Advantages surgical treatment: the only treatment for advanced cases, the only radical way correction of deep vein valves.
Disadvantages of surgical treatment: traumatic (cosmetic defect), requires anesthesia, it is necessary to stay in the hospital for several days under the supervision of a surgeon.
Laser therapy (endovascular microthermocoagulation):
Indications: The combination of varicose veins with the following diseases: with diseases of cardio-vascular system(ischemic heart disease, high blood pressure), with peripheral vascular diseases (phlebitis, thrombophlebitis), with respiratory diseases (bronchial asthma, bronchitis, pleurisy), with diseases digestive system(cholecystitis, peptic ulcer of the stomach and duodenum), with diseases nervous system(traumatic brain injury, neuroinfections), with diseases genitourinary system(pyelonephritis, endometritis, salpingitis), with skin diseases (dermatitis, neurodermatitis), peritonitis, boils.
Contraindications: people suffering oncological diseases, diseases of the liver, kidneys and heart in the phase of decompensation, cerebral sclerosis, pregnancy.
Advantages: allows you to get rid of an unpleasant vascular pattern, fast procedure (15-20 minutes), does not require hospitalization, safe and painless, does not injure the tissue vessel and surrounding tissues.
Cons: not everywhere available method, an expensive method, when removing larger vessels, thermal tissue damage is possible, possible formation scars and depigmentation (lightening) of the skin at the sites of exposure.
Radiofrequency coagulation (ablation) of varicose veins:
Indications: varicose veins with damage to the trunk large and small saphenous vein, trophic ulcers as a result of varicose veins.
Contraindications: acute thrombophlebitis of the saphenous veins, inability to actively walk, pregnancy, mental disorders.
Benefits: without cosmetic defect, painless, does not require hospitalization, does not impair ability to work.
Disadvantages: The only disadvantage is the price of the procedure.
Sclerotherapy:
Indications: small varicose veins, large varicose veins using duplex dopplerography, varicose veins on early stages(in case of damage only to superficial veins.
Contraindications: pregnancy and lactation, allergy to sclerosant, deep vein thrombosis, pyoinflammatory diseases of the legs.
Advantages: lower cost compared to surgery, fast period recovery, does not require hospitalization (you can immediately go home), the best cosmetic result.
Weaknesses: possible hit in deep veins sclerosant, efficiency decreases due to mixing of the sclerosant with blood, ineffective in advanced cases.
Frequently asked Questions
How to treat varicose veins at home?
At home, ointments (pharmacy and home-made), lotions, compresses, foot baths, infusions and decoctions of herbs for internal use are used to treat initial varicose veins or prevent this disease. At severe symptoms diseases, these methods can be used as auxiliary. - Chestnut tincture
- Ointment with calendula
- Chamomile oil
This oil requires freshly picked chamomile flowers. They should be filled to the top with a half-liter bottle (preferably green or Brown), then pour them with 0.5 liters of any oil - olive, corn, hemp. Insist for a month, shaking occasionally. The oil is filtered before use. You can add menthol oil to it, tea tree, lavender, lemon. The mixture is applied in the morning and evening on the problem lung area massaging movements. With this composition, you can also make compresses (at least for the whole night).
- Compress with wormwood
The same compresses are made with hops, chamomile, succession, clover, oak and birch leaves, St. John's wort, horsetail, tricolor violet, yarrow. Plants can be used singly or in combination with each other. After the procedure, it is advisable to lie down for some time with raised legs, so that the effect of the compress is more pronounced.
Infusions and decoctions of these plants can also be used for foot baths. Their duration should not exceed 25 minutes, while the water should not be hot, but warm. The bath helps to remove pain in the legs, reduce swelling, burning sensation and itching.
- Means for internal use
- red clover
- succession
- Lingonberry, viburnum, wild strawberry, raspberry
- Coltsfoot
- Calendula
- Sophora japonica
- Melissa
- Lemongrass
- Hawthorn
Also, with varicose veins, bee pollen and honey have proven themselves well. bee pollen usually taken orally, and honey can be consumed both inside and make compresses with it (mixed with herbal decoctions).
How to treat varicose veins during pregnancy?
Pregnancy in many women provokes the development varicose disease veins. Treatment of this disease is carried out with the help of ointments, creams, gels. Among the ointments, it is necessary to choose those that remove swelling and heaviness in the legs. Asklezan, Venorutin, Lyoton are the most effective. They should be applied in a thin layer and rubbed into the affected area of the skin with upward movements 1-3 times a day.
