[50F] Experiencing severe lower leg pain with swelling and inflammation

What might be happening

Based on the information you've provided, possible diagnoses include:

• Chronic Venous Insufficiency (CVI): This condition occurs when your leg veins don't allow blood to flow back up to your heart. Symptoms can include swelling, pain, and changes in skin color. Your history of varicose veins and the symptoms you're experiencing could suggest this condition.

  • Treatment typically includes compression stockings, exercise, and elevating your legs. In some cases, surgery may be necessary.

• Peripheral Artery Disease (PAD): This condition is caused by a buildup of plaque in the arteries that supply blood to your legs and feet. Symptoms can include pain, swelling, and changes in skin color. Your history of high blood pressure and COPD could put you at a higher risk for this condition.

  • Treatment typically includes lifestyle changes, medication to control blood pressure and cholesterol levels, and in some cases, surgery.

• Deep Vein Thrombosis (DVT): This is a blood clot in a deep vein, usually in the legs. Symptoms can include swelling, pain, and changes in skin color. However, DVT would typically cause more acute symptoms rather than the chronic symptoms you're experiencing.

  • Treatment typically includes anticoagulant medications.

• Lymphedema: This is a condition of localized fluid retention and tissue swelling caused by a compromised lymphatic system. Symptoms can include swelling and changes in skin color.

  • Treatment typically includes compression garments, proper skin care, and exercises to encourage lymph drainage.

Please note, these are only possible diagnoses and you should consult with your healthcare provider for a formal diagnosis.

What you can do

Until you see your healthcare provider, here are some things you can do to help manage your symptoms:

1. Elevate your legs whenever possible.
2. Wear compression stockings if you have them.
3. Stay active and exercise regularly. Walking is a good exercise that can help improve blood flow.
4. Avoid standing or sitting for long periods of time.
5. Maintain a healthy weight and diet.
6. Keep your skin moisturized to prevent dryness and cracking.

What you should look out for

Please seek immediate medical attention if you experience:

• Sudden or severe swelling in your legs.
• Sudden or severe pain in your legs.
• Changes in skin color or temperature.
• Chest pain or difficulty breathing.
• Any other symptoms that concern you.

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with your healthcare provider for appropriate examinations, treatment, testing, and care recommendations.