Patient's Query
Hello doctor,
I am experiencing pain in my lower legs and feet. The affected skin is significantly darker than the rest of my skin and rougher than the normal surface.
My Doppler test results are as follows: Neither lower limb shows features for DVT (deep vein thrombosis), saphenofemoral, or saphenopopliteal reflux. No deep venous valvular reflux or DVT features are present. The right leg shows medial incompetent perforators - 7.0866 inches, 10.82 inches above the plantar surface, and 1.77 inches, 1.1811 inches from the anterior margin of the leg. Impression: Medial right leg incompetent perforators.
A new compression stocking prescription has been provided by my family physician (not a vascular medicine specialist). I already wear compression stockings, but my family physician thinks they are not tight enough. Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
I understand your concern and reviewed your reports (attachment removed to protect the patient's identity). You have venous insufficiency. This is a disease of the veins of the legs. Circulation is affected, which is why some parts of your legs are darker than others. Based on the picture, it is still in its early stages. The best treatment for your condition is a surgery known as valvuloplasty.
Unfortunately, this carries a severe risk of developing DVT in the future, so I do not suggest it. In addition to wearing compression socks, exercise is the best. Exercises like cycling and jogging 5 days a week will help.
I hope this has helped you.
Kindly revert in case of further queries.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
The tighter compression stockings have been obtained and are now in use. Are there any less invasive procedures that might be helpful?
Thank you.
Hello,
Welcome back to icliniq.com.
It is actually a good idea for you to consult a specialist physician. There are a few types of procedures that can be done, depending on location and availability of expertise they are: Ligation with stripping, Simple ligation and division, Sclerotherapy, Stab avulsion, Radiofrequency ablation, Endovenous laser therapy.
Some of the above procedures are minimally invasive while others are invasive. You should discuss with the vein specialist the availability of options for you.
I hope this has helped you.
Thank you.
Patient's Query
Hello doctor,
Thank you for your guidance.
Hello,
Welcome back to icliniq.com.
I wish you good health and a quick recovery.
Thank you.
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Answered byDr. Isaac Gana
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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