Symptoms of SVI

Superficial veins have less muscle support than deep veins, so any condition that puts pressure on the legs or surrounding areas can lead to pooling of blood in the extremities. Common pressure inducers are obesity, pregnancy, and standing for long periods, as well as sitting and limited movement.

The likelihood of acquiring SVI increases if other family members have it and with age. Over time superficial veins weaken and aren’t able to push blood back up the heart.3

While some people have minor symptoms that are simply cosmetic, others have more debilitating ones. Common symptoms of SVI are a feeling of heaviness in the legs, aching, swelling, throbbing and itchy skin. Over time this can lead to inflammation of the varicose veins, scaling of the skin and eczema, thickening of the skin and can ultimately result in leg ulcers.

SVI symptoms include:4

Tired Heavy Legs

A general heaviness in the legs may indicate that blood is not circulating properly. If left untreated it can lead to progression of the disease.

Pain

A dull diffuse ache or throbbing can occur accompanied by a heaviness that makes it feel as though you are walking in cement shoes.

Swelling

Superficial Venous Insufficiency (SVI) may cause swelling in the affected vein area.

Skin Changes

When blood pools in the legs, the skin of the affected area becomes darkened. Itchy skin or eczema may develop as well as a thickening of the skin.

Ulcers

In severe cases, ulcers may develop when pooled blood causes tissue damage.

Swelling, skin changes, and ulcer images courtesy of Dr. Raghu Kolluri.

SVI Diagnosis and Treatment

Diagnostic Procedures

Superficial venous problems may be visible on the legs, but it is important to let a doctor confirm a diagnosis. Sometimes SVI can be indicative of other problems in the deep veins, such as deep venous obstruction and a doctor will need to determine if it is DVO or SVI.

To confirm SVI, and to locate the source of insufficiency, a doctor may use a combination of physical exam, medical history and one or more of the following tools:5

Photos of Diagnostic Procedures

Visual Inspection

A doctor will visually inspect the suspected SVI area taking note of the size of the veins involved, the appearance of the veins and the number of veins involved.

Duplex Ultrasound

This is a non-invasive test which uses sound waves to create a color map of the blood vessels and examines blood flow in your legs.

Venography

Although rare, a doctor may order this type of X-ray to obtain a detailed look at the vein that involves injecting dye into a vein.

Videos of SVI Diagnostic Procedures

Duplex Ultrasound

This is a non-invasive test which uses sound waves to create a color map of the blood vessels and examines blood flow in your legs.

SVI Treatments

There are multiple ways to manage SVI, depending on the extent of the diseased veins. For some people, changes like adopting a healthy diet and increasing exercise can help reduce the pressure around the legs thereby reducing the progression of varicose veins.

Seeking treatment can be strictly cosmetic while other people will wait until they have pain or ulcers. If you are experiencing symptoms that bother you discuss this with your doctor, because they can potentially lead to leg ulcers.

After consulting your doctor, he may recommend the following treatments:

Photos of Treatments

Sclerotherapy

A common treatment for spider reticular and varicose veins where a doctor uses a needle to inject a liquid chemical into the vein. The chemical shuts down the vein and the blood can find an alternate way back to the heart.

Ablation Therapy

Therapy A minimally invasive treatment that uses lasers, radiofrequency, non-thermal ablation or mechanochemical ablation to shut down large varicose veins in the legs.

Phlebectomy

This is a technique to remove varicose veins by making, several tiny cuts (incisions) in the skin through which the varicose vein is removed.

Phlebectomy image courtesy of Dr. Raghu Kolluri.

Videos of SVI Treatments

Sclerotherapy

A common treatment for both spider, reticular and varicose veins where a doctor uses a needle to inject a liquid chemical into the vein. The chemical shuts down the vein and the blood can find an alternate way back to the heart.

Ablation Therapy

A minimally invasive treatment that uses lasers, radiofrequency, non-thermal ablation or mechanochemical ablation to shut down large varicose veins in the legs.

