This test is often performed to evaluate painful, edematous legs, nocturnal leg cramps, painful or bleeding varicose veins, venous ulcers, to name a few potential clinical scenarios.  Depending on the results of the study and the patient’s symptoms, a therapeutic strategy is initiated, which typically involves compression hose prior to consideration of ablative techniques which are also performed in the outpatient/office setting. For active ulcers, it is often best to proceed to ablation therapy.