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Medication allergies:
Penicillin:
If yes, what activity requires prolonged periods of standing?
If yes, how many times during the day do you have to sit or take a break due to aching, cramping, burning, itching or swelling in the lower extremities?
If yes, how any days in a two week period of time do you take the medication?
If yes, How long? Please provide dates.
If yes, did the stockings result in a significant improvement of symptoms?
Please describe as completely as possible any physician’s names, clinic names and dates of treatments, as well as any prior vain therapy that you have undergone.
What conservative therapies have been utilized in an attempt to decrease your leg symptoms, and for how long (give specific dates or timeframes)?
Have you ever been diagnosed with blood clots, sometimes referred to as phlebitis?
Have you ever experienced bleeding from the veins that was difficult to stop?
Have you ever had a sore on your legs that took longer to heal than you would normally expect?