PVD & Me: Patient Stories

Read the inspiring stories of real patients with various conditions of PVD. Learn about their diagnosis, treatment and journey to regaining their quality of life.

PAD Stories

Many PAD patients experience a gradual decline in activity level and quality of life which can go unnoticed for years. Learn about Joe’s suspicions and his perseverance to seek help.

Read Joe’s story

CLI Stories

Early intervention can be key for Critical Limb Ischemia (CLI). Learn about Mark’s struggles and triumph to overcome CLI.

Read Mark’s Story

DVD Stories

Patients with Deep Venous Disease (DVD) often go through years of suffering with worsening symptoms and other underlying conditions. Learn about Melanie’s path to uncovering an underlying condition and her road back to restore her health.

Read Melanie’s story

DVT Stories

Deep Vein Thrombosis (DVT) can strike quickly with little notice. Learn more about Reid’s condition and his road to recovery.

Read Reid’s story

Helpful Resources

PVD Doctor
Discussion Guide

Get helpful tips and advice on how to talk to your doctor about a PVD screening.

Download now

SVI Brochure

Find out more information on SVI by downloading this helpful brochure.

Download now

Third-Party Resources

Apps

CardioVisual

A mobile app built by cardiologists, to simplify understanding of most cardiac and peripheral vascular conditions and treatments.

Find a Doctor that Treats SVI

Consult your doctor to learn more about SVI and how to maintain your vein health. You can also use our Doctor Finder tool below to find a specialist near you.

