This 45 year old woman had problems with bulging varicose veins for eight years before her friend referred her to our office. She complained that her legs were uncomfortable. She perceived “tightness” in the skin. She felt “pressure” in the upper thighs. After physical exam, venous mapping with ultrasound and Doppler located the problems. Her left and right leg greater saphenous veins were dilated and incompetent, making it difficult for her blood to return to her heart. The valves in her veins were not functioning; gravity would pull the blood down to her feet where it would pool and cause increased pressure, perceived as pressure and tightness.

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