- Lower extremity swelling – This may worsen as the day progresses and improves by morning.
- Leg fatigue, pain and heaviness – This worsens when you are on your feet and improves when the legs are elevated
- Cramps or charley horse, especially at night
- Restless legs
- Flaking or itching skin on the legs
- Skin discoloration or hard leathery skin, especially near the lower legs and ankles
- Varicose veins
- Multiple bouts of superficial thrombophlebitis (SVT) – This presents as a painful, red, and palpable cord that runs along the medial thigh or back of the leg. It is tender to the touch and generally treated with warm compresses, anti-inflammatory medications, and in some cases, blood thinning medication.
- Venous ulcers
- Any of the above along with a history of a blood clot or DVT
Deepak Sudheendra, MD, FSIR, RPVI