 
Within |
Carl Fastabend

501 Dr. Michael DeBakey Drive (3rd Floor) | Lake Charles, LA, 70601

Thomas Lee

131 Madison Avenue 2nd Floor | Morristown, NJ, 7960

Peter Swischuk

3109 Stirling rd. Suite 100 | Fort Lauderdale, FL, 33312

David Draughn, FACS, RVT, RPVI

15825 John J Delaney Dr | Charlotte, NC, 28277

Joe Viramontes

960 N 16th Street Suite 108 | Springfield, OR, 97477

Michael Sergi

75 Kings highway Cutoff, Suite 4B | Fairfield, CT, 6824

Manish Chauhan

2200 Park bend | Austin, TX, 78757

James Cunningham

8767 Perimeter Park Blvd | Jacksonville, FL, 32216

Nouri Al-Khaled

4400 W 95th Street, Suite 306 | Oak Lawn, IL, 60453

Cindy Sturt

200 S. Orange Ave | Livingston, NJ, 7039

Jesus Jimenez

2800 S Seacrest Dr. Suite 200 | Boyton Beach, FL, 33435

Andrei Pop

800 Biesterfield Road | Elk Grove Village, IL, 60007

Ediberto Soto-Cora

1139 Caper Rd | El Paso, TX, 79925

Kaveh Shahmohammadi

1449 Old Waterbury Rd, Suite 101 | Southbury, CT, 6488

Lori Pounds

7703 Floyd Curl Drive | SanAntonio, Texas, 78229

Alex Caballero

1879 Nightinglae Ln | Tavares , Florida, 32778

Thomas Levin

10837 South Cicero Avenue Suite 200 | Oak Lawn, IL, 60453

Leandro Perez

8188 Jog Rd. Suite 100 | Boyton Beach, FL, 33427

Jose Almeida

1501 S Miami Ave. | Miami Beach, FL, 33129

Saba Khan

800 Biesterfield Road | Elk Grove Village, IL, 60007

Jordan Knepper

5325 Elliot Drive, Suite 101 | Ypsilanti, MI, 48197

Jason Andre

12720 McManus Blvd, Suite 303 | Newport News, VA, 23602

Micheal Ayad

300A Faunce Corner Rd N | Darthmouth, MA, 02908

Yazan Khatib

Suite #160, FL, 32256

Santhosh Mathews

316 Manatee Ave W | Bradenton, FL, 34205

Patricio Rosa

601 N Flamingo Rd. Suite 408 | Pembroke Pines, FL, 33028

Akhilesh Sista

2315 Broadway 4th floor | New York, NY, 10024

Kathleen Gibson

1135 116th Avenue NE, Suite 305 | Bellevue, WA, 98004

James Sampson

101 Bodin Circle 60 SGCS/SGCH | Travis AFB, CA, 94535

Brian Heeringa

880 Munson Ave, Suite A | Traverse City, MI, 49686

Ravi Chandra

1920 SW 20th Place | Ocala, Florida, 34471

Vaqar Ali

7011 AC Skinner Parkway | Jacksonville, FL, 32256

David Burkart

4801 College Blvd | Leawood, KS, 66214

Asad Sawar

3010 E. 138th Avenue Suite 12 | Tampa, FL, 33613

Andrew Barleben

9434 Medical Center Dr. | La Jolla, CA, 92037

Gennady Geskin

6637 State Route 30 | Jeannette, PA, 15644

William Grande

8200 east Belleview Ave Suite 600e | Greenwood Village, CO, 80111

Jeffrey Carr

1783 Troup Highway | Tyler, TX, 75701

Vincent Digiovanni

Riddle Health Center 3, 1098 W Baltimore Pike, Suite 3308 | Media, PA, 19063

Ido Weinberg

55 Fruit St | Boston, MA, 02114

Dale Buchbinder

1212 York Road | Lutherville, MD, 31093

Paul Gagne

85 Old Kings Highway North | Darien, CT, 6820

Vasco Marques

3010 E. 138th Avenue Suite 12 | Tampa, FL, 33613

Scott Koss

725 American Ave | Waukesha, WI, 53188

Janardhan Srinivasan

2232 Wilborn Avenue | South Boston, VA, 24592

Steve Lin

1401 Harrodsburg Rd Ste A300 | Lexington, KY, 40509

Kais Yehyawi

6375 W US 6 | Portage, IN, 46368

Diego Hernandez

43700 Woodward Avenue, Suite 207 | Bloomfield Hills, MI, 48302

Deepak Sudheendra

3400 Spruce Street | Philadelphia, PA, 19104

Fuad Rafidi

23101 Sherman Place | West Hills, CA, 91307

Thomas Kerr

19189 N Dale Mabry Hwy | Lutz, FL, 33548

Hesham Fakhri

3010 E. 138th Avenue Suite 12 | Tampa, FL, 33613

Aaron Hurd

630 13th Street Suite 250 | Augusta, GA, 30901

Sunil Rayan

9850 Genesee Ave | La Jolla, CA, 92037

David Lipski