You can also use the tools traditional medicine in particular to do foot baths with decoctions of various herbs - chamomile, calendula, hops, thyme, coltsfoot, oak bark, birch leaves.
Well relieve swelling of the legs compresses from cabbage leaves or raw grated potatoes. However, it must be remembered that compresses cannot be made with cellophane, waxed or parchment paper is best in this case - it does not create a greenhouse effect and the skin under it breathes. Such compresses can be left even overnight.
Separately, it should be said about drugs for oral administration. There are absolutely safe venotonic drugs that can be taken by pregnant women. These mainly include herbal products:
- Antistax
- Venoruton
- Troxevasin
- Detralex
- Vasoket
- Phlebodia
- Aescusan
However, a doctor should prescribe these drugs to pregnant women.
What ointments are effective in the treatment of varicose veins?
Ointments and gels play an auxiliary, but nevertheless an important role in the treatment of varicose veins. For self-treatment these drugs are used in the early stages of varicose veins. | № | A drug | Action | Method of application and the resulting effect |
| 1 | Venitan Forte jersey | Anti-inflammatory; venotonic; Preventing thrombosis; Healing. | Apply with light massaging movements (from bottom to top) 1-3 times a day. The course lasts up to 8 weeks. |
| 2 | Hepatrombin Can be used in combination with compression jersey | Improves blood supply; Improves the outflow of stagnant tissue fluid; Stimulates excretion harmful products metabolism; Improves skin nutrition. | Apply a strip of ointment 5 cm long to the affected area 1-3 times a day; rub with light massaging movements from the bottom up. In case of inflammation of the veins, do not rub, but apply in the form of an ointment bandage. The severity of edema, fatigue, heaviness, convulsions in calf muscles;
|
| 3 | Troxevasin | Increases the stability of capillaries; Reduces the permeability of the walls of venous vessels; Prevents the formation of blood clots; It has an anti-inflammatory effect. | With light rubbing movements, the gel is applied to the affected, but not damaged areas of the skin, in the morning and evening. Reduces swelling, pain, cramps in the legs. |
| 4 | Essaven gel | Reduces blood clotting; Increases the stability of the vascular wall; Improves tissue nutrition. | Lubricate the affected areas of the skin several times a day. The severity of edema, fatigue, feeling of heaviness in the legs, cramps in the calf muscles decreases. |
| 5 | Lyoton 1000 gel, Lyogel | Normalizes blood circulation in small veins; Prevents the formation of blood clots; Provides anti-edematous anti-inflammatory and analgesic action. | 3-10 cm of gel is applied with upward rubbing movements on the affected area of the skin 1 3 times a day. Reduced fatigue, feeling of heaviness in the legs; spasms in the calf muscles stop; edema disappears. |
| 6 | Fastum-gel | It has a pronounced analgesic and anti-inflammatory effect; Reduces capillary permeability; Helps reduce puffiness. | Apply 3-5 cm of gel to the affected area 1-2 times a day; duration of the course is 3 weeks. Pain disappears or decreases, a feeling of heaviness in the legs, swelling in the limbs. |
| 7 | Heparin ointment | Prevents the formation of blood clots; Regulates tissue permeability; Reduces blood viscosity. | The ointment is applied in a thin layer (3-5 cm) on the affected area of the skin 2-3 times a day and gently rubbed. Reduce or disappear swelling; the tendency to thrombosis is reduced. |
| 8 | Ginkor gel | | A small amount of the drug is applied to the skin 2 to 4 times a day and gently rubbed. Treatment course can last up to 4 weeks. Swelling, pain, cramps, a feeling of heaviness and numbness in the legs are significantly reduced or completely disappear. |
What cream is effective in the treatment of varicose veins?
