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Have you ever felt your lower legs becoming tight, hardened, or painful? This could be a sign of lipodermatosclerosis, an advanced stage of chronic venous insufficiency (CVI). Often mistaken for skin infection or cellulitis, this condition reflects long-standing vein disease that requires prompt attention.
What is Lipodermatosclerosis?
Lipodermatosclerosis is a skin and tissue disorder caused by long-term venous hypertension. The constant high pressure in the veins leads to inflammation, thickening, and scarring of the skin and fat beneath. This gives the legs a “tapered” or “inverted champagne bottle” shape above the ankles. The skin may also look scaly.
Symptoms and Warning Signs
- Hardening or tightening of skin in the lower legs
- Redness or dark brown discoloration
- Pain, tenderness, or swelling
- Decreased mobility in the ankle joint
- Scaly or Flaky skin
Risk Factors
You may be at higher risk if you have:
- Longstanding CVI or varicose veins
- Obesity or limited mobility
- Previous deep vein thrombosis (DVT)
- Advanced age or family history of vein disease
How the Vascular Institute of Chattanooga Can Help
At VIC, we specialize in diagnosing and treating advanced venous conditions. Using non-invasive duplex ultrasound, we can identify problem veins and recommend targeted treatments, such as endovenous ablation, compression therapy, or lifestyle interventions. Our goal is to restore circulation, ease pain, and prevent progression to venous ulcers.
Frequently Asked Questions (FAQ)
Q: Can lipodermatosclerosis be reversed?
A: While the skin changes may not fully reverse, proper vein treatment can stop the progression and reduce symptoms.
Q: How is it different from cellulitis?
A: Cellulitis is an infection, while lipodermatosclerosis is caused by chronic venous inflammation. A vascular exam helps distinguish the two.
Q: Will compression stockings help?
A: Yes, compression is one of the most effective ways to manage symptoms and improve circulation.
Q: Is surgery required?
A: Most patients can be treated with minimally invasive procedures rather than open surgery.
Conclusion
Lipodermatosclerosis is a warning sign of advanced venous disease. The good news is that early treatment can prevent further complications, including painful venous ulcers.
If your lower legs feel hardened, tight, or painful, don’t ignore the signs. Call the Vascular Institute of Chattanooga at (423) 602-2750 or schedule your consultation online today.
