Gray scale and color duplex ultrasound of great saphenous vein valve. Note closure of the valve leaflets during the valsalva maneuver.
51 year old female with a long history of low back pain, pelvic aching and heaviness, urinary frequency and painful intercourse.
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.
59 year old male with short distance exercise induced left leg pain. Pain was severe and was interfering with the patients actively living.