Pain and swelling of the leg is certainly not a normal finding. You should have a venous duplex ultrasound of the legs as well as a CT or CTV of the abdomen and pelvis. These tests will help to elucidate a possible cause of your symptoms. Also, see a vein specialist or a vascular surgeon.

Published on Jul 11, 2012

Your complaint is vague, and could be venous, orthopedic, or neurologic. Venous duplex ultrasound of your legs should sort out veins as a cause or not. An orthopedic consultation might sort out a musculoskeletal cause.

Published on Jul 11, 2012

Please have an ultrasound done for venous reflux and to exclude a DVT (deep vein thrombosis).

Published on Jul 11, 2012

See a board-certified vascular specialist. You will need a venous ultrasound exam.

Published on Jul 11, 2012

Unilateral leg swelling is frequently a sign of either venous reflux, venous compression, or venous thrombosis (deep venous thrombosis).
An ultrasound done in an accredited vascular laboratory can frequently establish the diagnosis and lead to a treatment plan.

We are now frequently recognizing that left leg swelling may be due to a condition called May-Thurner Syndrome. This is most often caused by the left Iliac vein (big vein draining the left leg in the groin and abdomen)being compressed by the right iliac artery (artery supplying the right leg) where they cross in the abdomen.

If the ultrasound is suggestive of May-Thurner Syndrome, additional esters such as an MRI or CT scan is usually needed to make a definitive diagnosis.

I would suggest seeing a board-certified vascular surgeon or an interventional radiologist with a lot of experience treating complicated venous problems.

Published on Jul 11, 2012

You should be evaluated by a board-certified vascular surgeon, including ultrasound examination. It may not be limited to the leg.

Published on Jul 11, 2012

It is important to get an evaluation by a vein specialist with complete examination, mapping of veins, and a Duplex vein scan (ultraousnd and Doppler) to determine if there is venous insufficiency and to rule out chronic deep vein thrombosis. If venous clots are excluded as a cause for the leg swelling and pain, venous insufficiency treatment with endovenous catheter technology (VNUS, EV laser, etc) can be considered if compression stockings don't help relieve your symptoms.

Seek an ABVLM certified vein specialist.

Published on Jul 11, 2012