How are obesity and chronic venous insufficiency linked?

How are obesity and chronic venous insufficiency linked? So, it is, they are linked and we see a lot of people with pretty bad venous insufficiency with venous eczema, and we believe, and my understanding is that this is mainly mechanical, So, it is mechanical pressure and valvular effects that cause this chronic venous insufficiency. Another problem in obesity is lymphedema. And that is possibly even more difficult to treat compared to venous insufficiency. But we see it a lot and it is a source of frustration and for our patients, not only aesthetically, but also it negatively affects their mobility.