Venous Insufficiency and Lower Extremity Ulcers

• Venous reflux and duplex ultrasound are important diagnostic tools when determining venous insufficiency
• The time to diagnosis is highly variable depending on a patient’s presentation with evolution of the ulcer(s) and tolerance for treatment protocols.
• Because of its ease of use, ultrasound testing the most employed imaging technique to assess venous pathology.
• Insufficiency is chronic in nature and recurrent lower extremity ulcers wax and wane.