10 Signs that you may have TREATABLE venous insufficiency

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  1. Lower extremity swelling – This may worsen as the day progresses and improves by morning.
  2. Leg fatigue, pain and heaviness – This worsens when you are on your feet and improves when the legs are elevated
  3. Cramps or charley horse, especially at night
  4. Restless legs
  5. Flaking or itching skin on the legs
  6. Skin discoloration or hard leathery skin, especially near the lower legs and ankles
  7. Varicose veins
  8. 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.
  9. Venous ulcers
  10. Any of the above along with a history of a blood clot or DVT


Deepak Sudheendra, MD, FSIR, RPVI