Leg swelling that worsens through the day and skin that darkens near the ankles are hallmarks of chronic venous insufficiency. Soris Pain & Vascular Institute treats CVI with minimally invasive venous ablation techniques that close damaged veins and restore healthy circulation.
Our vascular specialists use duplex ultrasound to identify the faulty valves responsible for blood pooling, then design a treatment plan tailored to each patient's severity.
Swelling in the lower legs and ankles is one of the most common signs of chronic venous insufficiency (CVI). The sensation of heaviness or fatigue intensifies after prolonged standing or sitting. Soris Pain & Vascular Institute evaluates these symptoms with noninvasive venous ultrasound.
Venous hypertension causes hemosiderin deposits that turn the skin around the ankles brown or reddish-brown. This pigment change, called stasis dermatitis, signals long-standing venous reflux.
Visible, bulging veins on the legs frequently accompany CVI. These surface veins reflect deeper valve failure that allows blood to flow backward through the venous system.
Advanced CVI produces open wounds near the ankle that resist standard wound care. Venous ulcers require treatment of the underlying reflux to heal.
Age, female sex, obesity, and a family history of vein disease are the leading predictors of CVI. Patients over 50 who stand for long periods at work face elevated risk. Soris Pain & Vascular Institute recommends vein screening for patients with multiple risk factors.
Jobs that require prolonged standing or sitting restrict the calf muscle pump that drives venous return. Pregnancy increases venous pressure and valve stress, which is why CVI affects women at roughly twice the rate of men.
Venous Ablation encompasses every major ablation technique — radiofrequency ablation (RFA), endovenous laser ablation (EVLA/EVLT), cyanoacrylate closure (VenaSeal), and polidocanol microfoam (Varithena). Soris Pain & Vascular Institute selects the ablation method based on vein diameter, depth, and tortuosity after duplex ultrasound. The procedure takes under an hour and patients walk out of the clinic the same day.
Graduated compression stockings support venous return and reduce swelling. Soris Pain & Vascular prescribes compression as both a standalone measure for early CVI and a complement to procedural treatment.
Related Venous Conditions
Chronic venous insufficiency shares pathology with varicose veins, spider veins, deep vein thrombosis, and venous ulcers. Patients diagnosed with CVI at Soris Pain & Vascular Institute receive a full venous assessment to identify coexisting conditions.
FAQ
CVI is a progressive condition. Without treatment, it advances from leg swelling to skin changes and eventually venous ulcers. Soris Pain & Vascular Institute treats CVI at every stage to prevent complications.
Radiofrequency and laser ablation use local anesthesia. Most patients at Soris Pain & Vascular Institute describe mild pressure during the procedure and return to daily activities within one to two days.
Most insurance plans cover CVI treatment when symptoms and ultrasound findings meet medical necessity criteria. The Soris Pain & Vascular team verifies coverage before scheduling procedures.
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