Comparison of Signs and Symptoms of
Venous Insufficiency and PAD*
Symptom
Venous
Arterial
Leg Cramps
Pain Occurs
Relief with
Compression Stockings
Swelling
Gangrene
Ulcer Location
Ulcer Border
Hair Loss
Restless Legs
Pedal Pulses
Numbness/Paresthesias
nocturnal, at rest
at rest**
elevation
improve
yes
no
mid calf to ankle
pink, white
yes
yes
normal
can occur
daytime - with activity
with activity
dependent position
worsen
no
yes
distal to ankle
black
yes
no
diminished
can occur
*PAD: Peripheral Arterial Disease
**Exception: venous claudication: leg pain with activity
due to severe venous congestion.
Cardiovascular surgeon
Vein Specialist