Question: Would two Doppler ultrasounds find any leg clots? (Thigh or calf). Is May-Thurner syndrome (MTS) possible and a venography necessary in my case?

I’ve had swelling in my left ankle and calf for a few years. Pain for a few months in calf, and sometimes whole leg, but not when I walk. Occasional tingling. I’ve had 2 ultrasounds on both legs a month apart— 1 while standing and 1 while laying down with the table tilted. No clots were found but some mild venous insufficiency. The suggested treatment was wearing compression stockings for 6 weeks to see if it helps. May-Thurner syndrome was mentioned and the clinic wants to do a venography.

Answer: Ultrasound can easily identify deep (DVT) and superficial vein thrombosis (SVT) in the lower extremities. One concern which can arise with left limb discomfort is the risk of May-Thurner syndrome. While not a common condition, it can certainly cause the sufferer vascular complications. A venogram is the best way to identify May-Thurner syndrome. If the diagnosis is confirmed, and symptoms are sufficient to warrant intervention, typically a stent is placed to protect the compromised vessel from compression.


About Jilanne Rose, DNP ANP-BC

Jilanne is Phoenix Metros only Doctorate Nurse Practitioner that has been trained extensively by a Cardiothoracic & Vascular Surgeon, an Interventional Radiologist, and an Interventional Cardiologist. Dr. Rose is highly regarded by patients and physicians who seek her out because of her expertise in vein disease, her commitment to compassionate care, and her excellent success rates. As a peripheral vascular specialist that has performed well over 10,000 vascular interventions, Dr. Rose is dedicated to helping patients achieve a pain free, healthy and happy life.