Physician Information

Lymphedema Clinical Classification

  • Subclinical/Stage 0: There is an excess interstitial fluid but no clinically apparent lymphedema. Extremity feels full or heavy.
  • Stage 1: Edema pits on pressure and swelling largely or completely disappears on elevation and bedrest. Puffy appearance to the extremity.
  • Stage 2: Edema does not pit and does not significantly reduce upon elevation. Extremity appears spongey.
  • Stage 3:¬† Edema associated with irreversible skin changes, fibrosis, papillae.

Venous insufficiency classification:


CEAP Clinical Score Description
C0 No visible or palpable varicose veins
C1 Telangectasia (Thread veins / Spider veins / Broken veins)
C2A Varicose veins without any symptoms (Asymptomatic)
C2S Varicose veins with symptoms
C3 Swollen ankle (oedema) due to varicose veins or hidden varicose veins (venous reflux)
C4 Skin damage due to varicose veins or hidden varicose veins (venous reflux)
C5 Healed venous leg ulcer
C6 Venous leg ulcer

Clinical Classification of acute limb ischemia

Category I

  • Prognosis Not immediately threatened
  • Sensory Loss None
  • Muscle Weakness None
  • Artery Audible
  • Vein Audible

Category II

  • IIa Marginally
  • Prognosis Salvageable if promptly treated
  • Sensory Loss Minimal (toes)
  • Muscle weakness¬† None
  • Artery Often audible
  • Vein Audible
  • II b Immediately
  • Prognosis Salvageable with immediate revascularization
  • Sensory loss More than toes
  • Muscle weakness Mild, Moderate
  • Artery Usually inaudible
  • Vein Audible

Category III

  • Prognosis Major tissue loss or permanent nerve damage inevitable
  • Sensory loos Profound anesthesia
  • Muscle weakness Profund paralysis
  • Artery Inaudible
  • Vein Inaudible