These are not lymph.
Look like lipomas or neurofibromas or another subcutaneous lumps.
Not sure how long you had them for?
Not sure if your health otherwise is fine with no weight loss or loss of appetite?
Not sure if your recent blood tests of CBP, ESR, LFT and KFT are normal?
All the best.
J G S R clinic.
The photo shows a prominent, tender swelling on the lower leg (likely calf or shin area), and you mention multiple lymph nodes appearing more prominently during walking/standing, along with pain in the lower leg while walking. At 34 years old, this pattern is not normal and strongly suggests chronic venous insufficiency with varicose veins / venous stasis leading to secondary lymphadenopathy and leg heaviness/pain.
Common causes fitting your description:
• Dilated superficial veins (varicose) → pooling of blood → swelling of lymph nodes (reactive) during prolonged standing/walking
• Venous hypertension → mild inflammation → pain/heaviness in lower leg muscles
• No redness, heat, or fever mentioned → low chance of acute infection (cellulitis/DVT)
• Multiple nodes + worse with activity → points to venous/lymphatic congestion rather than malignancy or TB (which usually have persistent hard nodes, fever, weight loss)
This is very treatable in most cases with conservative measures, but needs proper evaluation to rule out DVT or deeper venous issues.
Next Steps
1. See a doctor within 3–5 days (do not wait longer):
• Best specialist: Vascular surgeon or Interventional radiologist (experienced in venous diseases)
• Or General surgeon / Dermatologist who handles varicose veins
• In India (common in most cities): look for “Venous clinic” or “Varicose vein specialist”
2. Likely tests/treatment the doctor will do:
• Doppler ultrasound of both lower limbs (venous Doppler) — gold standard to check superficial/deep veins, valve incompetence, clot (DVT), perforators
• Lymph node USG if needed (to see if reactive or suspicious)
• Blood tests — D-dimer (if DVT suspicion), CBC, CRP (inflammation)
• Compression stockings (Class 2 or 3) — most important first treatment
• Elevation + lifestyle advice
• If large varicosities → sclerotherapy or laser/RFA later
Health Tips
• Immediate relief (start today):
• Leg elevation — lie down with legs raised above heart level 15–20 min, 3–4 times/day
• Wear compression stockings (below knee, Class 2, 20–30 mmHg) during day — buy from pharmacy (brands: Vissco, Tynor, Sigvaris)
• Avoid long standing/sitting — take 5 min walk every hour
• Warm compress on swollen areas 10 min twice daily
• Pain & swelling control:
• Paracetamol 650 mg as needed
• Topical Voltaren gel / Diclofenac gel (Moov, Volini) on painful areas
• Avoid tight socks/shoes
• Lifestyle (critical to prevent worsening):
• Walk 30–45 min daily (breaks up pooling)
• Reduce salt — less pickles, papad, processed food
• Drink 2.5–3 liters water
• Lose weight if overweight (even 5 kg helps venous pressure)
This is almost certainly venous-related — once diagnosed with Doppler and started on compression + elevation, most people see significant relief in 2–6 weeks.
For a complete plan (which compression stocking brand/size in your city, exact Doppler test wording for doctor, best vascular specialist in your area, when to do sclerotherapy if needed), please book an online consultation with me — I’ll guide you step-by-step so the swelling and pain reduce fast and you avoid complications.
Looking forward to helping you walk comfortably again — book now and let’s get this sorted quickly
If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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