High pressure in the veins of the legs is called Chronic Venous Hypertension. Chronic venous hypertension may be due to venous insufficiency, a condition where the blood leaks downward due to the effect of gravity through leaky one-way valves. Chronic venous hypertension may also be due to obstruction in the veins because of obesity, previousvenous thrombosis (clotting), or compression of abdominal or pelvic veins.
Symptoms of chronic venous hypertension may include swelling, pain, tenderness, venous stasis skin changes, or venous leg ulcers. Diagnostic evaluation includes lower extremity venous color duplex ultrasound and sometimes other imaging such as CT or MRI scans specially performed to evaluate the veins of the legs, pelvis, or abdomen. The proper treatment depends on the clinical, imaging, and venous flow testing results and may include many of the procedures reviewed on this website.