Venous Clinical Severity Score, VCSS

1. Pain

Absence of pain

Episodic pain, does not limit activity, does not require the use of medical painkillers

The pain occurs daily, reduces activity, it is necessary to periodically take analgesics

Daily pain that significantly limits physical activity and requires regular painkillers

2. Varicose veins

Not noted

Single, separately located varicose tributaries

Multiple varicose tributaries, expansion of the trunk of the VPV or MPV on the thigh or lower leg

Pronounced varicose veins on the thigh and lower leg, expansion of the trunks of the large and small saphenous veins

3. Swelling

Missing

Evening swelling of bones

Daytime swelling above the ankles

Morning, above the bones, requires active movements and elevation of the affected limb

4. Skin pigmentation

Lack of pigmentation

Limited, old plot

Recent, noted on the lower third of the lower leg

Recent, more than a third of the lower leg

5. Inflammatory process

Missing

In a limited area

Within the ankle-foot joint

A common inflammatory process

6. Induration

Absent

Local (less than 5 cm)

Less than a third of the tibia

More than a third of the lower leg

7. Number of open ulcers

There are no ulcers

One

Two

More than two

8. Duration of open ulcers

There are no ulcers

Less than 3 months

From 3 months to 1 year

They do not heal for more than 1 year

9. Dimensions of open ulcers

There are no ulcers

Up to 2 cm in diameter

From two to 6 cm

More than 6 cm in diameter

10. Compression therapy

Not applicable

Used from time to time

During the day

Around the clock with elevation of the limb

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