Project Description

Vein Conditions

Chronic venous insufficiency

and leg ulcers

Vein Conditions

Chronic venous insufficiency

and leg ulcers

What is chronic venous insufficiency?

Chronic venous insufficiency (CVI) is an inflammatory condition caused by long standing, untreated venous reflux disease.  Commonly, venous reflux disease causes a collection of symptoms such as leg swelling, heaviness, fatigue and varicose veins. But, over time, when blood is no longer circulating properly in the leg veins, skin changes can also appear. When skin changes appear, this is termed, chronic venous insufficiency (CVI). Venous stasis is another term used for this condition.   Chronic inflammation from CVI causes the skin around the ankles to darken, become dry, itchy, and firm. In severe cases, the skin can start to breakdown and ulcerate. The ulcer (wound) occurs in the inner or outer ankle and is also referred to as a stasis ulcer or venous ulcer.

Venous stasis skin changes associated with venous insufficiency include:

  • Darkening of the skin along the ankles
  • Itching and dry skin around the ankles (venous eczema)
  • Development of wounds around the ankles, called venous leg ulcers
stages of venous disease

HOW IS CVI TREATED?

The treatment of CVI cannot reverse the skin changes but it can prevent it from worsening and ulceration. In our experience, treatment of underlying venous reflux reduces the inflammatory changes and the skin may become less itchy and dry, but the permanent skin discoloration does not disappear. Treatment involves correction of the underlying venous reflux.

HOW ARE LEG ULCERS TREATED?

Venous leg ulcers, depending on the severity can be healed with a combination of correction of the underlying venous reflux, wound care clinic referral, and compression therapy. A detailed ultrasound will determine what specific treatment is needed depending on where the underlying reflux lies (for example, in the saphenous veins, perforator veins and tributaries). Deep vein reflux is also present in many individuals with ulcers.

OUR PATIENTS SAY

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Wonderful!! Dr. Bunke and staff are absolutely the best!!

The office is the perfect combination of professionalism,
kindness, efficiency, empathy and expert medical treatment and care.

Dr. Bunke is kind, friendly and so knowledgeable that you feel very comfortable that you will receive excellent treatment.

Rosemary P.

Dr. Lucas and her staff are incredible. They were so kind and nurturing while I was having the vein procedures. Highly recommend

Lauren G.

Anna M. Is the most professional and caring manager I have encountered in the medical industry.

Shaughn H.