Revised Venous Clinical Severity Score (rVCSS)
Calculator
When to use
Pain or other discomfort, such as aching, heaviness, fatigue, soreness, or burning (presumes venous origin)
None
Occasional, not restricting regular daily activities
Daily, interfering with but not preventing regular daily activities
Daily, limiting most regular daily activities
Varicose veins (≥ 3 mm in diameter)
None
Few: scattered (isolated branch varicosities or clusters); includes corona phlebectatica (ankle flare)
Confined to calf or thigh
Involves calf and thigh
Venous edema (presumes venous origin)
None
Limited to foot and ankle area
Extends above the ankle but below the knee
Extends to knee and above
Skin pigmentation (presumes venous origin); does not include focal pigmentation over varicose veins or pigmentation due to other chronic diseases (vasculitis purpura)
None or focal
Limited to perimalleolar area
Diffuse over the lower third of calf
Wider distribution above the lower third of calf
Inflammation (more than just recent pigmentation, including erythema, cellulitis, venous eczema, and dermatitis)
None
Limited to perimalleolar area
Diffuse over the lower third of calf
Wider distribution above the lower third of calf
Induration (presumes venous origin of secondary skin and subcutaneous changes, such as chronic edema with fibrosis, hypodermitis); includes white atrophy and lipodermatosclerosis
None
Limited to perimalleolar area
Diffuse over the lower third of calf
Wider distribution above the lower third of calf
Active ulcer number
0
1
2
≥ 3
Active ulcer duration (longest active)
< 3 months
3 months to < 1 year
Not healed for > 1 year
Active ulcer diameter (largest active)
< 2 cm
2–6 cm
> 6 cm
Use of compression therapy
Not used
Intermittent use of stockings
Wears stockings most days
Full compliance: stockings
Calculation
Please enter all the required inputs.