The use of creams for varicose veins is justified only in the initial stages of the disease. The following creams are considered the most effective:| № | A drug | Action | Method of application and expected effect |
| 1 | Cyclo 3 cream | Reduces blood clotting; Improves blood flow; Prevents the development of inflammation; Normalizes the outflow of blood and lymph from the legs. | Apply the cream on the legs 2 times a day, rubbing gently from bottom to top for 2-3 minutes. The feeling of heaviness and numbness in the legs decreases; stop |
| 2 | Girudoven | Improves the condition of the venous walls; Normalizes vascular permeability; Promotes the dissolution of blood clots. | Apply and rub a large number of gel on the skin of the calves up to 5 times a day. The cream can be used for a long time. Reduces swelling, soreness and fatigue in the legs; |
| 3 | Venitan cream Can be used in combination with compression stockings | Provides anti-inflammatory new action; Promotes the resorption of blood clots; Improves the condition of the venous wall; Promotes healing of ulcers. | Apply with gentle rubbing movements (from bottom to top) 1-3 times a day. With trophic ulcers of the lower leg 1-3 times a day on the edges of the ulcer. The course of treatment lasts up to 8 weeks. Reduces swelling, feeling of heaviness, fullness and pain in the legs. |
| 4 | Venoruton Can be used with compression stockings | Reduces fragility of capillaries; Normalizes the permeability of the vascular wall; Prevents the development of inflammation; Reduces blood viscosity. | Apply 2 times a day with a thin layer on the affected areas of the skin of the legs; rub with massaging movements from top to bottom. Reduces fatigue when walking, pain and a feeling of heaviness in the legs; convulsions and swelling disappear. |
| 5 | Cream-balm for feet with horse chestnut | Reduces fragility of blood vessels; Increases the tone of the venous wall. | Apply 2-3 times a day without getting out of bed. The treatment course is 6-8 weeks. Reduces swelling, pain, fatigue in the legs. |
| 6 | Doctor Wen. Venotonic foot cream | Increases the tone of the venous walls; Normalizes vascular permeability; Improves nutrition of surrounding tissues. | Apply to the skin with light rubbing movements 2 times a day. The course of treatment can last up to 8 weeks. The swelling of the legs decreases, the feeling of fatigue and heaviness in the legs disappears, the elasticity of the skin increases. |
| 7 | Foot cream with cooling effect | Normalizes the permeability of the vascular wall and increases its tone; Helps improve the nutrition of surrounding tissues. | Apply to the skin of the calves with gentle rubbing 1-2 times a day for 6-8 weeks. Reduced pain and feeling of heaviness in the legs; there is a feeling of pleasant cooling. |
What are the effective folk methods of treating varicose veins?
Most Popular folk remedies treatment of varicose veins can be used in the form of decoctions, ointments, lotions and compresses; Some herbs also help when taken orally.- Lilac tincture
Deep veins differ from superficial veins in that do not lie between the muscles and the skin, but in the thickness of the muscle tissue. This includes such vessels as large and small tibial, gastrocnemius, soleus and others. Most of blood flow to the heart passes through the deep veins, which makes violations of their functioning especially painful.
Varicose veins are characterized by a malfunction of the venous valves, in which there is a reverse flow of blood (reflux), which provokes congestion.
Stagnation of blood in the vessels leads to an increase in pressure on their walls, reaching maximum values at the lower points of the veins.
At further development diseases appear venous nodes ("asterisks"), which aggravate its course.
The following factors contribute to the increase in the likelihood of the development of such processes:
- heredity: congenital weakness of the venous walls and valves;
- sedentary lifestyle;
- constant standing in a standing position;
- overweight;
- allergies and dermatitis;
- neuroendocrine disorders;
- pregnancy;
- taking hormonal drugs.
Symptoms of deep vein varicose veins of the lower extremities
Since deep veins run through muscle tissue, a person cannot detect any disturbances in their functioning with a simple external examination.
But reflux in this group of vessels, as a rule, accompanies superficial varicose veins, that is, the expansion of deep veins is manifested by clearly visible external signs.
Varicose veins have an impact on well-being. Man experiencing feeling of swelling in the lower extremities, more precise localization of which depends on which vessels are damaged.
Puffiness increases as the legs get tired and reaches its peak in the evening. At night, cramps can occur, especially often they occur in the calf muscles.
Reference: active and short-term activity (light walking, running) relieves swelling and minimizes pain, as it helps to increase the tone of venous valves. The most negative effect on the vessels affected by varicose veins is standing still and sitting.
As the disease progresses, the incidence increases pain, they become aching and dull.
With concomitant reflux in the superficial veins, there are all the standard signs of varicose veins:
- the occurrence of cyanotic vascular asterisks;
- their increase in size;
- atrophy of the skin;
- the appearance of ulcers.
Varicose veins are not life-threatening in and of themselves, but the diseases they provoke can be fatal. In the absence of treatment, it develops- inflammation of the inner wall of the vein. It is characterized by the formation of blood clots that break away from the walls of blood vessels and block their lumen.
