This 87-year-old male presented with a complicated case involving ongoing and disfiguring ulcerations to his lower legs, lymphoedema and cellulitis. Diagnosis revealed some deep-seated problems, but two simple treatments and he’s back on his feet.

Before

• Age/Sex:
  • 87/Male
• Presenting Problem/s:
  • Chronic ulceration
  • Lymphoedema
  • Cellulitis
• Diagnosis/es:
  • Secondary lymphoedema
  • Chronic venous insufficiency (CVI)
  • Previous deep-vein thrombosis (DVT)
• Treatment:
  • Endovenous laser ablation (EVA)
  • Ultrasound-guided sclerotherapy (UGS)

After

• Progress:
  • Completely healed ulcer
  • Outfitted with Compression Grade 2 stockings
  • Daily 30min walks
• Prognosis:
  • Very good
  • 90% of cases are free of CVI at the 5-year mark
  • 1 in 3 patients require future UGS treatment