6420 Dutchmans Pkwy Suite 180 | Louisville, KY, 40205

Rias Ali

4740 Mile Stretch Drive | Holiday, FL, 34690

Jed Peterson

10123 SE Market Street | Portland, OR, 97216

Constantino Pena

8900 North Kendall Drive | Miami, FL, 33176

Zahi Nassoura

2710 Alameda Ave | Burbank, CA, 91505

Nader Chadda

6633 Forest Ave Ste 302 | New Port Richey, FL, 34653

Richard Ofstein

8075 N Shadeland Ave Ste 200 | Indianapolis, IN, 46037

Robert Davies

1301 Sigman Road, NE Suite 130 | Conyers, GA, 30012

Elizabeth Brooke Spencer, MD, FSIR

8200 east Belleview ave Suite 600 E | Greenwood Village, CO, 80111

Mazen Abu-Fadel

825 NE 10th St #2500 | Oklahoma City, OK, 73104

David Frankel

10666 N. Torrey Pines Rd. | La Jolla, CA, 92037

Patricia Thorpe

333 W Thomas Rd, Suite 207A | Phoenix, AZ, 85013

Peder Horner

1746 Cole Boulevard | Lakewood, CO, 80401

Fuad Rafidi

2710 | Burbank, CA, 91505

Gene Tanquilut

20060 Governors Drive Suite 102 | Olympia Fields, IL, 60461

Kannan Natarajan

8433 Harcourt Rd. Suite 100 | Indianapolis, IN, 46260

Charles Ross

95 Collier Road NW Suite 5015 | Atlanta, GA, 30309

Windsor Ting

1468 Madison Avenue or 1190 Fifth Avenue | New York, NY, 10029

Dev Mangalat

705 Jesse Jewell Parkway 125 | Gainseville, GA, 30501

Arun Jagannathan

23120 South LaGrange Road | Frankfort, IL, 60423

Michael Flisak

3231 South Euclid Avenue, Suite 207A | Berwyn, IL, 60402

Shahin Pourrabbani

3680 Imperial Highway | Lynwood, CA, 90262

Joe Viramontes, MD

960 N 16th Street | Springfield, OR, 97477

Blaine Borders

102 Thomas Rd. Suite 205 | West Monroe, LA, 71291

Pat Neville

4600 Memorial Dr. Suite 240 | Belleville, IL, 62226

Charles Wyble

61 Witcher Street, Suite 2100 | Marietta, GA, 30060

David Gillespie

363 Highland Ave | Fall River, MA, 2720

Polly Kokinos

2255 S. Bascom Avenue #200 | Campbell, CA, 95008

Howard Roth

23120 South LaGrange Road | Frankfort, IL, 60423

Anthony Avino, MD, FACS

4750 Water Avenue, Suite 500 | Savannah, GA, 31410

Murat Sor

3833 Fairfax Drive | Arlingston, VA, 22205

Mahesh Raju

3825 highland ave | downers Grove, IL, 60515

Kenneth Wright

19189 N Dale Mabry Hwy | Lutz, FL, 33548

Rick Coats

4600 Memorial Dr # 240 | Belleville, IL, 62260

Sendhil Subramanian

7130 Mt. Zion Blvd, Suite #10 | Jonesboro, GA, 30236

Richard Pin

363 Highland Ave | Fall River, MA, 2720

James McPherson

4644 Lincoln Blvd. Suite 500 | Marina del Rey, CA, 90292

Ben Marson

85 Old Kings Highway N, 1st Floor | Darien, CT, 6820

E. Jerry Cohn Jr., MD, FACS

4750 Water Avenue, Suite 500 | Savannah, GA, 31410

George Hemstreet

100 Rice Mine Road Loop | Tuscaloosa, AL, 35406

Alberto Gonzalez

19189 N Dale Mabry Hwy | Lutz, FL, 33548

Ayaz Malik

1035 Bellevue Ave #500 | St. Louis, MO, 63117

Isabel Newton

200 W Arbor Dr. | San Diego, CA, 92103

Michael Ayad

363 Highland Avenue | Fall River, MA, 2720

Jozsef Lukacs

24800 S.E. Stark St. | Gresham, OR, 97030

Timothy Manoni

85 Old Kings Highway N, 1st Floor | Darien, CT, 6820

Larry Horesh, MD

4750 Water Avenue, Suite 500 | Savannah, GA, 31410

Amiel Moshfegh

11411 Brookshire Ave | Downey, CA, 90241

Parag Patel

6633 Forest Ave #300 | New Port Richey, FL, 34653

Hoang Nguyen

2 Good Samaritan Way Suite 220 | Mt. Vernon, IL, 62864

(Charles) Daniel Procter

725 Jesse Jewell Parkway #125 | Gainesville, GA, 30501

Michael Naumann

7777 Alvarado Road, Suite 108 | La Mesa, CA, 91942

Stephen Lalka

1001 Blythe Blvd., Suite 300 | Charlotte, NC, 28203

Taras Kucher

