your CVI evaluation.

Our Location

Serving patients across Macon and Central Georgia.