Venous hypertension leads to inflammation and congestion in the tissue of the legs and is responsible for the physical signs and symptoms of venous insufficiency. These include edema, pain, aching, skin discoloration, leg cramping, leg fatigue and restlessness. Vein problems increase with age, can progress to the point of being disabling, and should not be ignored. Most insurance companies cover treatment of venous disease. Additionally, insurance companies often require a conservative trial of medical management. Significant insufficiency documented by duplex ultrasound is required to determine the anatomy and severity of the patient's venous insufficiency. Depending on your insurance company and policy, the length of time required for conservative trial varies. Contact your insurance provider for more detailed information regarding this or contact us for assistance with this determination.