what is the occupation??,and as this is a mechanical problem surgery is the best treatment,
MANAGEMENT: rest,elevation of the extremity(use of elastic stocking),avoid anything that impedes venous returnsuch as(wearing garters,tight girdles,crossing the legs at knees,and prolonged sitting and standing,encourage ambulation for atleast 5min. every hour,include whole food grains,fresh fruits,vit.C,protein rich diet,fish garlic,{onion(D.O.C.},ginger,pineapple,avoid red meat
TREATMENT:
BRAHMI is the drug of choice given for 4 continous weeks[10-20ml twice daily alongwith jasad bhasma
-have a mixture of carrot and spinach juice daily
-wearing stocking at night helps
-halasana,pawanmuktaasana,and sarvangasana are of proven help