hi, thank you for providing the brief history of you A thorough clinical examination is advised followed by a Doppler test. As you are facing with vascular condition, you need to under go a clinical examination post which we can actually come to a conclusion is the problems are related to any clot in the vascular system leading to abnormal signs and symptoms. In my clinical practice most cases responds well to a combination of medication and physical therapy. As most vascular conditions when treated with a combination of medication and physical therapy response is good. Also, for vascular condition exercises play an important role as with the help of exercises the muscles function better and the vascular insufficiency can be corrected. Regards Jay Indravadan Patel