Chronic leg swelling is common and frequently not properly assessed in relation to its underlying causes. Some conditions resulting in leg swelling can be successfully treated with a number of procedures. Correct diagnosis alleviates anxiety associated with chronically swollen legs and provides symptomatic relief. Chronic leg swelling can lead to permanent changes such as skin pigmentation or ulceration, and early diagnosis and treatment help to prevent inevitable progression and provide better long-term outcomes.
The first of the two most common reasons for leg swelling is systemic disease affecting organs such as the liver, kidneys, heart or thyroid gland. In these circumstances swelling is almost always bilateral (affecting both legs). The second group of conditions usually results in unilateral leg swelling (one leg affected) and relates to three different underlying causes.
Venous Disease
The most common reason for unilateral leg swelling in our society is superficial venous incompetence resulting in primary varicose veins. Varicose veins affect 25 to 40 per cent of the population. Advanced varicose veins resulting in permanent skin discolouration have a prevalence of 5 to 10 per cent, while chronic venous ulceration affects up to 1 per cent of the population. The risk of developing this condition rises significantly with age. Advances in treatment allow varicose veins to be managed on an outpatient basis, with endovascular options such as radiofrequency ablation (RFA), laser ablation (EVLT) and VenaSeal associated with excellent outcomes and rapid recovery.
Lymphoedema
Lymphoedema is a progressive, chronic and debilitating swelling that can affect the upper and lower limbs. It frequently leads to distortion in shape and size, associated with reduced mobility and impaired function. The condition can begin in young adults and often affects one limb, involving the toes and foot initially before progressing up the leg. Management focuses on specialist physiotherapy, compression garments and skin care, and requires ongoing monitoring and support.
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Treatments Available for Acute and Chronic Lower and Upper Limbs Swelling
Below are some of the treatments we have available for Acute and Chronic Lower and Upper Limbs Swelling. Click on the below to learn more or get in touch with us to request a consultation.
Radiofrequency Ablation (RFA)
Radiofrequency ablation uses precisely controlled heat to seal diseased veins from the inside, causing them to close and be gradually absorbed by the body. It is a highly effective, walk-in walk-out treatment for varicose veins with minimal discomfort and downtime.
Sclerotherapy
Sclerotherapy involves injecting a solution directly into varicose or spider veins to irritate and close the vessel wall. It is a quick, well-established outpatient treatment suitable for a range of vein sizes, from fine thread veins to medium-sized varicosities.
Stockings Clinic
Our Stockings Clinic provides professional measurement and fitting of graduated compression stockings to help manage varicose veins, chronic leg swelling, and venous ulcers. Correctly fitted stockings make a significant difference to comfort and outcomes.
Why Choose Perth Vascular Clinic?
Expertise You Can Trust
Dr Marek Garbowski has developed a strong clinical focus in the assessment and management of pelvic venous disorders, helping many women regain control of their lives after years of unexplained symptoms.
State-of-the-Art Assessment
Using the latest diagnostic imaging and vascular evaluation techniques, we ensure a thorough and accurate diagnosis. We work closely with gynaecologists and radiologists to deliver a multidisciplinary approach tailored to each patient’s needs.
Evidence-Based Treatment Options
Our clinic offers a full range of minimally invasive, image-guided treatment options — including embolisation of varicose pelvic veins, designed to relieve symptoms with minimal downtime.
Care for Public and Private Patients
Dr Garbowski provides consultations and procedures through both private practice and public hospital pathways, ensuring access to quality care for all patients.
Frequently Asked Questions
Chronic leg swelling can result from venous insufficiency, lymphoedema, deep vein thrombosis, cardiac, renal or liver disease, or certain medications. Vascular causes are among the most common and include conditions that impair venous return from the legs. Accurate diagnosis is important as treatment varies by cause.