Revised Venous Clinical Severity ScoreLoading...PainAbsent0Mild, Occasional, not restricting activities or requiring analgesics+1Moderate, Daily, moderate activity limitation, occasional analgesics+2Severe, Daily, severe activity limitations or requiring regular use of analgesics+3Varicose veinsAbsent0Mild, few scattered, branched varicose veins+1Moderate, Multiple great saphenous varicose vein continued to calf or thigh+2Severe, Extensive thigh and calf or great saphenous and lesser saphenous distribution+3Venous edemaAbsent0Mild, Evening ankle edema only+1Moderate, Afternoon edema, above ankle+2Severe, Morning edema above ankle and requiring activities change, elevation+3Skin pigmentationAbsent, None or focal, low intensity, tan0Mild, Diffuse, but limited in area and old, brown+1Moderate, Diffuse over most of the gaiter distribution, lower half, or recent pigmentation, purple+2Severe, Wider distribution, above lower half, and recent pigmentation+3InflammationAbsent0Mild cellulitis, limited to marginal area around ulcer+1Moderate cellulitis, involves most of gaiter area, lower half+2Severe cellulitis, lower half and above, or significant venous eczema+3IndurationAbsent0Mild, Focal, circummalleolar, <5 cm+1Moderate, Media or lateral, < lower third of leg+2Severe, Entire lower third of leg or more+3Number of active ulcersAbsent, No ulcers0Mild, 1 ulcer+1Moderate, 2 ulcers+2Severe, ≥ 3 ulcers+3Active ulcer durationAbsent0Mild, <3 mo+1Moderate, >3 mo to <1 yr+2Severe, Has not healed >1 yr+3Active ulcer sizeAbsent, None0Mild, <2 cm diameter+1Moderate, 2-6 cm diameter+2Severe, >6 cm diameter+3Compressive therapyNot used or not compliant0Mild, Intermittent use of stockings+1Moderate, Wear elastic stockings most days+2Severe, Full compliance+3