RT Book, Section A1 Goodman, Catherine A1 Helgeson, Kevin SR Print(0) ID 1133951593 T1 Chronic Venous Insufficiency T2 Exercise Prescription for Medical Conditions: Handbook for Physical Therapists YR 2011 FD 2011 PB McGraw-Hill Education PP New York, NY SN 9780803617148 LK fadavispt.mhmedical.com/content.aspx?aid=1133951593 RD 2024/03/28 AB This condition is a decreased venous return due to venous stasis and increased venous pressures from damage to vein valves. Clients with this condition typically have a history of chronic venous inflammation and vein thrombosis. The condition results in venous hypertension due to excessive fluids in the veins, leading to fluids and whole blood cells migrating into the interstitial spaces. Clients exhibit edema in the legs and ankles, degenerative changes in the skin, and possibly ulcerations. Clients may have open wounds in the distal leg and need proper wound care and ongoing assessment of the legs, ankles, and feet for signs of increasing edema and skin breakdown. Clients experience fatigue as well as aching and heaviness in the legs with walking activities due to inadequate return of blood flow to heart and lungs. Clients typically adopt slower walking velocities that may lead to diminished plantarflexor muscle endurance and decreased plantar flexor muscle lengths.1 Diminished walking activities will lead to decreased daily activities and limited endurance.