The Research

VEYRA™ · Research Library

The science we build on

VeinFlow™ wasn’t invented in a vacuum. Varicose-vein-prone legs, the calf muscle pump, compression, electrical muscle stimulation, near-infrared light and warmth have each been studied for decades in peer-reviewed literature. Below is a curated selection — every entry links to the original study on PubMed, the US National Library of Medicine database, so you can read the source yourself.

How to read this page. These are independent studies of the general technologies and physiology behind VeinFlow’s categories — mostly conducted in medical settings, on clinical-grade equipment and clinical populations. They are not studies of VeinFlow™ itself. VeinFlow is a wellness and comfort device, not a medical device, and is not intended to diagnose, treat, cure or prevent any disease.

01 — Varicose Veins & Chronic Venous Disease

Clinical practice guidelines

How vascular medicine approaches varicose veins

Gloviczki P, et al. — Journal of Vascular Surgery, 2011 (Society for Vascular Surgery & American Venous Forum)

The landmark guidelines of two leading vascular societies. They classify varicose veins and chronic venous disease with the CEAP system, and suggest compression therapy for symptomatic varicose veins — establishing conservative, at-home support as a recognized first step in everyday care.

Read on PubMed →  ·  DOI

Evidence-based health technology review

Varicose veins are common — and tend to progress

Ontario Health Technology Assessment Series, 2010

This government evidence review reports varicose veins affect roughly 5–15% of men and 3–29% of women globally, with symptoms including aching, swelling, throbbing, night cramps and leg fatigue — and notes that untreated venous reflux tends to be progressive. In other words: the heavy-leg feeling is common, real, and worth taking seriously early.

Read on PubMed →

02 — The Calf Muscle Pump

Review · 10 studies

Weak calf pumps and chronic venous disease go hand in hand

Williams KJ, et al. — Journal of Vascular Surgery: Venous and Lymphatic Disorders, 2014

This Imperial College London review found patients with chronic venous disease had significantly reduced calf-pump ejection ability versus healthy subjects, called calf muscle pump failure “a therapeutic target,” and explicitly suggested exploring electrical muscle stimulation devices for patients whose exercise capacity is limited.

Read on PubMed →  ·  DOI

Randomized trial · 31 patients

The calf pump can be strengthened

Padberg FT, et al. — Journal of Vascular Surgery, 2004

In this randomized trial, six months of structured calf-muscle conditioning returned calf-pump function to the normal range in patients with severe chronic venous insufficiency — ejection fraction improved significantly versus control. The pump isn’t fixed at birth; engaging it changes it.

Read on PubMed →  ·  DOI

03 — Compression: Static & Rhythmic

Cochrane systematic review · 14 trials, 1,391 participants

Compression works — the gold-standard evidence

Shi C, et al. — Cochrane Database of Systematic Reviews, 2021

The most rigorous evidence body in the field: across 14 randomized trials, venous leg ulcers probably healed faster with compression than without (pooled hazard ratio 2.17), and pain scores were probably lower. This is why compression is the backbone of conventional venous care.

Read on PubMed →  ·  DOI

Evidence review

A high level of evidence for compression therapy

Konschake W, et al. — Der Hautarzt, 2017

A dermatology review of guidelines and trials concluding there is a high level of evidence that compression therapy helps heal venous ulcers and prevent recurrence — and mapping where compression is indicated across venous disease.

Read on PubMed →  ·  DOI

Physiological study · direct venous pressure measurement

Rhythmic compression empties leg veins — and timing matters

Delis KT, et al. — European Journal of Vascular and Endovascular Surgery, 2000

Using direct pressure measurements, researchers mapped how intermittent (compress–release) pneumatic compression of the foot and calf produces an almost complete, sustained drop in venous pressure — and identified the rhythm and sequencing that empty the veins best. Pressure that pulses moves blood in a way static squeezing does not.

Read on PubMed →  ·  DOI

Randomized study · 20 subjects, Doppler ultrasound

Compression + muscle activity beats either alone

Sakai K, et al. — Journal of Orthopaedic Surgery, 2021

Peak venous velocity in the femoral vein reached 76.2 cm/s when pneumatic compression was combined with active ankle movement — significantly higher than compression alone (48.1) or movement alone (47.1). Mechanical compression and muscle activation work better together than either does by itself.

