Conversation: The conversation between human and AI assistant.
[|Human|] I am a 53 yr old lady,since the past 15 days i have been suffering from severe pain in both my calf muscles and they are also hard. I get severe pain when i get up and start walking and there are some hard knots in and around the calf muscles and ankles. Please advice. Warm regards, Nandita
[|AI|]  Hello, I would suggest you visit a doctor to get examined for the symptoms of pain and hard knots is suggestive of varicose veins. It is not uncommon in women, and particularly who are in professions like teaching which requires standing for a long period of time. The condition can be easily diagnosed using color Doppler scan which an is an ultrasound scan. This investigation gives a clear picture of blood flow in the lower limb and is non-invasive.  After a documented diagnosis is made treatment can be planned depending on severity. The treatment options include the use of compression stockings, chemotherapy or various surgical procedures. Hope I have answered your query. Let me know if I can assist you further.