The author is a plastic surgeon specializing in the treatment of chronic lower extremity wounds, but is also responsible for medical care as a podiatrist, promoting our outpatient clinic as "foot outpatient clinic". We have the most frequently encountered patients, with varix-or skin-lesion-free chronic venous insufficiency, complaining of numbness, pain, or swelling. Many patients did not have any obvious venous lesion, and the symptoms may have been related to lower extremity venous hypertension associated with functional lower-limb muscle pump failure related to shortening of the walking time or sedentary behaviors, anterior foot lesion-related digitoplantar dorsiflexion hypofunction, or structural muscle pump failure related to a limitation in the range of motion in the ankle joint. Management involving a combination of phlebology and podiatry is useful for relieving these conditions. Currently, for venous ulcer treatment, the prevention of recurrence is emphasized rather than primary healing. For further amelioration, the management of daily life lower extremity venous hypertension, which cannot be evaluated based on consultation on a hospital visit alone, may also be necessary. To achieve this, the introduction of digital healthcare, such as the assessment of daily motions with IoT devices, is useful