Read on PubMed →  ·  DOI

04 — Electrical Muscle Stimulation

Systematic review · 11 studies, 724 limbs

Electrical stimulation in venous disease — the evidence is building

Borges D, et al. — Journal of Vascular Surgery: Venous and Lymphatic Disorders, 2023

A systematic review of electrical stimulation in venous leg ulcer care: five of eight randomized trials detected a statistically significant improvement in at least one healing outcome versus control, and the authors conclude the findings support electrical stimulation as an adjunct — while calling for standardized protocols. Electrical stimulation is being taken seriously in venous medicine.

Read on PubMed →  ·  DOI

Doppler ultrasound study

Electrical stimulation can drive the calf pump

Breen PP, et al. — IEEE Transactions on Neural Systems and Rehabilitation Engineering, 2012

Stimulating the soleus (deep calf) muscle expelled 58.3% of the venous blood volume of a full voluntary contraction — and 76.5% when combined with a second site. In other words: electrical stimulation can operate the calf’s pumping action without a single voluntary step.

Read on PubMed →  ·  DOI

Feasibility study

Stimulation and compression, studied together

Corley GJ, et al. — IEEE Engineering in Medicine and Biology Society, 2008

Researchers investigating chronic venous insufficiency examined surface electrical muscle stimulation applied alongside compression hosiery, measuring blood flow and comfort — early work on exactly the combination of modalities that defines the multi-modal approach.

Read on PubMed →  ·  DOI

05 — Near-Infrared, Light & Warmth

An emerging area — we present it honestly, including where results are mixed.

Randomized controlled trial · 890 nm LED pads

Near-infrared LEDs increased microcirculation in the lower limbs

Mak MC & Cheing GL — Photomedicine and Laser Surgery, 2012

In this single-blind randomized trial, flexible pads fitted with 890 nm near-infrared LEDs — worn in direct contact with the skin for 30 minutes — produced a significantly greater increase in capillary blood cell velocity and skin blood flow in the feet than both placebo and warm packs. Skin-contact near-infrared LED wearables measurably supported microcirculation.

Read on PubMed →  ·  DOI

Clinical study · far-infrared

Infrared and lower-limb blood flow

Cheng YC, et al. — International Journal of Lower Extremity Wounds, 2019

In participants with compromised lower-limb circulation, far-infrared radiation significantly improved foot surface temperature and blood flow over the study period — the authors concluded infrared radiation can support blood circulation in the lower limb.

Read on PubMed →  ·  DOI

Controlled study · warmth

Warmth measurably increases skin blood flow

Ren W, et al. — BioMedical Engineering OnLine, 2021

Ten minutes of thermal stimulation — whether warm bath or infrared — significantly increased skin temperature and skin blood flow in the foot. Warmth isn’t just comfort; heat and circulation are physiologically linked, which is part of why warming the calf feels the way it does.

Read on PubMed →  ·  DOI

Review · 405–1,000 nm wavelengths

Light-based therapy across chronic wounds

Mosca RC, et al. — Advances in Skin & Wound Care, 2019

A review of photobiomodulation — light in the visible-to-near-infrared range — reporting therapeutic benefits across a broad range of chronic wounds, including venous ulcers, while noting the field still lacks standardized treatment parameters and needs more rigorous trials.

Read on PubMed →  ·  DOI

Double-blind randomized controlled trial

A mixed result — and why we show it anyway

Vitse J, et al. — International Journal of Lower Extremity Wounds, 2017

In this placebo-controlled trial on venous leg ulcers, low-level laser therapy significantly reduced ulcer pain over the study period — but wound closure was not significantly different from placebo at 12 weeks. Light research in venous contexts is promising and still maturing. We’d rather show you the full picture than only the flattering half.

Read on PubMed →  ·  DOI


Citations are provided for educational purposes. They describe peer-reviewed research on the general modalities and physiology referenced above — typically using clinical-grade equipment in clinical populations (including wound-care and diabetic populations) — and do not constitute claims about VeinFlow™ as a finished product. VeinFlow is a wellness and comfort product; it is not intended to diagnose, treat, cure or prevent any disease, including varicose veins or venous disease. Sources: PubMed®, US National Library of Medicine.