Vascular diseases refer to conditions that affect your artery or your vein - basically, any blood vessel underneath your skin. These conditions can vary in severity and cause, from simple spider veins on your superficial veins to deep vein thrombosis. There are even some vascular diseases that can be mistaken for one another, like chronic venous insufficiency (CVI) and varicose veins.
What's the difference between chronic venous insufficiency and varicose veins? A good way to think about this is that varicose veins can be a symptom of CVI, but not all CVI cases exhibit varicose veins. Because of their similar effects on blood flow and how they show their symptoms on the skin, it's easy to think that these conditions are the same - but doing this may put the patient at risk when it comes to their treatments.
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Before we understand how these two conditions are related, it's important to define each of these conditions:
Both varicose veins and CVI happen because something's gone wrong with your vein, preventing it from shuttling blood back to your heart. Normally, this is made possible by the muscles around your venous system, which help control the vein valves to prevent any pooling of blood in your system.
However, when something goes wrong with this process, blood doesn't return as efficiently to your heart, causing it to pool in your veins and give you the symptoms of either condition. They're most prominent in areas like the legs since the veins down there have to work against gravity as well to pump blood efficiently.
Varicose veins can occur as a result of having CVI since both are vein disorders that affect the veins underneath the skin. The most significant difference between the two is how deep the blood pooling is - varicose veins usually occur in superficial veins while CVI can go beneath the deep vein system.
The most significant reason why it's important to know the difference between varicose veins and CVI is because their treatments can drastically differ. Most cases of varicose veins can be attributed to the body's natural processes slowing down over time - for many people, varicose veins are a cosmetic issue that doesn't always require medical attention.
However, chronic venous insufficiency can quickly develop into complications if left untreated - and varicose veins are only one of the possible complications that you can experience with CVI. There are also some cases where the condition is often indicative of a more serious underlying problem, which needs immediate medical treatment to prevent any long-term complications.
Varicose veins are any veins that enlarge or twist because of damage to the vein wall, abnormalities in blood pressure or blood flow, or other injuries that can affect your circulatory system. They're most visible in the leg veins and around the ankles and feet since the blood in the legs struggle against gravity when pumping blood back to the heart.
Symptoms of varicose veins can differ depending on the patient, though there are some common signs that you can watch out for:
A proper diagnosis of varicose veins is usually done by a doctor or dermatologist, first by checking the patient's medical history and family history. Other diagnostic procedures like a duplex ultrasound can also be used for a more accurate diagnosis.
Because there are a lot of things that can affect the normal function of your veins, it can be difficult to come up with a comprehensive list of all the possible causes of varicose veins. These are the most common causes reported by patients:
For some patients, it can actually be chronic venous insufficiency that can cause varicose veins, as disruptions in your normal blood flow can make blood pooling more likely. While this doesn't happen all the time, there have been enough links between varicose veins and CVI that it's counted as a possible risk.
For many patients, getting treatment for varicose veins isn't necessary as it's just a cosmetic issue. Conversely, some patients may seek treatment for this specific reason. Treatments for varicose veins are usually only necessary if the veins get too swollen to the point that they're causing pain, or if your healthcare provider wants to avoid putting you at risk for any complications from your condition.
Aside from surgical options, most treatments for varicose veins have relatively quick downtimes and don't require much aftercare. However, you should consult your doctor for further details on how to best take care of yourself after your treatment.
CVI is a general term used when the valves in your veins run into problems delivering blood back to your heart. When your valves have been damaged for a long time and blood keeps pooling in your veins, the increased blood pressure causes a chronic condition where your veins no longer function properly. This condition is most prevalent in the legs, though it can occur almost anywhere in the body.
CVI can have drastically different symptoms depending on the vein affected, but there are some common signs that patients should watch out for:
A doctor can use a physical exam and cross-check your medical/family history to see if you're at risk or have developed CVI. Alternatively, ultrasounds can also be used to get an image of your veins to look for any irregularities.
Anything that can affect the proper flow of blood in your body can cause chronic venous insufficiency, but there are some conditions and factors that can put you more at risk. In many cases, getting injured can often put you on the path to developing CVI - though the most common cause by far is long-term conditions.
Additionally, family history also plays a role in how likely you are to get this condition - if you have any family member with CVI, you're far more likely to develop it compared to other patients. Age can also play a role, as your body's normal functions begin to slow down as you get older.
Treatments for CVI often require more medical intervention compared to other vascular diseases, especially if the condition has progressed for a while. The earlier CVI is detected, the less strain the patient has to go through with their treatment options - though this may not always be the case.
These treatments often require more extensive downtime, especially if the affected vein is located deep under the surface of the skin.
While it's easy to confuse chronic venous insufficiency and varicose veins (and in many ways, they do share a lot of similarities as problems with your blood flow showing up on your skin), learning the difference is key for effective treatments. While venous reflux is far from a fatal disease, it does require careful treatment to manage correctly.
As specialists in vascular and venous diseases, Vein Center Doctor has helped thousands of patients with vein treatment. We implement non-invasive yet effective solutions, with long-term results so you can improve your quality of life. From spider veins to varicose veins, we have the solutions you need, right now.
Reach out to us today and call 1-862-227-1054.
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