The evaluation of venous insufficiency begins with a history and physical exam.

Physical findings in someone with venous insufficiency may include:

• Constant itching:
• In the legs and feet
• Feet numbness
• Leg numbness (bilateral)
• Foot swelling (bilateral)
• Leg swelling (bilateral)
• Skin redness of the feet or legs
• Skin ulcers on the feet or legs
• Varicose veins

Tests are not necessary to make the diagnosis of venous insufficiency.

Tests that may be used to evaluate venous insufficiency include:

• Duplex ultrasound
• Venous plethysmography
• Venography

For more information:

• Deep venous thrombosis evaluation
• Stasis dermatitis evaluation
• Varicose veins evaluation