Chronic Venous Insufficiency Care in Sioux Falls, South Dakota (SD)

Chronic Venous Insufficiency Care

Chronic venous insufficiency (CVI), also known as chronic venous disease (CVD), occurs when the valves in your legs no longer regulate bloodflow back up to your heart adequately. Symptoms of CVI include leg and ankle swelling, pain and discomfort, and darkening of the skin. CVI can lead to spider veins, painful varicose veins, and sometimes severe conditions like skin sores and ulcers.

Treatments for CVI

There are many non-invasive and almost pain-free treatments to manage the symptoms and conditions caused by CVI. Your doctor will determine which options are right for you.
  • Compression stockings are a common first-step to treat your discomfort from CVI by squeezing your veins and helping them move blood up into your heart.
  • Sclerotherapy is a non-invasive and almost pain-free in-office procedure where your doctor injects a liquid or foam chemical into your vein to make it shrink, collapse, and eventually dissolve.
  • Endovenous thermal laser ablation (EVLT) is a common and minimally-invasive procedure that uses a thin wire-like laser inserted into your vein to heat it from the inside and make it collapse and dissolve.
  • Endovenous radiofrequency ablation (EVRA) is very similar to EVLT, but uses radiofrequency energy to heat the vein instead of laser energy.
  • Ambulatory phlebectomy is a minimally-invasive procedure where your doctor makes small cuts along your problem vein and removes it piece-by-piece with a hook. 
  • Ligation and stripping is a procedure to tie-off and remove long veins in your leg through incisions in your ankle and groin. It is an invasive procedure that is now uncommon because modern treatments like EVLT and EVRA are more effective and less-invasive.

Causes and Diagnosis of CVI

Your veins have one-way valves in them that keep your blood moving up toward your heart. If these valves stop working properly, you can develop chronic venous insufficiency. 

They can stop working due to heredity, high blood pressure, smoking, lack of exercise, or damage from blood clots.
To diagnose CVI, your doctor will evaluate your vein health using duplex ultrasound imaging or venogram X-ray imaging. 


The cost of treating CVI can vary depending on your area, physician and insurance coverage. Generally, your health insurance may cover a treatment if your doctor determines that it is medically necessary, and is not just for cosmetic reasons.

About Physicians Vein Clinics

Thank You For Choosing Physicians Vein Clinics

Physicians Vein Clinics is proud to offer the region’s finest vein removal services, using state-of-the-art technology and the skill of a board certified vein physician and laser expert.

About that free screening…

If you have ever wondered whether or not your vein problems can be easily fixed, find out with a free screening at Physicians Vein Clinics. The screening won’t take long and you’re under no obligation to receive further services. We should also be able to tell you whether your insurance will cover the procedure.

Easy as 1, 2, 3

Your free screening consists of three steps:
  1. We will review your medical history and perform a visual exam of the problem area. If necessary, an ultrasound examination will be obtained to identify the underlying cause of your problem. The ultrasound diagnosis isn’t needed very often, but if it is, this is a separate diagnostic test that requires billing to your insurance.
  2. We will diagnose your vein issues and discuss expected outcomes with you.
  3. Dr. Hansen will perform a visual exam and talk over the next course of action with you. If it is determined that your case is medical in nature, we will schedule a consult that consists of mapping and drawing your veins to prove venous deficiency and submit it to your insurance company. If the problems are cosmetic, they will discuss costs and treatment options with you.
Once you decide to move forward with treatment, we will work around your schedule to perform the procedures. Each outpatient procedure is different, but you should expect to return to normal activities in no time with minimal discomfort. Your specific treatment expectations and after-care will be discussed in detail prior to your appointment. Our professional and friendly staff is here to answer all your questions and make your time with us comfortable.

Featured Specialist for Chronic Venous Insufficiency Care in Sioux Falls, SD

Physicians Vein Clinics

Lornell E. Hansen II, M.D.

Call Now: (605) 937-6503
3401 S. Kelley Ave.
Sioux Falls, SD 57106

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