TREATMENT FOR CHRONIC VENOUS INSUFFICIENCY
In chronic venous insufficiency, the valves in your veins do not close properly, so while some blood does make its way back to your heart, some remains in the lower extremities because of gravity. Your lower legs, ankles, and feet can become chronically swollen and stained a tan or brown color. Sometimes, the skin can become thicker and a build-up of fibroses can occur so the affected area feels very firm to the touch.
Treatment varies depending on the presentation and severity of this conditioning. Manual Lymph Drainage treatments will always be a part of treatment, however the need for multi-layer bandaging or not will depend on whether or not you have wounds and edema and/or lymphedema along with CVI.
Though treatment approach is based on each person’s scenario, following is a general outline of treatment strategy:
- Without edema and without wounds: MLD and custom-made medical grade compression garments.
- With mild edema and/or wounds: MLD, and some bandaging. Custom-made medical grade compression garment once edema is reduced.
- With lymphedema and/or wounds: Complete Decongestive Therapy is indicated. MLD, multi-layer short stretch bandaging. Custom-made medical grade compression garment once edema is reduced. Please see Complete Decongestive Therapy for more information on CDT.
For general information about Chronic Venous Insufficiency, visit
https://my.clevelandclinic.org/health/diseases/16872-chronic-venous-insufficiency-cvi
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