Introduction

Many patients are told their leg symptoms are “just aging” or “just swelling.” In reality, venous disease often leads to circulatory congestion, a mechanical and inflammatory process that worsens over time if unaddressed.

How Healthy Venous Circulation Works

Veins rely on:

• One-way valves
• Muscle contraction
• Pressure gradients

When valves fail, blood pools instead of returning efficiently to the heart.

What Is Venous Congestion?

Venous congestion occurs when blood backs up in the legs, increasing pressure within the veins. This pressure damages surrounding tissue and disrupts oxygen delivery.

Symptoms Patients Experience

• Leg heaviness or fatigue
• Swelling that worsens throughout the day
• Aching or throbbing
• Skin changes or discoloration

These symptoms often worsen with prolonged standing or sitting.

Why Congestion Gets Worse Over Time

Venous disease is progressive. Elevated pressure leads to inflammation, valve damage, and further pooling, creating a self-reinforcing cycle.

The Importance of Early Evaluation

Early identification allows for conservative and targeted management before complications develop. Understanding the physiology helps patients recognize symptoms earlier.

Internal Links

• Vein Disease Education
• Chronic Venous Insufficiency
• Leg Pain and Swelling

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