How to treat varicose veins

Legs of woman without varicose veins

Varicose veins are a common disease characterized by an increase in the lumen of the blood vessels, malfunction of the valve apparatus and the appearance of reverse blood flow. The pathological process can be located in different places, so there are several types of disease:

  • expansion of the veins of the esophagus;
  • rectal veins (hemorrhoids);
  • small pelvic veins;
  • spermatic cord veins (varicocele);
  • veins of the lower extremities.

Varicose veins in the legs are considered the most common. It is estimated that more than 30% of the population suffers from it, the majority being women. Varicose veins on the legs are not only ugly protruding veins, but also many unpleasant sensations and inconveniences. The pathological process is accompanied by severity, pain, edema, and often leads to dangerous complications: thrombophlebitis, thrombosis, trophic ulcers. Many would like to know how to get rid of varicose veins for good, as it significantly impairs the quality of life. But, unfortunately, this phenomenon is irreversible and the only thing that can be achieved is to stop or slow the development of the disease.

Reasons

The causes of varicose veins are not yet clearly understood. The disease is understood to be associated with thinning, weakness, and loss of elasticity of the vascular wall, as well as incompetent valves. As a result, the veins are unevenly dilated, stretched, elongated, twisted, nodular. It is believed that a genetic predisposition plays a decisive role in the onset of the disease, that is, from birth, weak vessels and defective valves.

There are a number of factors that contribute to the development of varicose veins, although they are not their causes:

  • Heredity (according to experts, the risk of the disease in people whose parents have it is up to 70%).
  • Being a woman. This is due to hormonal changes during puberty, during pregnancy and during menopause, in addition to taking hormonal contraceptives and wearing high heels.
  • Work activity associated with prolonged stay on the legs or in a sitting position (hairdressers, salespeople, surgeons, waiters, drivers, accountants, programmers and others).
  • Old age, in which the weakening of the walls of the blood vessels and the wear of the valve apparatus is a natural phenomenon.
  • Operational interventions.
  • Sedentary lifestyle.
  • Increased intra-abdominal pressure due to being overweight, pregnancy, lifting heavy objects (loaders, weightlifters), frequent exertion with chronic constipation and cough.

Treatment methods

Varicose veins are a chronic process that begins gradually and only progresses over time. To date, it is impossible to completely defeat the disease, but it is possible to slow down development and reduce symptoms if we apply comprehensive treatment, including:

  • lifestyle change;
  • diet;
  • physical therapy exercises;
  • compression therapy;
  • medicines (for internal and local use);
  • surgical intervention;
  • thermal procedures;
  • popular methods.

You will have to fight varicose veins all your life. Don't self-medicate. It is necessary to be examined by a phlebologist or vascular surgeon, who will diagnose, determine the stage of the disease and the severity of the injury, and prescribe the appropriate treatment. The main task is to eliminate or reduce clinical manifestations, stop progression, prevent relapses and the development of complications.

The effectiveness of the treatment will depend on the patient's compliance with all the doctor's recommendations. It is important to seek help at an early stage, when there is still no pain, but evening edema, heaviness and fatigue of the legs, small spider veins on the skin have appeared.

Lifestyle correction

Without changing your lifestyle, it is impossible to effectively combat varicose veins. The rules to follow are completely banal and non-compliance with them is often associated with a lack of willpower or an irresponsible attitude towards health.

  • Maintain a normal body weight.
  • Separate yourself from bad habits: alcohol and smoking.
  • Refusal to sunbathe, visit steam rooms and saunas, take hot baths (including foot baths).
  • Rejection of high heels (no more than 4-5 cm).
  • He's wearing a special stretch shirt.
  • Provide physical activity. It can be walking, swimming, physical therapy exercises, some sports. The main thing is to exclude squats, lifting weights, running long distances, jumping, martial arts.
  • Proper nutrition. The diet should contain more fresh vegetables, fruits, herbs, whole grains, and seafood. It is recommended to reduce the amount of meat. It is necessary to give up smoked, fried, salty, fatty. Of the drinks, give preference to green tea, clean water, fruit drinks, fresh natural juices and limit coffee.
  • Take every opportunity during the day to raise your legs at an angle of about 20 degrees.
  • Buy a special pillow for your legs, so that they are above the level of the heart during sleep.
  • Try to rinse your feet with cold water as often as possible.

Compression therapy

The special stretch jersey is available today in a great variety. These are knee-high stockings, stockings, stockings of different colors and densities, which practically do not differ from ordinary ones. They have become a good alternative to elastic bandages, uncomfortable to wear and apparently unsightly.

The special T-shirt can not treat varicose veins, but it improves microcirculation, reduces stress on veins,Special device for putting on compression garments. prevents blood pooling, reduces the diameter of blood vessels, increases venous blood outflow andlymphatic. A person feels lightness in the legs, at night he tires less, there is no swelling.

At first it will be difficult without the habit of putting compression stockings on hand. To simplify your task, you can buy a special device.

There are four kinds of medical knitwear, depending on the pressure applied. You can only use products of the first compression class, which are considered prophylactic and intended rather for healthy people. The rest must be prescribed by a doctor, depending on the diagnosis and severity of the varicose veins. You should be aware that compression products may be contraindicated for certain diseases. Pantyhose or stockings are selected by a doctor strictly in accordance with the size, otherwise the desired effect will not be.

