Why would my legs swell if I had a vein and artery (Doppler) ultrasound but no clots were found?

Answers from doctors (10)


Palm Vein Center

Published on Oct 08, 2013

You should consider visiting a vein center to have venous doppler evaluations for venous insufficiency. Most venous dopplers only check for deep vein thrombosis (DVT). Only a specialized vein practice is adequately skilled to perform the latter.

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Answered by Palm Vein Center

You should consider visiting a vein center to have venous doppler evaluations for venous insufficiency. Most venous dopplers only check for deep vein thrombosis (DVT). Only a specialized vein practice is adequately skilled to perform the latter.

Published on Jul 11, 2012


The Sheen Vein Institute

Published on Aug 19, 2013

People get leg swelling for a multitude of reasons, only one of which is vein disease. Heart failure, kidney/liver problems, and lymphedema are only some of the other causes of leg swelling. That being said, anything that presents blood from freely returning back to the heart can cause swelling. Since there are so many potential sources for your leg swelling, it is very difficult for me to help determine your specific cause without actually seeing the legs and having some additional medical questions answered.

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Answered by The Sheen Vein Institute

People get leg swelling for a multitude of reasons, only one of which is vein disease. Heart failure, kidney/liver problems, and lymphedema are only some of the other causes of leg swelling. That being said, anything that presents blood from freely returning back to the heart can cause swelling. Since there are so many potential sources for your leg swelling, it is very difficult for me to help determine your specific cause without actually seeing the legs and having some additional medical questions answered.

Published on Jul 11, 2012


Vein Clinic of North Carolina

Published on Aug 18, 2013

There are many reasons your legs can swell and guessing would do a disservice. Instead, schedule an appointment with your primary care physician. He/she can evaluate you and hopefully determine the cause of your symptom.

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Answered by Vein Clinic of North Carolina

There are many reasons your legs can swell and guessing would do a disservice. Instead, schedule an appointment with your primary care physician. He/she can evaluate you and hopefully determine the cause of your symptom.

Published on Jul 11, 2012


Vein Center of Orange County

Published on Aug 15, 2013

Common causes for leg swelling include superficial venous insufficiency as well as systemic problems (liver, kidney, heart problems). Duplex ultrasound in the standing position can detect superficial vein problems which may not be overlooked when looking only for clots. See a vein specialist.

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Answered by Vein Center of Orange County

Common causes for leg swelling include superficial venous insufficiency as well as systemic problems (liver, kidney, heart problems). Duplex ultrasound in the standing position can detect superficial vein problems which may not be overlooked when looking only for clots. See a vein specialist.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Aug 14, 2013

Swelling may be due to leaking valves in the veins. You should see a vein specialist.

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Answered by Cosmetic Vein Centers of Texas

Swelling may be due to leaking valves in the veins. You should see a vein specialist.

Published on Jul 11, 2012


Vein Specialists

Published on Aug 14, 2013

Venous insufficiency may be your issue. Arterial problems generally do not cause leg swelling and clots in the venous system. My algorithm is to first rule out acute or chronic blood clots in the patient with a swollen leg and then to selectively investigate them with an insufficiency ultrasound, which involves different maneuvers and takes a bit longer to perform than the simple ultrasound technique for clots.

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Answered by Vein Specialists

Venous insufficiency may be your issue. Arterial problems generally do not cause leg swelling and clots in the venous system. My algorithm is to first rule out acute or chronic blood clots in the patient with a swollen leg and then to selectively investigate them with an insufficiency ultrasound, which involves different maneuvers and takes a bit longer to perform than the simple ultrasound technique for clots.

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Aug 13, 2013

Well, you could have edema from dozens of medical conditions or lymphedema. Swelling from dependency is normal at the end of the day. Details, details, details?

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Answered by Arizona Vein Specialists

Well, you could have edema from dozens of medical conditions or lymphedema. Swelling from dependency is normal at the end of the day. Details, details, details?

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Aug 13, 2013

Leg swelling can result from many different underlying causes and is sometimes called "idiopathic;" meaning, the cause is unknown. You should have an evaluation with your primary care doctor for blood work, blood pressure check, etc. Restricting salt intake, staying well hydrated, regular exercise and weight loss will usually help with this problem. A knee-length, low compression stocking that is properly measured and fitted will keep the swelling under control also. Check to see if there was any venous insufficiency in the superficial veins on the doppler. This test is usually done in the standing position.

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Answered by Vein Specialties of St. Louis

Leg swelling can result from many different underlying causes and is sometimes called "idiopathic;" meaning, the cause is unknown. You should have an evaluation with your primary care doctor for blood work, blood pressure check, etc. Restricting salt intake, staying well hydrated, regular exercise and weight loss will usually help with this problem. A knee-length, low compression stocking that is properly measured and fitted will keep the swelling under control also. Check to see if there was any venous insufficiency in the superficial veins on the doppler. This test is usually done in the standing position.

Published on Jul 11, 2012


More About Doctor Laser Vein Center

Published on Aug 13, 2013

There are many reasons for leg swelling, and vein problems are just one of them. Heart problems, kidney problems, and lymphedema are just a few other medical issues that can cause leg swelling.

Answered by Laser Vein Center (View Profile)

There are many reasons for leg swelling, and vein problems are just one of them. Heart problems, kidney problems, and lymphedema are just a few other medical issues that can cause leg swelling.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Aug 13, 2013

There are many reasons for legs to swell including medications, origins in the heart, kidney or liver, lung disease, lymphedema and chronic venous insufficiency just to name a few. There are many other causes of leg swelling and usually it requires an extensive evaluation to determine the cause which could include CT scanning as well as MRI. You should be evaluated by a physician.

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Answered by Vanish Vein and Laser Center

There are many reasons for legs to swell including medications, origins in the heart, kidney or liver, lung disease, lymphedema and chronic venous insufficiency just to name a few. There are many other causes of leg swelling and usually it requires an extensive evaluation to determine the cause which could include CT scanning as well as MRI. You should be evaluated by a physician.

Published on Jul 11, 2012


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