They can also get into pulmonary artery, provoking her thromboembolism - a condition with severe consequences up to death.
Thrombophlebitis of internal veins is especially dangerous because the volume of blood passing through them is an order of magnitude greater than the blood flow of external vessels.
Photo symptoms
Diagnostics
A phlebologist is responsible for studying the state of the vessels, it is he who directs the patient to diagnostic measures.
Manual palpation is useless in determining the expansion of internal veins, but it is carried out to look for accompanying external varicose veins.
In any case, the patient is assigned standard tests:
- general and biochemical analysis blood;
- Analysis of urine.
The most common diagnostic method is. Ultrasound can detect inflammation in both internal and superficial veins. Ultrasound has two varieties: and. Doppler ultrasound is prescribed to patients in common cases, referral for angioscanning is given to clarify the diagnosis.
Additional diagnostic methods include sonography, revasographic examination, occlusive plethysmography, photoplethysmography, phlebography.
Treatment Methods
The most effective (but relatively painful) treatment is holding.
Surgical intervention necessary in those cases when conservative methods do not give results, and varicose veins tend to develop into serious complications.
Important: operations are not carried out in the presence coronary disease, during the course of heavy infectious processes, pregnant women and the elderly.
Current treatment for deep vein varicose veins lower extremities(and not only) is eliminated the following types interventions:
- . It involves the removal of the affected part of the vein. Although phlebectomy is performed mainly for varicose veins of the superficial veins, modern microsurgical methods allow operations on the internal venous system as well;
- . Under the influence of radiation, the vein sticks together and resolves. This is a minimally invasive and painless method, but it is effective only for small scale varicose veins;
- . The method is similar to the previous one in its minimally invasiveness, here reflux venous blood it is prevented due to the destruction and collapse of the vascular wall during thermal action on it;
- . The method involves the introduction of an adhesive into the vein, which leads to a complete blockage of its lumen and the disappearance of the vessel, followed by its replacement. connective tissue. Although this operation is painless, it is ineffective in the treatment severe forms varicose veins.
Medicines
With deep vein varicose veins, the use of external agents is necessary only to eliminate concomitant reflux of superficial vessels, but they will not be able to penetrate the muscle tissue and have an effect on main area localization of the disease.
A disease such as varicose veins in the legs requires a careful and balanced approach to treatment. These are not only medical and surgical therapeutic methods, but also the observance of certain rules necessary to consolidate therapeutic effect and prevention of recurrence of the disease in the future.
One of these rules is the observance of a healthy diet for varicose veins in the legs. Therefore, let's talk about the features of the diet for this disease.
is an ailment characterized by the deformation of the veins. Asterisks, bulging swollen and knotty venous vessels - perhaps everyone knows these external signs ailment.
However, not everyone knows the process of their occurrence. The structure of the veins in the legs is such that it suggests the presence of valves that act as a kind of dampers that regulate the flow of blood from the lower extremities to the heart.
Valves at normal functioning provide a natural flow of blood upwards, but if there is a failure in their work, then the blood flow becomes reversed (downward), resulting in stagnation of blood.
Further, pressure builds up, and blood is pushed out of the deep veins into smaller superficial ones.. The system of these vessels is not able to contain blood in such volumes, because of this, their walls stretch, expand, lose elasticity.
It is the consequence of this process that visual manifestations of varicose veins on the skin of the legs are.
What does deformed venous vessels look like?
There are a large number of factors that increase the likelihood of developing the disease.. Here it can be distinguished as various diseases, physiological features and an unhealthy lifestyle.
Treatment of pathology involves a complex scheme, including, (depending on the severity of the disease) methods, as well as wearing compression underwear, exercise, diet.
Diet - principles and goals
Diet for varicose veins of the lower extremities occupies an important place in the entire treatment process.
It is based on the consumption of products that help normalize blood circulation, accelerate lymph flow and prevent the formation of congestion.
The diet for varicose veins should be balanced with the rules of cooking and eating.
In addition, correctly selected and balanced menu necessary to achieve the following goals:
- Getting rid of excess weight as one of the causes of varicose veins.
- Normalization of blood flow.
- Providing the body essential vitamins, minerals.
- Significant reduction in the load on the affected veins.
- Removal of toxic substances from the body, due to which many vital organs are cleansed.
