### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I m 35 and had Varicose Vein Surgery IN Both Legs But IN THE Right I Had A Lazer Inserted From My Inside Ankle Up To My Crotch Area About 4 Years ago. My right leg is always in pain and cannot go a day with out my compression socks on and is slightly bigger now then the left leg (just from the knee up)most of the pain is inside part of my leg. I just had ultra sound done on both my legs and they said everything is normal and to wear compression socks nothing else they can do. I feel too young to have this kind of constant pain in my leg. I m not over weight and exercise regularly when my leg feels o.k. Could it be something else causing the pain?

### output:

Hi, as you mentioned you have pain in your lets I will make a small understanding here. What happens is, when the muscle is weak the metabolism is faster and the fatigue in the muscles occur faster. Which leads to the lactic acid production and later a pain. Performing regular exercises and progressing from mild to moderate to severe levels is needed. Also a need of endurance training is needed to improve the cellular mechanism. Since the pain is not lowering down and constant it is, I would like to know the nature of the pain, if it is like burning, numbness, radiating, etc. then you should take the MRI of lumbar spine as the nerve may be getting trapped in the spinal column. For this you can improve the strength in your core muscles by performing core stability exercises and spine Strengthening exercises. Also strengthening the hip muscles is of importance as the stronger the muscles is the better the venous return. Exercise is a slow a steady process which will consume a lot of time for getting progress. You may need to even improve your cardiovascular response to exercise as it will even help to maintain the hemodynamics of the blood and help you perform well. Including cardiorespiratory training is good for lungs and to improve the oxygen levels in the blood for detoxification. You can discuss the same with your vascular surgeon with the grace of God I wish you a good health.