رجل عمره ٦٣ سنة عنده قصور وريدي مزمن، وتورم في الساقين وتصبغ بني فوق الكاحلين، ويعمل سائق شاحنة. النبض في القدمين جيد، ولا توجد قرح. أي نصيحة صحيحة؟

A 63-year-old lorry driver has chronic venous insufficiency with leg swelling and brown pigmentation above the ankles. Foot pulses are good and there are no ulcers. Which advice is correct?

1. Raise the legs above heart level several times a day
2. Keep the legs dangling while sleeping
3. Sit for long periods with the legs crossed
4. Avoid walking altogether to reduce swelling

Answer: A) Raise the legs above heart level several times a day. In venous insufficiency, leg elevation, walking (the calf-muscle pump) and compression help venous return. This is the opposite of arterial disease, where the legs are not elevated.