Do your leg(s) cramps or throb?
No
Yes
Right
Left
Which Leg:
Do you having any aching or pain in your legs
Do your legs feel heavy?
Can you see bulging varicose veins in your legs?
Do your legs feel tired or fatigued?
Can you see spider veins in your legs?
Do you have any itching or burning
Do you feel like your legs are restless/feel the need to move?
Do you have wounds/ulcers on your legs that never seem to heal?
Which Leg:
No
Yes
Right
Left
Which Leg:
No
Yes
Right
Left
Which Leg:
No
Yes
Right
Left
Which Leg:
No
Yes
Right
Left
Which Leg:
No
Yes
Right
Left
Do your legs swell or have you been diagnosed with Edema, which is swelling caused by excess fluid trapped in your body's tissues??
Which Leg:
No
Yes
Right
Left
Which Leg:
No
Yes
Right
Left
Which Leg:
No
Yes
Right
Left
Which Leg:
No
Yes
Right
Left
Do you experience any of the following in your leg(s)?
You may benefit from a visit with a vascular specialist. For more information or to schedule an appointment, contact the Vein Center at Tufts MC.
617-636-8094
The content above is provided for educational purposes by Tufts Medical Center. It is free for educational use. For information about your own health, contact your physician.
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