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Understanding Venous Disease: A Guide from Windsor Vascular 

At Windsor Vascular Care, we specialize in diagnosing and treating venous diseases to help our patients achieve better vascular health. Chronic venous disease (CVD) affects millions and can lead to discomfort, swelling, and serious complications if left untreated. Our team is dedicated to providing personalized care, utilizing the latest diagnostic tools and treatment methods to ensure the best outcomes for our patients. Below, we provide an overview of venous disease, its causes, symptoms, and management strategies.

What is Chronic Venous Disease? 

Chronic venous disease (CVD) is a condition affecting the veins, particularly in the lower extremities, due to impaired blood flow. It encompasses a wide range of venous disorders, from mild varicose veins to severe venous insufficiency and ulceration. CVD occurs when the valves in the veins fail to function properly, leading to blood pooling, increased pressure, and venous hypertension, which causes swelling and vein dilation.

Anatomy and Physiology of the Venous System 

Veins play a crucial role in returning deoxygenated blood to the heart. Unlike arteries, veins rely on one-way valves and the contraction of surrounding muscles to push blood upward against gravity. When these valves weaken or become damaged, blood can flow backward, leading to venous reflux. This reflux results in increased venous pressure, causing symptoms such as swelling, pain, and skin changes.

Causes and Risk Factors 

Several factors contribute to the development of chronic venous disease, including:

  • Genetics: A family history of venous disease increases susceptibility.
  • Age: The risk increases with age due to natural wear and tear on vein valves.
  • Prolonged sitting or standing: Occupational hazards that impede blood flow.
  • Obesity: Excess weight puts additional strain on veins.
  • Pregnancy: Hormonal changes and uterine pressure contribute to venous insufficiency.
  • History of deep vein thrombosis (DVT): Previous DVT can damage veins, increasing CVD risk.

Clinical Manifestations 

Symptoms of chronic venous disease range from mild discomfort to severe complications, including:

  •  Varicose veins: Enlarged, twisted, and bulging veins.
  • Leg swelling: Fluid accumulation in the lower limbs due to poor circulation.
  • Skin changes: Discoloration, itching, and thickening of the skin.
  • Leg pain and heaviness: Especially after prolonged standing.
  • Ulceration: Severe cases may lead to venous ulcers that require medical intervention.

Diagnostic Approaches 

Accurate diagnosis is crucial for effective treatment. At Windsor Vascular Care, we use the latest diagnostic techniques, including:

  •  Detailed medical history and physical examination.
  • •Duplex ultrasound: A non-invasive imaging technique to assess vein function and detect abnormalities.

Management Strategies 

Managing venous disease involves a combination of lifestyle modifications, conservative treatments, and medical interventions:

  •  Lifestyle changes: Regular exercise, weight management, and avoiding prolonged sitting or standing.
  • Compression therapy: Wearing medical-grade compression stockings to improve circulation and reduce symptoms.
  • Sclerotherapy: Injection treatment to close varicose and spider veins.
  • Phlebectomy: Surgical removal of bulging veins.
  • Minimally invasive procedures: VenaSeal to close off the problematic veins


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