Case Number: RMVC-6-08-2010

Gender: Female     Age: 73

History: She is a mother of a 51 year old disabled daughter who she has cared for since birth. She has had leg pain, swelling, cramping, and restlessness for the past 10-15 years and now has progressed to the point of intolerable.

Occupation: Retired

Symptoms: Continued deterioration of the veins in her lower leg – causing severe swelling, cramping, and restlessness began to affect her most basic of daily activities. This is a typical case where, as we age our valves weaken and the symptoms continue to increase in severity.

Treatment: Treatment recommendation was for a lower extremity venous ultrasound to understand the exact source of her symptoms. Our findings prompted recommendation for Endovenous Laser Therapy (EVLT) of the left accessory saphenous vein (ASV), and a large incompetent perforator vein (IPV) in the lower leg, as well a Microphlebectomy (MP) of the large protruding vessels in the lower leg. After which she required 2 sessions of Ultrasound Guided Foam Sclerotherapy (USFS) to close IPV’s and complete her treatment.

Care Recommendations: Following our successful procedures we recommended the patient walk daily, and engage in light moderate exercise.