Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. Your father seems to suffer from-Advanced DVT with accompanying Varicose Veins with Welts and doubled up legs. Though your father is on warfarin is mismanaged and neglected case, as the extreme DVT changes have grown up currently and would need meticulous treatment on following lines- a-Reduce the DVT extension by proper warfarin and related treatment with proper INR maintenance. b-Rest and Elevation with Vein Stockings for 6-12 weeks-to regress venus edema with ulcers in 2-3 mths time. c-Assessment of the DVT and Varicose Veins with Vascular Surgeon to rule out any A-V Fistula causing serious Varicose Vein in your father s case. d-Planning Correction of the Venus Regurgitant flow by-Correcting Incompetant Venus Valves and blocking the leaked out perforators in your father s case.USG with Color Doppler study would resolve the causes and would help in evaluationg line of treatment on the line suggested herewith. EVLT(EndoVenusLaser Treatment) with Foam Coils sclerotherapy would fix these issues at expert hands of Vascular Vein Surgeon in 6-9 mths time. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS