Leg Venous Insufficiency

Venous Ulcer & Chronic Venous Insufficiency Treatment

Expert Care for Venous Ulcers and Leg Venous Insufficiency at Houston Vein Institute

Venous ulcers, also known as venous stasis ulcers, are chronic wounds caused by poor blood circulation in the lower legs. These ulcers often result from chronic venous insufficiency (CVI)—a condition where the valves in the veins of the legs fail to return blood efficiently to the heart, leading to pooling, swelling, and skin breakdown.

At Houston Vein Institute, under the care of Dr. Miguel Gomez, we specialize in diagnosing and treating both venous ulcers and leg venous insufficiency using advanced, minimally invasive therapies tailored to each patient. We proudly serve Houston, Katy, Sugar Land, Cypress, The Woodlands, and surrounding Texas communities.

Explore more about related conditions:

What Is Chronic Venous Insufficiency (CVI)?

CVI is a common yet underdiagnosed vascular condition where damaged valves in leg veins cause venous reflux—the backward flow of blood. Over time, this results in increased venous pressure, which can damage the skin, cause pain, swelling, and lead to venous ulcers in advanced stages.

Risk Factors:

  • Deep vein thrombosis (DVT)
  • Varicose veins
  • Obesity
  • Pregnancy
  • Inactivity or prolonged standing
  • Previous leg trauma

For more information, explore our Leg Venous Insufficiency resource.

Signs and Symptoms of CVI and Venous Ulcers

  • Aching, throbbing, or heaviness in the legs
  • Swelling (edema), especially after prolonged standing
  • Skin discoloration (brown or red)
  • Leathery or thickened skin texture
  • Open, slow-healing sores near the ankle
  • Itching, tingling, or burning sensation

Early treatment of CVI can prevent complications like leg ulcers and irreversible skin damage.

Our Comprehensive Treatment Approach

  • Diagnosis and Vein Mapping

    We use ultrasound vein mapping to assess vein function, locate reflux, and personalize your treatment plan. Learn more about Ultrasound Vein Mapping.

  • Wound Care and Unna Boot Therapy

    For patients with ulcers, we apply Unna boots—medicated compression bandages that reduce swelling, improve circulation, and promote healing.

  • Minimally Invasive Vein Treatments

    We treat underlying venous reflux with safe, outpatient procedures:

    1) Endovenous Laser Ablation (EVLA)
    2) Radiofrequency Ablation (RFA)
    3) Sclerotherapy – More on Sclerotherapy
    4) Veinwave technology for smaller veins

  • Prevention and Aftercare

    We offer compression therapy, lifestyle education, and follow-up care to help patients avoid recurrence. Visit our Compression Therapy page for more info.

Patient Success Stories

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L Alvarado
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Friendly staff, free garage parking is appreciated and they took great care of my family member.

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Nadieka Fernández
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excellent doctors but if you want to get to your appointment you must arrive with a lot of time because it is terrible to find parking this makes your day change

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Julie Wilcox
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When we retired to Central Texas, we wanted to find a place where we could get all of our medical care in one place. We chose Houston Methodist West and we’re so glad we did. Only a little more than an hour’s drive away from Weimar, we have first class primary care, cardiology, pulmonology, orthopedics and probably more that thankfully, we haven’t needed yet! Most of our doctors utilize MyChart which makes keeping track of appointments, test results and messages so easy. The staff are always friendly, free parking is always available and they take great care of us!

Call Now to Schedule Your Consultation

Take the first step toward healthier legs and better circulation.

Call Us: 713-932-6251

Our Houston vein center offers flexible appointment times, second opinions, and telemedicine visits.

Frequently Asked Questions

Varicose veins are often a symptom of CVI. CVI is the underlying condition that causes venous reflux and leads to vein enlargement, swelling, and potentially ulcers.

Yes. With minimally invasive vein procedures and compression therapy, CVI can be managed and symptoms significantly reduced.

A vein ultrasound performed in our office will confirm if there’s backward blood flow or valve damage.

Yes, most treatments for CVI and venous ulcers are covered when medically necessary. We handle pre-authorization and benefits verification.

Most patients return to normal activities within 24–48 hours. Walking is encouraged immediately after treatment.

Yes, many patients travel from surrounding Texas cities and even out of state to receive expert vein care at our clinic.

Our personalized care, board-certified expertise, advanced technology, and consistently high patient satisfaction ratings set us apart. We take the time to educate and empower our patients.

Visit Us – Venous Ulcer Specialist in Houston
  • placeholder-for-map-1 Houston Vein Institute
    18400 Katy Freeway, Suite 480
    Houston, TX 77094
  • telephone-1Phone: (713) 932-6251
  • black-envelopeinfo@houstonveininstitute.com

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As seen in:

  • Healthgrades
  • U.S. News Doctor Finder
  • American College of Phlebology

Houston Vein Institute is committed to providing evidence-based venous care supported by the latest research,
patient-centered service, and decades of medical expertise.
We aim to be Houston’s leading provider for venous ulcer treatment.