Venous Hypertension Treatment in India

David Bhatia, a 58-year-old high school...

David Bhatia, a 58-year-old high school history teacher, had spent 30 years on his feet in the classroom. For the past five years, he'd noticed a dull, heavy ache in his legs by the end of each day, accompanied by significant swelling around his ankles. Recently, the skin on his lower shins had become discolored, taking on a reddish-brown, leathery appearance, and it felt intensely itchy. His primary care physician, Dr. Evans, diagnosed him with chronic venous insufficiency, a form of venous hypertension, after a physical exam and a venous duplex ultrasound. The ultrasound confirmed faulty valves in the deep veins of his legs, causing blood to pool. Dr. Evans recommended a comprehensive conservative management plan as the first-line treatment. This included daily use of prescription-grade compression stockings (30-40 mmHg), a regimen of leg elevation breaks during his planning periods, a low-sodium diet, and a referral to a physical therapist for safe, low-impact exercises like swimming. The treatment was a significant adjustment. David found the stockings hot and difficult to put on initially, and modifying his lifelong routines was frustrating. Emotionally, he felt old and defeated, worried his active teaching days were numbered. However, after three months of diligent adherence, the results were transformative. The swelling and heavy ache were reduced by about 80%, the skin discoloration began to fade, and the relentless itching stopped. He regained the energy to take short walks after school. David's emotional journey shifted from frustration and fear to one of empowerment and relief. He realized he could manage his condition and maintain his career and quality of life, feeling back in control of his body.