Certain products can stop the progression of the disease and even start the healing process of the body. Therefore, you should know which of them need to be included, and which are best excluded from the diet.
The catering rules are as follows:
- exclude products that cause puffiness and weight gain (marinades, smoked foods, fatty, sweet);
- consume fruits, vegetables, dairy products to reduce blood viscosity;
- organize fasting days a couple of times a week (limit food intake and increase water intake);
- eat small meals every 3-4 hours, which will speed up the metabolic processes. At the same time, breakfast is mandatory, and dinner 3 hours before bedtime;
- food should be cooked in a gentle way, that is, baked, stewed or boiled;
- give up smoking, alcohol.
Separately, it is worth mentioning the drinking regimen, since it occupies a special place in the diet for this disease.
Drinking regimen is an important component of the diet
reference. The amount of fluid you drink per day should be not less than 1.5 l, and this does not include soups and various drinks.
An increase in fluid intake is necessary so that the blood does not thicken and congestion does not occur, as this slows down blood circulation and increases the risk of blood clots.
Healthy foods
At the heart of nutrition this disease products must be high content fiber, vitamins, bioflavonoids, proteins, trace elements.
Based on this, useful products for varicose veins are:
- Fruit- apricots, cherries, pears, apples, citrus fruits.
- Berries- raspberries, blueberries, currants.
- Bread- grain, black.
- Vegetables- beets, cabbage, tomatoes, sweet peppers.
- Greenery- sorrel, parsley, spinach, dill, celery.
- Honey- an additive to tea.
- Cereals- wheat, buckwheat, barley, oatmeal, rice.
- Vegetable first meal.
- lean meat- chicken, rabbit, veal.
- Low-fat dairy products- cottage cheese, sour cream, kefir.
- Seafood, sea fish a.
- Beans - peas, soya beans, beans, lentils.
- Vegetable oil- sunflower, linseed, olive.
- nuts- especially hazelnuts, almonds, cashews.
- Dried fruits- dates, prunes, raisins, dried apricots.
Vegetables, fruits, cereals and dairy products form the basis of the diet
As for drinks, in this case it will be useful juices, green tea, compote, fruit drink.
Reference. Drinking non-carbonated water is a must.
harmful products
With varicose veins, it is harmful to consume those foods that cause fluid retention in the body and increase body weight.
It is worth noting that it is impossible for varicose veins and those products that have a negative effect on the veins and the circulatory system as a whole.
| Food and drinks | Description and what are harmful |
| Fatty meat | Promotes the formation of cholesterol and increases blood viscosity |
| Aspic, broths | Extractive substances in the composition thicken the blood |
| Smoked, pickled food | Retains fluid in the body |
| Any canned food | Dyes and preservatives have a toxic effect on blood vessels |
| Sweet (cakes, flour) | Contain a large amount of carbohydrates and are prohibited for patients with overweight. If body weight is normal, then you can eat, but in compliance with the norm |
| salty food | Due to salt, the liquid is delayed and puffiness appears. Should be cooked without salt, you can add a very small amount before eating |
| Seasonings (spicy) | Negatively affect blood vessels |
| alcohol | Dehydrates the body. The patient's condition worsens (increased pain, severity) |
| Chicory | This drink serves as an alternative to coffee for people with high blood pressure. However, with varicose veins, it is prohibited, as it contributes to the expansion blood vessels |
| Black tea, coffee | Prohibited in pathologies of the cardiovascular system |
Separately, it is worth touching on the question of why in this case the favorite drink of many is prohibited - coffee.
In no case should you drink coffee with varicose veins
Reference. Coffee and varicose veins are incompatible things.
The fact, coffee is able to reduce the tone of the vascular walls, resulting in a decrease in their elasticity.
If there are no problems with the veins, then coffee is not capable of causing harm. But again, this does not mean that you can drink it without knowing the measure. Any product is useful only in those quantities in which it is necessary for the body.
But if available, coffee contributes to their greater expansion, which leads to an aggravation of the process of the disease.
