Nonsurgical Management of Chronic Venous Insufficiency

Chronic venous insufficiency (CVI) is a prevalent condition characterized by venous hypertension, leading to symptoms such as varicose veins, leg swelling, skin changes, and ulcers. This article reviews nonsurgical management strategies, emphasizing the multifactorial etiology of CVI, which includes structural (e.g., venous reflux) and functional (e.g., obesity, weak calf muscles) components. Key interventions include reducing central venous pressure, compression therapy, leg elevation, and targeted exercises. The article highlights the importance of patient centered care, addressing functional contributors like obesity and medication-induced edema, and discusses evidence based guidelines for treatment. While procedural options exist for structural issues, conservative management remains foundational for functional CVI.

Chronic venous insufficiency (CVI) is a prevalent condition characterized by venous hypertension, leading to symptoms such as varicose veins, leg swelling, skin changes, and ulcers. This article reviews nonsurgical management strategies, emphasizing the multifactorial etiology of CVI, which includes structural (e.g., venous reflux) and functional (e.g., obesity, weak calf muscles) components. Key interventions include reducing central venous pressure, compression therapy, leg elevation, and targeted exercises. The article highlights the importance of patient centered care, addressing functional contributors like obesity and medication-induced edema, and discusses evidence based guidelines for treatment. While procedural options exist for structural issues, conservative management remains foundational for functional CVI.