9 doctors weighed in:

Why are my mother's lower legs completely purple/dark red, hard and painful? A vascular specialist ruled out deep vein thrombosis.

9 doctors weighed in
Dr. Pushpinder Sivia
Surgery - Vascular
2 doctors agree

In brief: Venous insufficiency

Although your mom may not have a blood clot in the deep veins, (DVT) she may have venous insufficiency.
If she has swelling in the legs, varicose veins, or dark discoloration in the shin area and ankles, she should be check for venous reflux - a condition where the valves in the veins fail and contribute to the above symptoms. A specialized ultrasound looking for reflux will be useful.

In brief: Venous insufficiency

Although your mom may not have a blood clot in the deep veins, (DVT) she may have venous insufficiency.
If she has swelling in the legs, varicose veins, or dark discoloration in the shin area and ankles, she should be check for venous reflux - a condition where the valves in the veins fail and contribute to the above symptoms. A specialized ultrasound looking for reflux will be useful.
Thank
Dr. John Landi
Phlebology
2 doctors agree

In brief: Venous insufficiency

Chronic venous insufficiency will lead to swollen, discolored legs.
These legs can be purple, red, blue or more commonly brown. This is due to malfunctioning of the valves in either the suuperficial saphenous system of veins, the deep system of veins or a combination of both. Lymphedema may also play a role. She may not have DVT but she may have cvi and she should have a reflux sonogram.

In brief: Venous insufficiency

Chronic venous insufficiency will lead to swollen, discolored legs.
These legs can be purple, red, blue or more commonly brown. This is due to malfunctioning of the valves in either the suuperficial saphenous system of veins, the deep system of veins or a combination of both. Lymphedema may also play a role. She may not have DVT but she may have cvi and she should have a reflux sonogram.
Thank
Dr. Victor Bonuel
Internal Medicine
2 doctors agree

In brief: Your mom may have

Poor venous circulation/ venous stasis related to varicose veins, cardiovascular risk factors like hypertension, diabetes, high lipids, age etc.
It's not easy to treat but supportive and symptomatic treatment would help. Take care! http://my.Clevelandclinic.Org/disorders/venous_insufficiency/hvi_chronic_venous_insufficiency.Aspx.

In brief: Your mom may have

Poor venous circulation/ venous stasis related to varicose veins, cardiovascular risk factors like hypertension, diabetes, high lipids, age etc.
It's not easy to treat but supportive and symptomatic treatment would help. Take care! http://my.Clevelandclinic.Org/disorders/venous_insufficiency/hvi_chronic_venous_insufficiency.Aspx.
Thank
Dr. Joel Gotvald
Surgery - Vascular
1 doctor agrees

In brief: Venous insufficiency

The likely diagnosis is venous insufficiency, where some of the superficial veins, deep veins, or perforator veins develop incompetency of the valves inside the veins.
This leads to buildup of venous hypertension in the skin and over time leads to these sort of skin changes, which are usually more severe in the lower legs. Recommend a venous reflux ultrasound & use of medical compression stockings

In brief: Venous insufficiency

The likely diagnosis is venous insufficiency, where some of the superficial veins, deep veins, or perforator veins develop incompetency of the valves inside the veins.
This leads to buildup of venous hypertension in the skin and over time leads to these sort of skin changes, which are usually more severe in the lower legs. Recommend a venous reflux ultrasound & use of medical compression stockings
Thank
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