Top 10 most effective products
The most useful products for varicose veins on the legs, which have a beneficial effect on the condition of the vessels due to the rich content of various substances, are:
Almonds are one of the most healthy nuts containing vitamin E and antioxidants
- almond- strengthens the walls of blood vessels and eliminates pain;
- blueberry- normalizes blood circulation;
- apples– has an anti-inflammatory effect and improves blood circulation;
- grape- reduces swelling, strengthens blood vessels;
- oranges- strengthening of blood vessels;
- a pineapple- contains a substance that breaks down fat. Normalizes blood circulation, eliminates soreness and swelling;
- horse chestnut- has a vasoconstrictive effect and copes well with puffiness;
- salad- eliminates inflammatory processes inside;
- buckwheat- promotes blood circulation;
- brown rice- reduces excessive pressure, helping to reduce pain.
It is desirable that such products be in the human diet during the period of treatment of the disease. In addition, nutrition with the inclusion of these products will be good in the future.
Alcohol for varicose veins: why not
Drinking alcohol dehydrates the body, and the more you drink, the more. Therefore tissues and blood vessels begin to experience a lack of water and oxygen.
Alcohol is contraindicated in varicose veins
This leads to metabolic disorders which results in swelling and heavy load to the veins of the lower extremities.
Reference. Beer and varicose veins, however, like any other alcoholic drink not the best combination, because it exacerbates the course of the disease.
In addition, alcohol with varicose veins can provoke. It negatively affects red blood cells: they break down and stick together, forming blood clots.
Thus, there are complications that pose a threat to human life.
Conclusion
Food for varicose veins should be balanced and healthy. A specialist should draw up a diet, based on the age, weight, and lifestyle characteristics of the patient.
It is not worth ignoring advice and pampering yourself with prohibited foods, because the most expensive thing a person has is at stake - his health. In addition, it’s hard to call it a diet, it’s just right healthy eating which will be useful to a healthy person.
Varicose veins veins in the lower extremities is the expansion of the superficial veins in the legs, which is accompanied by impaired blood flow and valve function.
In women, varicose veins in the legs are more common than in men, which is associated with hormonal changes during puberty, pregnancy, breastfeeding, and menopause. Also, the difference between male and female varicose veins in localization, which is especially pronounced in the perineum.
Causes
Varicose veins of the lower extremities in about 15% of cases appear due to a predisposition to the disease. In other cases, the disease is due to excessive stress on the veins. Factors associated with the development of the disease can be called:
- sedentary lifestyle without normal muscle activity;
- age over 40;
- work in a sitting position;
- pregnancy (along with varicose veins of the legs, both can develop, etc.);
- the use of hormonal drugs, including contraceptives;
- high cholesterol;
- weight above the norm;
- flat feet;
- diseases of the spine;
- smoking and alcohol abuse;
- abuse of visiting the sauna and solarium;
- constant taking hot baths;
- constant lifting of heavy objects;
- excessively tight clothing;
There is also secondary varicose veins, which appears on the background of cured or thrombophlebitis, and also due to congenital pathologies eg dysplasia or arterio-venous fistulas. Very rarely seen congenital obstruction veins, which leads to secondary varicose veins and is called the Klippel-Trenaunay syndrome.
The following video contains useful information on the cause of varicose veins in women:
Symptoms
Varicose veins appear even at an early stage and are accompanied by the following symptoms:
- heaviness in the lower extremities;
- dilated veins, from nodes to large conglomerates;
- feeling of tiredness in the legs;
- convulsions, aggravated in a standing position, decreasing when lying down;
- pain, aching and bursting nature;
- burning sensation;
- swelling, especially pronounced in the foot, ankle and lower leg;
It is noteworthy that the symptoms intensify in the evening.
A striking sign of varicose veins is that the veins seem to disappear if you lie down or raise your legs, and expand in a standing position. Spider veins can also be observed, which are often not given special attention. Spider veins are dilated capillaries that are visible through the skin.
Diagnostics
Diagnosis can be carried out even at the first visit to the doctor, since dilated veins are clearly visible. However, to confirm the diagnosis and check for complications, additional research:
- An-s blood of a general nature. The level of erythrocytes shows a thickening of the blood, leukocytes - the presence of thrombophlebitis, and the level of platelets - the presence of blood clotting diseases.
- Leg ultrasound. Confirms varicose veins, shows its localization.
- Reovasography. Determines the stage of the disease.
- Phlebography. If previous studies have not helped to confirm varicose veins, intravenously administered contrast agent to assess the condition of the venous system.
Additional studies and consultations with phlebologists may also be prescribed. Next, we will talk about what to do and how to treat varicose veins in the legs in women and men.
