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All of these patients have the same underlying problem, Chronic Venous Insufficiency or CVI.

Any valve in the human body that is "leaky" is called an "insufficient" valve. Your leg veins contain 80-100 one-way valves that channel blood up your legs. If these valves are "leaky" or "insufficient", the whole venous system backs up. This chronic venous insufficiency or CVI.

CVI can manifest itself in a number of ways such as shown in the previous pictures. Multiple spider veins, varicose veins or venous stasis ulcers can all be signs of CVI. Symptoms may include aching, pain, leg fatigue, tiredness, itching, rash, heaviness, or swelling/edema.

These issues are not only unsightly but they can dramatically affect a person's quality of life. Also, approximately 20% of patients with CVI may have normal appearing legs leading to diagnostic confusion. How do we figure this out and diagnose CVI? We do a thorough medical history, evaluate your medications and perform a physical exam. If indicated, a specialized ultrasound is performed which measures the size of your veins and how long it takes for your valves to close. From this, we diagnose CVI.

Appropriate treatments are then recommended, all of which are done in the office, using local anesthesia and no sedation. CVI treatments are covered by insurance plans.

Vein disease should be cured not endured.

Dr. Nellestein conducts all consultations personally! No referral is needed.

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Nellestein Vein Institute

1341 Village Drive

St. Joseph, Missouri 64506