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Vein Reflux in Legs

Vein Reflux in Legs

Feb 18, 2024 | Blog, Vascular Issues

Vein reflux has many affiliate names in the medical world. It is also commonly known as venous reflux, chronic venous insufficiency (CVI), or venous reflux disease.

Venous reflux disease happens when the valves in the leg veins fail to function properly. These vein valves are responsible for directing blood back to the heart. When the failure occurs, it could lead to varicose veins, swelling, venous ulcers, etc.  It is a prevalent but often misunderstood condition that affects the circulatory system.

This condition can affect the superficial veins, like the great and short saphenous veins, but also the deep veins, raising the risk of blood clots and deep vein thrombosis (DVT).

At CACVI, we have vein specialists who have over 30 years of experience treating vascular illnesses under their belts. Our doctors are determined to provide each patient with unparalleled expertise and compassionate care as they work diligently to improve your health.

Contact us today to schedule a consultation! 

In this blog, we will shed more light on venous reflux and how to manage it.

Vein Reflux – What You Need to Know

Vein Reflux - What You Need to Know

Venous reflux or chronic venous insufficiency is a circulatory condition where the vein valves don’t close properly. This leads to backward flow or pooling of blood in the legs. This inefficiency in blood flow back to the heart can cause symptoms such as swelling, pain, varicose veins, skin changes, and, in severe cases, venous ulcers.

One major misconception about venous reflux is that some people believe it’s just a cosmetic issue. On the contrary, this condition can lead to serious health impacts, including painful ulcers and skin infections. 

It’s also a misconception that only older people experience chronic venous insufficiency. The reality is that factors like genetics, lifestyle, and pregnancy can affect people of various ages and bring about this health condition. Interestingly, prolonged standing or sitting can exacerbate venous reflux symptoms and progression.

Venous insufficiency is a progressive disease that can lead to more serious conditions like deep vein thrombosis (DVT), peripheral artery disease (PAD), and venous stasis ulcers if left untreated. This condition is closely related to other venous issues like varicose veins, which are often the most visible signs of venous reflux disease. Deep veins can also be affected, leading to the risk of blood clots.

Should you be Concerned about Vein Reflux in Legs?

Should you be Concerned about Vein Reflux in Legs?

There are now minimally invasive procedures such as sclerotherapy, and endovenous laser therapy has become the standard. These techniques require only small incisions or none at all, reducing the risk of complications and making the process much less intimidating than traditional surgery. Especially at CACVI where such medical procedures are a daily occurrence. Contact us now for a consultation on Vein Reflux Surgery in California.

Recovery time from minimally invasive vein treatments is remarkably short compared to traditional surgery. Patients often return to their daily activities within a day, with some precautions. Compression stockings are typically recommended to support the healing process and improve blood flow. 

Cosmetic concerns are also valid, especially for conditions like varicose veins that are visible and can affect one’s confidence. Thankfully, CACVI’s vein treatments prioritize aesthetics as well as health, minimizing scarring and improving the appearance of the legs. 

The good news is that many minimally invasive vein treatments can be covered by insurance, especially when deemed medically necessary.

Treatment Options at CACVI

Treatment Options at CACVI

CACVI offers a range of advanced cardiac and vascular interventions that include sclerotherapy, endovenous laser surgery (laser ablation), and radiofrequency ablation. These procedures are tailored to treat various venous conditions, from varicose veins and spider veins to more severe cases of chronic venous insufficiency and venous reflux disease.

Sclerotherapy involves the injection of a solution directly into the affected veins, causing them to shrink and eventually be reabsorbed by the body. This treatment is particularly effective for spider veins and small varicose veins.

On the other hand, endovenous laser surgery uses laser energy to close off and collapse unhealthy veins, rerouting blood flow to healthy veins. This method is minimally invasive and offers a quick recovery time.

Furthermore, radiofrequency ablation is similar to laser surgery but uses radiofrequency energy to heat and close the veins. It’s highly effective for treating larger varicose veins.

