Venous Insufficiency


Venous insufficiency signals a much more serious condition than mere unsightly varicose veins in your legs.

While having visible veins is certainly disconcerting, the blood that should be flowing back to your heart in a healthy process starts pooling in your feet. This condition causes painful, throbbing, bulging veins in your lower legs, signaling it’s time to see specialist. Call on Dr. Dmitry Gorelik at the Varicose Vein Center of New Jersey to begin the process of treating the insidious vein disease. On its own, it can lead to even worse complications, such as skin ulcers. Varicose veins are the most obvious symptom of venous insufficiency, so call today for a consultation to treat this damaging disease.

Venous insufficiency is a condition in which damaged or weakened blood vessel valves have stopped returning blood efficiently to your heart from the legs. When veins are healthy, valves keep blood flowing against gravity. Problems with the valves can cause blood to leak back into your legs and pool, which is known as chronic venous insufficiency.

Chronic venous insufficiency is a common problem that can be painful and may cause your legs and feet to swell. It’s often accompanied by other vein problems such as spider veins, reticular veins, varicose veins, or venous stasis ulcers.


Twisted, unsightly veins bulge and become visible through your skin. They can be very uncomfortable as well, even painful to the point of affecting your mobility. In northern New Jersey, you don’t have to suffer from venous insufficiency when you seek a firm diagnosis and effective treatment at the Varicose Vein Center of New Jersey. Choose specialist with extensive training and experience, like Dr. Dmitry Gorelik.

Symptoms of Venous Insufficiency

Symptoms of venous insufficiency can involve both pain and skin changes. You may experience one or more of symptoms such as:

 Swelling in your legs or ankles

 Tired or aching feeling in your legs

 Brown or dark-colored skin low on your leg or ankle

 Muscle spasms or leg cramps

 Flaking or itching skin on your legs or feet

 Leg ulcers

Chronic venous insufficiency is a serious condition that may worsen if you try to ignore it. The longer this condition goes untreated, the more likely that pressure and swelling in your leg may increase. Without proper treatment, complications may develop, such as ulcers or chronic venous stasis dermatitis.

What Causes Venous Insufficiency?

Chronic venous insufficiency is a long-term condition that develops over time. Factors that increase the risk of developing this condition include:

 A family history of vein problems



 A sedentary lifestyle

 Smoking cigarettes

 Previous blood clots

 An injury to your leg

Sitting or standing for long periods of time increases the risk of venous insufficiency. Aging or reduced mobility also contributes to the development of this condition.

Diagnosing Venous Insufficiency

During your initial consultation, Dr. Gorelik performs a thorough physical exam and takes a complete medical history. Your doctor asks questions about your pain and closely observes your legs while you’re sitting and standing. Your NJ vein specialist also may recommend an imaging test called a duplex ultrasound. This test can determine the speed and direction of blood flow in your veins, as well as the structure of the veins, leading him to determine the best steps to forward your treatment.


Chronic Venous Insufficiency Treatment Options

The venous insufficiency treatment recommended for you is based on a combination of factors, such as your age, overall health and how seriously your condition has progressed. In the early stages, conservative treatment at home, such as wearing compression stockings and elevating your legs, may provide you with sufficient relief.

As your condition progresses, treatment for venous insufficiency may require more invasive techniques. Non-surgical treatment options include:

 Sclerotherapy. During this procedure, a chemical is injected into the affected vein, which causes veins to scar. Scarred veins are gradually absorbed by the body while the blood finds alternate routes nearby.

 Endovenous laser ablation. A laser creates intense heat that serves to close the targeted vein. Again, blood flows to nearby veins, and your body naturally removes the vein.

 Endovenous radiofrequency ablation. This works the same way as the laser treatment, except that it uses high frequency radio waves to close the targeted vein.

 Ambulatory phlebotomy. Surgery may be recommended as a last resort for severe cases. Damaged veins can be removed through a phlebectomy procedure.

Venous Stasis Dermatitis Treatment

When faulty valves in the leg cause pressure to build up, fluid can leak out of the veins and into your skin, which is called venous stasis dermatitis. This condition may be triggered by poor circulation caused by conditions like heart failure or kidney failure. It can lead to problems such as oozing, infection, large ulcers and scars. Venous stasis treatment options are similar to treatment for venous insufficiency. They include:

 Pressure stockings or wraps to help move fluid out of the tissues

 A topical steroid to reduce itching and inflammation

 Wraps of medicated dressing may be used as part of skin ulcer treatment

Treatment is most effective when done in the early stages of venous insufficiency and venous stasis. For the best chance of maintaining vein health, see your doctor as soon as you have concerns that may be vein-related, whether the affected veins are leg veins, facial veins, arm veins or hand and foot veins. Save yourself from suffering needlessly. Contact the staff at the Varicose Vein Center of New Jersey for a consultation as soon as possible to ease your discomfort and avoid complications.

Heart and Vein Center
2500 Morris Avenue , Suite 220
Union, NJ 07083
Phone: 201-205-2969
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