CVI & Lymphedema — Why Your Legs Feel Heavy (And How PT of The City Can Help)

Let’s be real — heavy, swollen legs can make even a short walk feel like a workout. But not all leg swelling is lymphedema.

Many patients discover their symptoms are caused by Chronic Venous Insufficiency (CVI) — a circulation condition where the leg veins can’t move blood upward effectively. When blood pools in the legs, you feel it — heaviness, swelling, aching, skin changes, even ulcers.

The good news: physical therapy plays a huge role and there is real, effective, life-changing help.

So… What Exactly Is CVI?

Think of your leg veins as highways moving blood back to your heart. When valves stop working, traffic jams occur — pressure, swelling, discomfort. That’s Chronic Venous Insufficiency (CVI).

Common Signs Your Symptoms May Be CVI

Puffy ankles by the end of the day
Legs that feel tired, heavy, or tight
Pain that improves once you start walking
Varicose veins appearing or worsening
Skin darkening around the ankles
Advanced cases — venous ulcers

How Physical Therapy Helps CVI — Yes, It Really Works

Physical therapy for CVI is a science-backed, comprehensive approach to restoring circulation — without surgery and with noticeable improvements.

1. A Complete, Targeted Assessment

We assess circulation, swelling patterns, skin condition, muscle strength, and mobility — because the best treatment plan starts with the right diagnosis.

2. Compression Therapy

Helps veins push blood upward instead of letting it pool.

Medical-grade compression garments
Proper compression wrapping
Multilayer bandaging when needed

3. Exercise Therapy — Rebuilding the Calf Pump

Your calf muscles are your circulation engine. Activated through:

Calf raises
Ankle pumps
Walking or cycling
Targeted leg strengthening

More strength = better blood flow.

4. Manual Therapy

Including manual lymphatic drainage (MLD) for mixed venous and lymphatic swelling.

5. Safe & Effective Elevation Techniques

Clinically effective elevation that actually reduces swelling.

6. Skin & Wound Care Education

Protect fragile skin and prevent breakdown, infection, and ulcers.

7. Lifestyle Coaching

Simple habits to protect your veins: Movement → Hydration → Weight management → Posture → Break long sitting or standing cycles

What Results Can You Expect?

Noticeably less swelling
Improved circulation
Lighter, less heavy legs
Easier walking and movement
Better skin health
Lower risk of venous ulcers
Improved long-term leg health

When your legs feel better — you feel better.

Our Complete Lymphedema Program at PT of The City

Many patients experience both CVI and lymphedema. Our program treats the entire condition, not just one symptom.

Expert assessment & limb measurements
Manual lymphatic drainage (MLD)
Custom compression garment fitting
Pneumatic compression pumps
Targeted therapeutic exercise
Self-care, skin care & home program education
Scar mobilization & post-cancer rehabilitation

Our goal: Reduce swelling. Improve mobility. Protect your skin. And help you feel lighter, stronger, and confident again.

You Don’t Have to Live With Heavy, Tired Legs

If you’re dealing with chronic leg swelling, CVI, lymphedema, or a combination, PT of The City provides expert care, advanced treatment, and personalized physical therapy plans that prioritize comfort, circulation, and mobility.

Relief is possible — and it starts with the right care.

👉 Book Your CVI & Lymphedema Consultation

Dr. Sawsan Abdelaal