• Circulation & Vein Conditions

Chronic Venous Insufficiency (CVI)

MORE THAN JUST VISIBLE VEINS.

Aching, swelling, heaviness, and bulging veins may be signs that blood is not flowing properly back to your heart.

Varicose veins can develop when the valves inside your leg veins weaken and cause blood to flow backward and pool. Over time, this can lead to Chronic Venous Insufficiency, or CVI, causing swelling, discomfort, skin changes, and even venous ulcers in more advanced cases.

U.S. adults are affected by CVI.
12 M+
U.S. adults have advanced venous disease.
0 M+

VARICOSE VEINS

A common sign of chronic venous problems.

4%

Of U.S. adults age 65+ have venous ulcers.

Signs of Chronic Venous Insufficiency

Don’t ignore what your legs are telling you

BULGING VEINS

BULGING VEINS

LEG HEAVINESS

LEG HEAVINESS

SWELLING

SWELLING

ACHING OR BURNING

ACHING OR BURNING

NIGHTTIME CRAMPS

NIGHTTIME CRAMPS

SKIN CHANGES

SKIN CHANGES

SLOW-HEALING WOUNDS

SLOW-HEALING WOUNDS

HOW CVI DEVELOPS

How Healthy Veins Become Varicose

01

HEALTHY
VALVES

Healthy valves help push blood upward toward the heart.

02

VALVES
WEAKEN

Damaged valves allow some blood to flow backward.

03

BLOOD
POOLS

Pressure builds inside the vein, causing it to stretch and enlarge.

04

CVI
PROGRESSES

Ongoing pressure can lead to swelling, skin changes, and venous ulcers.

Dr. Vinod Kumar brings

30+ years of experience in advanced vein care.

HVLC - Website Images (7)
NO REFERRAL NEEDED • SAME-DAY APPOINTMENTS AVAILABLE • MOST INSURANCE ACCEPTED NO REFERRAL NEEDED • SAME-DAY APPOINTMENTS AVAILABLE • MOST INSURANCE ACCEPTED

01

Radiofrequency Ablation

Controlled radiofrequency energy closes the diseased vein & redirects blood through healthier veins.

02

Venaseal

A medical adhesive closes the affected vein without thermal energy.

03

Varithena

FDA-approved microfoam is delivered into the affected vein to help close it.

04

Foam Sclerotherapy

Medical foam is precisely injected into affected veins using live ultrasound guidance.

05

Phlebectomy

Large surface varicose veins are removed through tiny punctures in the skin.

SYMPTOM MAP

Your Legs May Be Warning You

Heavy or tired legs, especially after standing.

Swelling in the lower legs or ankles, often worse later in the day.

Aching, burning, or throbbing discomfort in the legs.

Visible, enlarged, or twisted varicose veins.

Reddish-brown discoloration, itching, or thickened skin near the ankles.

Slow-healing sores, usually around the lower leg or ankle.

PATIENT STORIES

See What Recovery Can Look Like

COMMON QUESTIONS

Frequently asked questions

Are varicose veins only a cosmetic problem?

No. Varicose veins may be cosmetic for some people, but they can also be associated with Chronic Venous Insufficiency. Symptoms can include aching, swelling, heaviness, skin changes, and ulcers in more advanced disease.

Veins contain one-way valves that help return blood toward the heart. When these valves weaken or become damaged, blood can flow backward and pool in the legs, causing pressure inside the veins to rise.

CVI occurs when the veins in your legs cannot efficiently return blood toward the heart. This leads to increased pressure and blood pooling in the legs and can cause swelling, skin changes, varicose veins, or venous ulcers.

The right treatment depends on which veins are affected, their size and location, your symptoms, and ultrasound findings.

HVLC offers several treatments, including RFA, VenaSeal, Varithena, foam sclerotherapy, phlebectomy, and MOCA.

Blood naturally reroutes through other healthy veins that can return it toward the heart. This is the principle behind treatments such as RFA and foam sclerotherapy.

Medicare and other insurance plans may cover vein treatment when it is considered medically necessary. Coverage varies based on symptoms, ultrasound findings, previous conservative treatment, and plan requirements.

Our team can verify your benefits before treatment.

Call 661-324-4100 to check your coverage.

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