Medications

For the treatment of varicose veins, tablets and external agents in the form of gels, creams and ointments of diverse spectrum of action are used. They increase vascular tone, improve microcirculation, promote blood flow and prevent skin changes. The medications are designed to relieve fatigue, heaviness, discomfort, swelling, itching, cramps, and pain in the legs. Their appointment is strictly individual.

Application of healing cream on legs with varicose veins

The main means of treating varicose veins are venotonics. They are made from horse chestnut, rutin, grape leaves and are almost always well tolerated by patients. Available in the form of tablets, capsules, gels.

Anticoagulants are used to reduce the viscosity of the blood and reduce the likelihood of thrombophlebitis. These are ointments with cooling additives in the form of menthol, camphor, eucalyptus. In addition to thinning the blood, they prevent the development of thrombophlebitis.

Antihistamines may be prescribed for itchy skin changes. For inflammation, non-steroidal anti-inflammatory pills are prescribed.

Surgery

To get rid of varicose veins, operations are performed to remove the affected part of the vessel in order to stop the discharge of blood from the superficial to the deep vein. The operation is called a phlebectomy. In its classic form, it is used less and less today in connection with the emergence of new, less traumatic ways of treating varicose veins. Such treatment, as a rule, is indicated for large diameter veins and advanced cases of the disease.

A gentler method is microflebectomy, in which a section of a vein is removed in parts and not through an incision, but through a puncture.

Thermal methods

Radiofrequency ablation is a low-traumatic method of treating varicose veins

Radiofrequency ablation is considered the safest and least traumatic method of treating varicose veins, although it has some contraindications. The method consists of the thermal effect of microwaves, as a result of which the venous lumen is closed. Key benefits:

  • outpatient treatment;
  • without the need for anesthesia and incision;
  • recovery does not take long;
  • The
  • procedure is easily portable;
  • can be done in summer;
  • no bruising after treatment, swelling and pain are mild.

Laser coagulation is another method of treating varicose veins. During the procedure, a laser is applied to the wall of the vessel. The radiation causes the adhesion of the walls of the veins and the complete closure of the lumen. It is performed on an outpatient basis under local anesthesia without incisions. A catheter is inserted into the lumen of the vein, through which an LED is inserted and radiation is delivered. The procedure is less traumatic, complications are very rare.

Sclerotherapy

deep vein thrombosis

This non-operational method is one of the most common. It is used in small veins and as part of a complex treatment in conjunction with a surgical procedure. The bottom line is that a special drug with a sclerosing effect is injected into a vein with a fine needle. As a result, the vessel walls stick together, close, and stop blood flow. The affected vein turns into a fibrous cord. The main advantages of the method:

  • outpatient treatment;
  • low invasiveness;
  • ease of execution;
  • duration of the procedure: approximately 20 minutes;
  • good cosmetic effect.

Traditional methods

Walnut tincture

Pour chopped green walnuts into a glass dish and pour with olive oil. Put in the sun for 40 days. Apply as needed, lubricating the affected area. Continue the treatment for about four months.

Cabbage leaf

Beat a cabbage leaf, apply a layer of olive oil on one side, apply this side to the affected area, bandage and leave to act for a day. Continue the treatment for a month.

Physical therapy is an integral part of complex treatment for varicose veins

Horse Chestnut

This is one of the most effective home remedies. For the treatment of varicose veins, a tincture is prepared from the fruits of the plant, which must be crushed, half filled in a glass container (three liters) and filled with vodka. Remove to a dark place for a month, stir from time to time. When you're ready, rub the sore spots overnight. Chestnut alcohol tincture for external and internal use with varicose veins can be purchased at the pharmacy.

Exercises

When varicose veins appear, the question may arise whether it is possible to do physical education and sports and what exercises are useful. Most doctors agree that physical activity in such a disease is very important, as dynamics are good for the veins and static is bad. But it's just as important to check with your doctor about what kinds of sports you can do and what kinds of loads will be optimal. Also, the patient can be shown special therapeutic exercises, which are carried out directly in a medical institution. At home, you can also do simple but effective exercises that, with regular exercise, will help reduce the symptoms of varicose veins.

  1. Lie on your back, put pillows under your feet so that they rise at an angle of 20 degrees. Close your eyes, relax completely, breathe deeply.
  2. In the supine position, lift your legs vertically and alternately turn your feet in and out.
  3. Lie on your back and move your legs as if you were on a bicycle.
  4. Lying on your back, raise your legs and cross them (scissors).
  5. Stand upright, with your lower arms and legs together. Slowly get up on your toes and then go down just as slowly.
  6. Walk in place, don't rip your socks off the ground.
  7. Sitting on a chair, bend your ankles towards you and away from you, then bend your toes in the same way.
  8. Pour an elastic stream of water over the legs (alternately hot and cold).

Conclusion

Varicose veins are an irreversible process, but they must be treated without fail, especially since there are quite a few modern methods that must be used in combination. Without treatment, there is a high risk of developing complications such as chronic venous insufficiency, phlebitis, thrombophlebitis, thrombosis, trophic ulcers, and even a condition so dangerous that it can result in death, such as pulmonary embolism.

10.11.2020