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Chronic venous insufficiency CVI is a common and progressive vascular condition affecting many people. This trial studies the effectiveness and safety of a phlebology-oriented thermal cure provided at the Saint-Eloy Thermal Center for patients with severe CVI. The study aims to offer an alternative treatment option that is recognized by the French health system and may be less costly than drug or surgical treatments. Participants will be randomly assigned to one of two groups those receiving the thermal cure and those not receiving any thermal treatment. The thermal cure lasts 3 consecutive weeks with 6 treatment days per week, totaling 72 sessions and three medical consultations. The treatment plan is personalized by the thermal doctors based on each patients clinical profile. Throughout the study, participants will be followed for up to 6 months after treatment. They will undergo evaluations at baseline, 3 months, and 6 months measuring symptom relief, quality of life, skin changes, patient discomfort, compliance with compression devices, and overall satisfaction. Safety will also be monitored continuously. This comprehensive follow-up helps assess the long-term effects and impact of the thermal cure on severe chronic venous insufficiency.