A 46 year old female presented with long-standing history of right lower limb fatigue and aching with prolonged standing.
Signs and Symptoms:
- Aching, cramping, heavy, tired right lower limb
- Tenderness over bulging veins
- Symptoms get worse at end of the day
- She feels better with lower limb elevation and application of elastic compression stockings (ECS)
The veins are larger and the symptoms are worst at the end of the day. She gets relief with limb elevation.
The left lower limb is asymptomatic with spider and reticular veins that do not bother her.