This 68-year-old female patient presented with chronic right lower limb pain plus medial malleolus ulceration. Combined treatments resulted in complete recovery and an excellent prognosis.

Before

• Age/Sex:
  • 68/female
• Presenting Problem/s:
  • Chronic right lower limb pain
  • Medial malleolus ulceration
• Diagnosis/es:
  • Chronic deep venous insufficiency (CVI)
  • Previous deep venous thrombosis (DVT)
• Treatment:
  • Endovenous laser ablation (EVA)
  • Multiple venous ligatures
  • Ultrasound-guided sclerotherapy (UGS)

After

• Progress:
  • No lower limb pain
  • Completely healed ulcer
  • Outfitted with Compression Grade 2 stockings
  • Recommended daily 30-minute walks
• Prognosis:
  • Very good
  • 90% of cases at 5yrs are free CVI
  • 1 in 3 require future UGS treatments