<s>[INST] possible explanation for painful small, reddened lumps on lower legs, warm to hot to the touch, swelling of lower leg/ankle...ongoing for several months...dermatologist and primary doctor have no ideas...have tried topical ointment by dermatologist-no improvement...worsened when on my feet [/INST] Hi,Dear,Thanks for the query to HCM. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data,you seem to have varicose lumps with varicose eczema,which worsens when you go on your feet.Treatment -Rest /Elevation / Venous Stockings till the eczema or venous ulcers heal/Endolaser gel and foam venous ablation treatment would resolve the issue permanently.Hope this would resolve your issues.Act fast.So keep cool and Consult your ER Ortho and Vascular Surgeon, if need be , who would treat it accordingly.So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to HCM and be comfortable to resolve your health issues.Welcome for any more query in this regard to HCM.Write good reviews and Click thanks if you feel satisfied with my advise.Have a Good Day.Dr.Savaskar M.N. </s>