I have Chronic Venous Insufficiency (CVI). Well, it was recently determined anyway. It was already questioned whether I have Postural Orthostatic Tachycardia Syndrome (POTS). That is much less definitive, though.

I seem to be a CVI edema and sciatic pain playground. This happened after I finally found compression knee-highs that fit. The problem has migrated above the knee line and I am super unhappy about it.

With help from ChatGPT to find some basic tools, I found that I need a list. I need this in my Skills Toolbox.

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Daily Maintenance

1. Compression Gear
   • Knee-high or thigh-high compression socks.
   • Put them on first thing in the morning, and wear until bedtime.
2. Elevation
   • Keep your legs above heart level for 15-30 minutes, 2-3x a day.
   • Try pillows or a wedge cushion to prop while laying down.
3. Movement
   • Walk or stretch every 60-90 minutes
   • Ankle pumps, toe taps, or seated marches when working at the computer.
   • 10-15 minutes of light walking post meal to reduce some swelling after eating.
4. Skin Care
   • Moisturize legs every night before bed, especially around shins & ankles
   • Use a gentle, hydrating lotion like CeraVe, Eucerin, or shea butter.
   • Drink at least 64-80 oz of water per day (unless restricted by a doctor).

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Internal Monitoring

Watch for:

• New or worsening swelling above sock line
• Tightness or pain in calves or thighs
• Skin discoloration, especially purple, dark red, or leathery texture
• Itching, dryness, or new skin breakdown
• Sudden pain or heat in one leg (see someone immediately)

Prompts for observation:

• How’s my leg pressure today? Is it steady or increasing?
• Am I more fatigued or lightheaded than usual?
• Have I had any noticeable symptom flare-ups (POTS or CVI) lately?

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Supportive Habits

1. Anti-Inflammatory Nutrition
   • Leafy greens, berries, turmeric, omega-3s
   • Limit ultra-processed foods, excessive salt, and sugar
   • Magnesium-rich foods like spinach, almonds, or avocado
2. Sleep & Stress Regulation
   • Sleep in a slightly elevated leg position
   • Reduce cortisol through calming routines (like what I am doing with Stitched Delights & crocheting)
3. Ergonomic Tools
   • Footstool or wedge under desk
   • Ankle rocking pedal or seated leg bike
   • Adjustable bed wedge for nighttime leg elevation

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Affirmation

I am not broken. I am rewiring with care, one connection at a time.