Gray scale and color duplex ultrasound showing reflex with the valsalva maneuver at the saphenofemoral junction (SFJ). Note the valve leaflets on the left image never oppose one another.
38 year old female with severe post thrombotic syndrome and severe venous ulceration for 8 years
71 year old female with a non healing ulcer on the left foot.
61 year old male, diabetic, developed a lateral right foot ulcer after a pedicure. The posterior tibial artery pulse was palpable.