These minimally invasive procedures are performed under local anesthesia, reducing risks and ensuring patient comfort. These treatments boast high safety profiles, impressive efficacy rates, and minimal downtime, allowing patients to resume their daily activities shortly after the procedure. The use of duplex ultrasound imaging ensures precise targeting of the affected veins, minimizing the impact on surrounding tissues.

Our doctors like Dr. Khorsandi and Dr. Lala bring a wealth of experience to the table, and have performed over 15,000 successful vascular procedures. There are many patient testimonials to backup our venous reflux and related conditions treatments. 

When it comes to post-treatment, we always emphasize the importance of lifestyle changes and preventive measures to maintain vein health and prevent recurrence. These include advising patients to wear compression stockings to support the veins, regular exercise to promote blood flow, and managing risk factors such as high blood pressure and obesity. Patients are also advised on the importance of leg elevation to reduce edema and the risks associated with prolonged standing or sitting.

What to Expect After Treatment?

What to Expect After Treatment?

After undergoing treatment for venous reflux, chronic venous insufficiency, or related vein issues, patients need to have realistic expectations. For example, recovery times can vary depending on the specific treatment received. Sometimes, you may be able to get back to regular programming immediately. Other times, you may need some period of rest before bouncing back to daily activities. 

We often recommend that patients undergo compression therapy after treatment to support vein health and improve blood flow. Regular leg elevation, especially in the first few days after treatment, can also reduce severe edema and speed up recovery. Patients are encouraged to engage in light walking to activate calf muscle pumps, promoting venous blood return and preventing blood clots.

Understandably, there is always the fear of recurrence. This is why our vein specialists at CACVI support long-term vein health through follow-up appointments. It is often done using duplex ultrasound imaging to monitor the treated and untreated veins. These sessions help in the early detection of any potential issues and ensure ongoing management of venous health. Furthermore, our vein specialists also provide personalized advice based on individual risk factors and treatment outcomes.  

Successful treatment of varicose veins, spider veins, and other visible signs of venous disease can significantly improve a patient’s self-esteem and body image. The elimination of visible veins and the reduction of symptoms like swelling and discomfort contribute to a more positive outlook and confidence in one’s appearance.

Many patients experience embarrassment or social discomfort due to the visible symptoms of venous disease. After treatment, you can expect these symptoms to diminish or disappear. You can now freely wear clothes revealing your legs without fear of embarrassment. This aids in overall improvement in social interactions and quality of life.

Costs and Coverage of a Venous Reflux Treatment

Costs and Coverage of a Venous Reflux Treatment

Insurance coverage for venous insufficiency treatments can vary widely depending on your policy and the specifics of your condition. Generally, treatments deemed medically necessary, such as those for chronic venous insufficiency leading to pain and swelling are more likely to be covered. A key to securing insurance coverage is thorough documentation of your condition’s severity and the medical necessity of the treatment.

At CACVI, we understand that out-of-pocket expenses can be a concern and offer payment plans or financing options to make treatments more affordable. These options can help spread the cost of treatment over time, making it easier to manage financially. Reach out to us now for a consultation on picking a cost-effective treatment plan!

Contact a Venous Reflux Treatment Specialist Today

Treating venous reflux is essential not just for alleviating symptoms but also for preventing complications. 

Overcoming fears related to vein insufficiency and its treatment is vital. Many patients may hesitate to seek treatment due to fears of surgery, concerns about recovery times, or worries about the outcome. However, the minimally invasive treatments available today are safe, effective, and require minimal downtime, addressing these concerns head-on.

At CACVI, your health and comfort is our priority. Our vein specialists utilize the latest technologies and minimally invasive procedures to give patients the best possible outcomes with the least amount of discomfort and recovery time.

If you’re experiencing symptoms of venous reflux, it’s important to take action and seek professional advice. Our team is ready to help you understand your condition, alleviate your concerns, and provide the treatment you need to improve your vein health and quality of life.

Don’t let venous reflux impact your life any longer. Contact us now!


If you were told you need an amputation, get a second opinion! We are board certified consultants in endovascular interventions committed to improving the quality of your life and the lives of those you love!

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