495 Hawley Lane, Suite 2-A | Stratford, CT, 6614

Junyang Lou

520 Medical Center Drive | Medford, OR, 97504

Michael Lepore

600 North Cattlemen Rd | Sarasota, FL, 34232

Robert Freedman

3311 Prescott Road | Alexandria, LA, 71301

Daniel Simon

347 Mount Pleasant Ave Suite 100 | West Orange, NJ, 7052

Daniel McDevitt

1035 Southcrest Dr, Suite 250 | Stockbridge, GA, 30281

Marvin Padnick

350 South 40th Street | Muskogee, OK, 74401

Patrick Mahon

87 McGregor Street | Manchester, NH, 3102

Jamie Strachan

1449 Old Waterbury Rd, Suite 101 | Southbury, CT, 6488

Aaron Aday

75 Francis St | Boston, MA, 02115

Russell Samson

600 North Cattlemen Rd | Sarasota, FL, 34232

Raghotham Patlola

5003 Hardy St, Ste 200 | Hattiesburg, MS, 39402

Bruce Brenner

200 S. Orange Ave | Livingston, NJ, 7052

Ernest Conti

3929 Mercy Drive | McHenry, IL, 60050

Sanjeev Trehan

6151 South Yale Ave Suite 1304 | Tulsa, OK, 74136

Tara Balint

2010 Health Campus Drive | Harrisonburg, VA, 22801

Stephen Bauer

1445 East Putman Ave, 1st Floor | Old Greenwich, CT, 6870

Deepak Nair

600 N Cattlemen Rd | Sarasota, FL, 34232

David Showalter

600 North Cattlemen Rd | Sarasota, Florida, 34232

Andrew Olinde

5131 O'Donovan Drive 301 | Baton Rouge, LA, 70808

Allison Barone

250 Engle Street | Englewood, NJ, 7631

Thomas Lutz

15 Tower Ct Suite 200 | Gurnee, IL, 60031

Mark Iafrati

800 Washington st | Boston, MA, 2111

Jerry Chen

2775 Laurel Street, Room 4203 | Vancouver, BC, V5Z1M9

Jonathan Bowman

495 Hawley Lane, Suite 2-A | Stratford, CT, 6614

Paul Vitulli

915 W Monroe St | Jacksonville, FL, 32004

Douglas Dorsay

600 North Cattlemen Rd | Sarasota, Florida, 34232

Previous Next
Page 1 of 1

This tool is not inclusive of all specialists. Consult with your insurance provider to find specialists that are covered within your network.

Are You a Healthcare Professional?

Find out how to register your practice with us.

1. Weiss et al. “Venous Insufficiency.” Medscape. May 26, 2016

2. Eberhardt et al. “Chronic Venous Insufficiency.” Circulation. 2014;130:333-346. July 21, 2014.

3. “Varicose veins and spider veins.” Office on Women’s Health. U.S. Department of Health and Human Services. January 04, 2017.

4. Lin et al. “The Management of Varicose Veins.” Int Surg. 2015 Jan; 100(1): 185–189.

5. “How Are Varicose Veins Diagnosed?” National Heart, Lung and Blood Institute. U.S. Department of Health & Human Services. Feb. 14, 2014.

Disclaimer

The opinions and clinical experiences presented herein are for informational purposes only. Individual results may vary depending on a variety of patient-specific attributes and related factors. Dr. Raghu Kolluri has been compensated by Philips for his services in preparing and providing this material for Philips further use and distribution.

We offer links to third-party websites that may be of interest to our website visitors and in no way, represent any affiliation or endorsement of the information provided on those linked websites. These links are provided solely for your convenience and to assist you in learning more information on this topic. However, Philips does not control, endorse or guarantee the accuracy of the information contained on the linked sites. In addition, Philips makes no representations or warranties of any kind with regards to any third-party websites or information contained therein. If you have any questions or concerns about the information on the linked third-party websites, please contact the third-party websites directly.