Treatment
Therapeutic
Therapeutic treatment is carried out in conjunction with surgical, or when:
- patient with chronic form preparing for the operation;
- the operation is postponed indefinitely;
- rehabilitation after surgical treatment;
Therapeutic methods are aimed at the maximum safety of the patient's performance, the elimination of signs of the disease, as well as the prevention of its recurrence. The methods include compression and drug therapy.
Compression therapy consists of wearing elastic bandages, compression hosiery and bandage. Thus, the pressure generated by compression therapy helps:
- reduce the diameter of the veins;
- increase lymphatic drainage;
- speed up blood flow in the veins.
Medical
Drug therapy is aimed at increasing the tone of the veins, reducing capillary permeability, improving lymphatic drainage and microcirculation, as well as stopping inflammatory process. For this, the patient is prescribed drugs:
- alpha benzopropines;
- flavonoids;
- derivatives of routine;
- pycnogenols;
- saponins;
Surgical
Surgical treatment is the most effective. There are several operations that allow you to get rid of varicose veins. Previously applied open operation, which is now carried out less and less, as it is often complicated and difficult to tolerate by patients. Most in demand right now:
- Microphlebectomy. I make punctures on the lower extremities, after which the affected areas are removed. In this case, the operation is carried out using a video camera that transmits the image to the monitor.
- Sclerotherapy. The operation involves the introduction of a drug that glues the walls with the disappearance of the veins. The operation is especially effective for spider veins and reticular varicose veins.
- laser removal. The most popular method of treatment, since it is inexpensive and does not entail complications, can treat both varicose veins and trophic ulcers. The venous walls are heated with a laser, after which they dissolve.
- Radiofrequency obliteration. The method is safe and is accompanied by a simple rehabilitation period. The operation consists in heating a metal probe by means of microwave radiation. The heated probe destroys the inner lining of the vein.
The operation should be selected with the attending physician in order to avoid possible complications.
Read on to learn how to get rid of varicose veins in the legs and whether this is even possible with the help of folk remedies.
The doctor tells about sclerotherapy as a method of treating varicose veins of the lower extremities in the following video:
Is it possible to treat folk remedies
It is impossible to completely cure varicose veins with folk remedies. All folk remedies are aimed at thinning the blood and improving microcirculation, which has no particular effect on varicose veins.
However, folk remedies can help relieve the symptoms of the disease, so they can be used in conjunction with traditional means prescribed by the doctor.
At home
Treatment of varicose veins in the legs at home is to follow the doctor's recommendations. In the initial stages, varicose veins can indeed be cured without surgery and with the help of medicines, therapeutic gymnastics and compression therapy. It will be useful to attend a massage and follow preventive measures.
And now it's time to talk about the prevention of varicose veins in the legs.
In more detail about the possibility of treating varicose veins in the legs at home, the following video will tell:
Disease prevention
It is impossible to completely prevent the appearance of varicose veins, however, it is realistic to reduce the possibility of its occurrence with the help of preventive measures:
- give up bad habits;
- do not abuse alcohol;
- do therapeutic exercises;
- visit a massage if possible;
- avoid heavy loads on the veins;
Also, with a large load on the veins, it is necessary to wear compression stockings, visit a phlebologist and take venotonics.
Complications
Improper treatment of varicose veins leads to complications. So, in about 22% of cases, the appearance of trophic ulcers is observed, and in 25% - thrombophlebitis. If the varicose veins themselves do not pose a threat to the life of the patient, then its complications require urgent treatment.
Complications of varicose veins include:
- Thrombophlebitis. May develop into thrombosis.
- Trophic ulcers. Without treatment of the cause, ulcers do not heal and constantly recur, carrying unbearable pain.
- Thromboembolism. Without treatment, it develops into cardiac or respiratory failure and leads to death in half the cases.
There may also be individual symptoms, such as severe pain and general deterioration health status.
Forecast
The prognosis for treatment is very favorable. More than 80% of patients fully restore their working capacity with the right and timely treatment illness. With secondary and complicated varicose veins, the performance decreases in about half of the patients.
Varicose veins of the deep veins of the lower extremities most often develop in people who are engaged in sedentary work after 40 years. The development of varicose veins is associated with a loss of elasticity of the venous valves. As a result of stretching of the valves, the direction of the blood flow is disturbed and stagnation of blood in the veins is possible. In addition to impaired blood flow, varicose veins cause concomitant diseases. This is thrombosis, narrowing of the inner diameter of the veins, phlebitis, the development of arteriosclerosis.
