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.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
71 year old female with a non healing ulcer on the left foot.
46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.