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