Symptoms of deep varicose veins of the lower extremities - heaviness in the legs, pulling pain in the calf muscles, a change in gait to a heavier one, the rise on the foot during walking is less pronounced. The gait becomes elephantine because the movement of the foot and the high instep of the leg cause severe drawing pain.
Be sure to pay attention if the legs hurt, as after a heavy load, but without a load.
If the pain in the legs does not go away for several days, this definitely signals problems with the vessels. With edema, a feeling of heaviness in the legs, cramps during sleep, it is urgent to consult a doctor and start treatment. You should not limit yourself to ointments and gels “from tired legs”, no matter what miracles advertising promises. Need to complex treatment the entire cardiovascular system.
Diagnosing deep vein problems
Varicose veins of deep veins are quite difficult to recognize at an early stage. External veins located under the skin begin to protrude and deform, which is noticeable to the eye. The first symptoms of varicose veins - spider veins on the skin, then the veins of the veins become visible. Painful sensations from varicose veins appear only with a strong expansion, when the veins are no longer able to independently return to normal volume and begin to protrude above the skin.
V severe cases varicose veins protrude in swollen clusters and may even be visible under clothing. For the tone of the veins, it is recommended to wear it, which does not allow the veins to swell greatly. In combination with special drugs and venotonic agents, this can cause swollen blood vessels to return to normal sizes and restore elasticity.
Deep veins are surrounded on all sides by muscle tissue, their deformation can only be seen on ultrasound. It is impossible to visually recognize the danger and start taking appropriate medications.
Of course, deep veins are better protected due to the location inside muscle arrays that perform compression functions. Varicose veins are primarily affected by external veins that do not have such support. As a result of more difficult diagnosis, the treatment of deep vein varicose veins of the lower extremities is much more difficult.
Treatment of deep vein varicose veins of the lower extremities
Unfortunately, deep vein varicose veins is already a neglected disease. On the initial stage diagnosis is nearly impossible in most cases. A doctor can diagnose problems with deep vessels by chance if you undergo an annual comprehensive examination.
When problems with pressure are identified and examined circulatory system implicit symptoms of deep vein varicose veins of the lower extremities can be detected before the appearance of pain and obvious symptoms.
If you have a scheduled employee health examination at work, do not treat it negligently and try to undergo full-fledged examinations, this really helps to identify diseases that are difficult to diagnose in the early stages. An experienced doctor will pay attention to problems with pressure and prescribe drugs to prevent the development of vein diseases.
Note! Quite often, deep vein varicose veins are preceded by disease of superficial blood vessels. When treated with properly selected medicines, deep veins are also treated at the same time. V preventive purposes, when treating superficial varicose veins, give preference to drugs for internal use, not limited to therapeutic ointments and compresses.
Treatments for deep varicose veins
- If there is a danger of inflammation of the veins, special anti-inflammatory drugs are prescribed. such as Indomethacin or Diclofenac.
- Blood-thinning drugs help restore normal circulation. Trenal, Venolife are the most commonly prescribed drugs in this group. In extreme cases, for example, after drinking alcohol, ordinary or succinic acid is suitable for blood thinning.
- To strengthen the walls of blood vessels and restore elasticity, it is possible to use angioprotective drugs. These funds include the well-known Askorutin, Aescusan, Venarus, Troxevasin.
- Additional pain relievers are prescribed by the doctor if necessary. It is not recommended to choose a remedy for pain relief for varicose veins on your own.
Compresses, decoctions, folk remedies
For the treatment of varicose veins of the internal veins of the lower extremities, folk remedies are used. These are nettle decoctions and foot compresses from nettle leaves, hawthorn tincture, clay masks and foot baths with sea salt. Use folk remedies only on the recommendation of a doctor.
Prevention of the development of varicose veins
How to prevent the development of deep vein varicose veins of the lower extremities
First of all, you need to put your heart in order. Varicose veins are not the main disease, but always only concomitant with diseases of the cardiovascular system. To prevent varicose veins, it is desirable to pay attention to the condition of the heart muscle. But with manifestations of varicose veins - it requires self-treatment.
Varicose veins of the deep veins of the lower extremities - insidious and hidden dangerous disease, which affects more than 50% of middle-aged people and more than 80% of older people. It is necessary to take care of the health of the veins and the cardiovascular system in advance in order to keep the legs healthy and the gait easy for as long as possible.
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