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Venous Insufficiency

Schedule Your Consultation at (804) 864-VEIN

Venous Insufficiency: A Chronic Disease that Worsens Over Time

Venous insufficiency is a condition that occurs when the valves in your veins stop working properly, no longer allowing blood to flow freely back to your heart. Instead, blood flows backward (refluxes) and accumulates in the veins, leading to a variety of complications that could include:


  • Skin conditions that cause changes in the skin of the lower leg, like an eczema-like rash, skin discoloration that appears as a deep reddish-brown color, and thickening and hardening of the skin. Venous stasis ulcers (open wounds) can also develop and may fail to heal on their own.


  • Varicose veins, bluish-purple bulges that appear on the surface of the skin, causing leg pain and discomfort that can affect mobility, self-confidence, and your daily life.


  • Spider veins appear like starburst clusters, web-like lines, or short, fine lines on the surface of the skin. They are most commonly found on the thighs, ankles, and feet. If you have both spider veins and varicose veins, then the spider veins are likely associated with venous insufficiency. If you only have spider veins, then the spider veins likely stem from family history, older age, pregnancy, being overweight, and/or sun damage or trauma to the skin. If spider veins are not associated with venous insufficiency, then spider vein treatment is considered cosmetic.


Venous insufficiency can be inherited or acquired, but it typically develops with age. If you have any of the following symptoms, it’s important to seek medical attention.

  • Sudden swelling
  • Leg pain or tenderness
  • Warm-feeling skin
  • Red or discolored skin
  • Heavy-feeling legs
  • Itchy legs
  • Restless legs
  • Muscle cramps
  • Burning or throbbing
  • Ulcers
  • Non-healing sores


The symptoms of venous insufficiency can be unpleasant and life altering, but you don’t have to suffer. We offer several low risk, minimally invasive procedures that are highly effective in treating venous disease, including:

Compression Therapy

  • Compression stockings often are recommended as the first line of conservative/noninvasive treatment for patients with pain in the lower extremities due to swollen, enlarged veins and/or leg swelling.


Endovenous Ablation/Closure

  • This minimally invasive ultrasound-guided procedure uses thermal energy or medication injection to close abnormally functioning veins so that blood will reroute to normally functioning veins. Richmond Vascular Center uses the latest techniques in ablation treatment, including:
    • Radiofrequency Ablation
    • VenaSealTM (medical glue to seal/close malfunctioning veins)
    • VarithenaTM (concentrated foam solution to seal/close malfunctioning veins)



  • The most common treatment for spider veins, sclerotherapy is a minimally invasive treatment that utilizes a tiny needle to inject a liquid or foam solution into the vein, which causes the vein to contract and the blood to reroute to deeper, normally functioning veins.



  • This minimally invasive treatment removes varicose veins through tiny incisions in the skin.



Our providers will ask for a thorough medical history and perform a comprehensive physical exam and evaluation of the venous system in your legs. The evaluation will often include an ultrasound exam of your lower extremity veins, which is performed by our expert ultrasonographer at the time of your visit.

After the exam is complete, the provider will review the results and recommend a treatment plan customized to your needs. Most insurance companies cover venous insufficiency treatment if it is deemed “medically necessary.” Some venous conditions, such as spider veins, are considered cosmetic by some insurance companies and, therefore, may not be covered. Our team will determine whether your vein condition is causing health problems, making treatment “medically necessary,” or whether the issue is simply cosmetic.

Before you leave, our team will make sure you know what to expect with your vein treatment and post-treatment care.

Schedule a Consultation

Richmond Vascular Center’s experienced team can provide you with the care you need for venous insufficiency. Call us at: (804) 864-VEIN

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