Severity Score
| Attribute | Absent = 0 | Mild = 1 | Moderate = 2 | Severe = 3 |
|---|---|---|---|---|
Pain | None | Occasional, not restricting activity or needing analgesics | Daily, moderate activity limitation, occasional analgesics | Daily severe, limiting activity or needing regular use of analgesics |
Varicose veins | None | Few scattered or branch VVs | Multiple: LSV varicosed & confined to calf or thigh | Extensive in thigh and calf involving thigh and calf |
Venous oedema | None | Evening ankle oedema only | Afternoon oedema above ankle | Morning oedema above ankle needing elevation & activity change |
Skin pigmentation | None or focal, low intensity (tan) | Diffuse but limited in area & old (brown) | Diffuse over lower 1/3 leg or recent pigmentation | Distribution above lower 1/3 and recent pigmentation |
Inflammation | None | Mild cellulitis around ulcer area | Moderate cellulitis involving lower 1/3 | Severe cellulitis lower 1/3 and above or significant venous eczema |
Induration | None | Focal circum malleolar (<5 cm) | Medial or lateral < lower 1/3 leg | Entire lower 1/3 leg or more |
No. Of active ulcers | 0 | 1 | 2 | >2 |
Active ulceration duration | None | <3 months | >3 months,<1 yr | Not healed >1 yr |
Active ulcer size | None | <2 cm diameter | 2-6 cm diameter | >6 cm diameter |
Compressive therapy | Not used or not compliant | Intermittent use of stocking | Wears elastic stocking most days | Full compliance: stocking + elevation |
Grading of Varicose and their treatment recommended according to the grade