[Therapeutic guidelines in chronic venous insufficiency].

Chronic venous insufficiency is characterized by decreased efficiency of the veno-muscular pump function. Resulting symptoms are polymorphous and eyecatching and therefore often distract attention from the treatment of the basic functional disorder. This is avoided by using quantifying and localizing diagnostic methods routinely. Best accepted by the patients are noninvasive methods that are supplied with photoplethysmography and Doppler-ultrasound. Synopsis of the findings gained by both mutually completing methods makes it possible to plan the most suitable therapy for the patient. Whereas a predominantly extrafascial localization of the defect can be repaired by a definitive therapy like operation or sclerotherapy according to TOUR-NAY, the prevalence of intrafascial damage inevitably leads to lifelong compression-therapy.