Venous Insufficiency

Expert Care for Venous Ulcers and Leg Venous Insufficiency
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
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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.
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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.
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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

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!

Friendly staff, free garage parking is appreciated and they took great care of my family member.
Why Choose Houston Vein Institute?
- Board-certified vascular surgeon with 20+ years of experience
- 4.3★ Google rating
- Personalized treatment plans and ongoing follow-up
- Convenient West Houston location with free parking
- Telemedicine appointments available
- Insurance accepted
Read our Google Reviews to hear what patients are saying.
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
- Houston Vein Institute
18400 Katy Freeway, Suite 480
Houston, TX 77094 - Phone: (713) 932-6251
- info@houstonveininstitute.com
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As seen in:
- Healthgrades
- American Vein & Lymphatic Society
- U.S. News Doctor Finder
Houston Vein Institute delivers evidence-based care, physician-led treatment, and state-of-the-art diagnostics for patients suffering
from venous insufficiency and chronic ulcers. With over two decades of clinical experience, advanced minimally invasive procedures,
and hundreds of positive reviews, we are Houston’s trusted leader in vein health.
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.