Healthy Living

What is Chronic Venous Insufficiency?

Jul. 18, 2025

The President’s diagnosis of chronic venous insufficiency, or CVI, is shining a spotlight on a common condition in aging adults.

The most visible symptoms are:

painful swelling in the feet and ankles

spider veins

varicose veins

About a third of the population are diagnosed, mainly women and people 70 and over.

What causes Chronic Venous Insufficiency?

CVI can be hereditary or the result of obesity, smoking, a sedentary lifestyle, or standing for long periods. Pregnancy, which puts a strain on the legs, also can be a cause.

“Our veins are muscular tubes designed to bring the blood from our feet and pump it back to the heart. There are valves to support that flow against gravity. But over time, the muscles in the vein walls can weaken and the valve systems don’t work properly, allowing blood to pool,” said Dr. Jennifer Ellis, Vascular Surgeon at UR Medicine Vein Care Center.

In the News

Vascular Surgeon Dr. Jennifer Ellis joined ARC Rochester to explain the diagnosis.

Watch Now

How is CVI Treated?

Chronic venous insufficiency is treatable, and early intervention can prevent complications. Both lifestyle changes and medical treatments can help relieve symptoms of the condition.

Lifestyle Changes

Move more: Regular exercise improves blood flow in the legs.

Elevate your legs: Raising your legs above heart level helps reduce swelling.

Avoid long periods of sitting or standing: Change positions frequently.

Wear compression socks: This helps support vein function and decrease swelling. See a medical professional to get fitted properly.

Medical Treatments

Your provider may recommend medical treatment. While many people are hesitant to seek treatment for this condition, modern treatments are usually one-day procedures in an office (not at the hospital), minimally invasive, and done under local anesthesia. The reatments are usually quick, and patients can return to normal activity within a day.

Treatment plans depend on the severity of your symptoms, overall health, and goals for comfort and appearance.

When to Seek Care

CVI symptoms can worsen over time. See a vein specialist if you notice:

Persistent leg swelling or heaviness

Pain that worsens with standing

Enlarged, bulging veins

Skin changes or ulcers on the legs

Early care can prevent serious complications like skin breakdown and infection.

About UR Medicine Vein Care Center

UR Medicine Vein Care offers advanced, minimally invasive treatments for varicose veins, spider veins, and chronic venous insufficiency. Our specialists use state-of-the-art technology in a comfortable outpatient setting, helping patients restore comfort, health, and confidence in their legs.

Our Services