All about the treatment of varicose veins of the legs

Symptoms of varicose veins in the legs and treatment depend on each other.When varicose veins on the legs just start to develop, they can be stopped by taking special drugs and using creams.They will help weakened blood vessels regain their previous tone.If the signs of varicose veins in the legs begin to appear stronger, i.e. If spider veins and severe swelling appear, then it is worth using hardware therapy that restores normal blood circulation.

Not all patients know how to properly treat varicose veins on the legs without surgery.Some suggest that taking herbs and using homemade ointments can help, but this is only a small part of the methods for treating varicose veins on the legs, effective in the early stages of the disease.When the symptoms of varicose veins on the legs become permanent, you need to consult a doctor who will prescribe the necessary medication and advise how to treat a particular patient.We will further consider the most popular methods of treating varicose veins of the lower legs (VLVC).

Drug therapy

As we mentioned before, the shape of varicose veins affects its treatment characteristics.In the first stage, doctors try to survive with drug therapy.One of its advantages is the absence of direct surgical intervention.But even if the varicose veins on the lower legs have entered the second stage, you should not stop taking the medicine.They will help increase blood flow in varicose veins and prevent further stretching of the vascular walls.

Ointment and gel

These drugs increase the tone of the blood vessels in the legs.It can be used to treat veins located close to the surface of the feet.If the disease affects deep veins, then ointments and gels will not help, because they cannot penetrate the muscle barrier.Treatment of varicose veins on the legs is carried out with the following drugs:

• Ointment whose main active ingredient is flavonoids (rutin derivatives).Taking tablets with this active ingredient is considered the most effective, but the gel can also help overcome the early stages of varicose veins.
• Medicine based on horse chestnut.Apply 2 times a day on damaged vessels.
• The gel is designed to relieve tiredness in the legs.Has a cooling effect.
• Another herbal preparation, the main active ingredient is an extract from grape leaves.
• A drug containing a synthetic derivative of vitamin P. Strengthens blood vessels, reduces swelling, and helps in the treatment of rosacea.

Tablets and capsules

If the dilatation of the veins in the legs continues or during the examination reveals that the patient has weak and thin veins, then the doctor prescribes tablets.

Injection

If the patient has small veins that are affected, then the treatment of varicose veins on the lower leg can be carried out by administering various drugs that have a gluing effect on the vessels.Often, iodine-based products or synthetic sclerosing agents are used.The advantage of these drugs is that they do not provoke thrombosis, but only burn the walls of the vessels.Injections with animal protein can also be used, but they are used very rarely.

Procedure

Varicose veins of the lower leg cannot always be cured with injections and conventional medicines.In advanced stages of the disease, hardware intervention on the affected vessels will be required.The point of all procedures is to stop or eliminate the affected vein.If the patient has contraindications to the use of lasers, nitrogen and other chemicals, then the destroyed vessels are surgically removed.When treating varicose veins, patients may be referred to:

• sclerotherapy;
• phlebectomy;
• radio frequency ablation;
• compression therapy;
• laser freezing;
• endoscopic surgery;
• cryosurgery;
• ozone therapy.

Each treatment method has positive and negative characteristics and is only suitable for certain types of varicose veins.Hidden varicose veins on the lower back are rarely treated with surgery.In this case, the only effective way to remove it is to use a clip on the entire surface of the vein.This surgery is very complex and is rarely performed if the vasodilation is life-threatening.

Sclerotherapy

Varicose veins on the lower legs can be treated with sclerosants.They damage the vessel, which leads to further drought.Strands after the introduction of the sclerosant form after 2-4 months, but the patient sees the first advantage of the procedure 10-15 days after the operation.The most significant advantage of this procedure is the absence of incisions in the skin.There are also minuses.Not all patients have damaged veins removed from the bloodstream.In about 30% of patients, it regenerates, and the disease continues to progress.Stages of sclerotherapy:

1. The area where the solution is introduced is disinfected.
2. If necessary, anesthetic is given.
3. Using a syringe with a thin needle, phlebologists make injections into varicose veins and spider veins.
4. After the procedure is completed, an elastic bandage is wrapped around the leg, and the patient is sent to walk for 40 minutes.
5. The elastic bandage is removed by the doctor the day after the procedure.

Phlebectomy

When conservative treatment for varicose veins in the legs does not help at all, there is a risk of developing chronic venous insufficiency (CVI) in the lower part of the legs and minimally invasive methods to affect the veins do not produce results, the doctor refers the patient for phlebectomy.This operation is performed to remove large bundles of areas of blood vessels that are too wide.The patient must be given anesthesia.Often, doctors use combined phlebectomy.The operation is carried out as follows:

1. Crossectomy.The patient is made a small incision in the groin area, where the base of the damaged superficial vein is located.The venous valve is disconnected and the duct is ligated.
2. A second incision is made at the bottom of the foot or ankle.Its length is 1.5 cm.Through the resulting hole, a metal probe is inserted into the damaged vein.It is installed at the opposite end of the ship.If it is impossible to go through the entire vein to the end, then several incisions are made and several probes are inserted.
3. Stripping.The damaged vein is pulled out through an incision.The tip edge, through the probe, plays the role of a knife.It frees the vessel from the surrounding tissue.
4. Miniphlebectomy.If the vein is generally healthy, but there is a node, then it is removed through a special point marked for incision.Veins and tributaries are tied.
5. sewingThen the puncture site and incision are sutured, a compression bandage is applied, and the patient is transferred to the ward.

Phlebectomy may include one or more stages, or all of them.The number of procedures depends on the degree of neglect of the disease.Modern clinics practice laser phlebectomy.The essence of the operation remains the same, but instead of a special surgical instrument, a laser is used.The advantages of this method are obvious.The incision itself becomes smaller, and the patient's recovery is faster.But it cannot be used at all stages of varicose veins.

Radiofrequency ablation

To get legs without varicose veins, you don't have to sacrifice the beauty of your skin.Using radiofrequency ablation, you can get rid of damaged blood vessels in minutes.Through a small puncture, high-frequency radio waves are sent through a special needle into the vein.They injure the vessel wall, which leads to its reduction and replacement with connective tissue.The patient was in the hospital for 1 day only.

Compression therapy

This procedure is performed for varicose veins in the legs in the early stages.A special rubber suit is placed on the patient, and then air is pumped into it.Artificial pressure is created on the veins, which helps restore their tone.Some patients note that after undergoing a course of compression therapy, the amount of cellulite on their body has decreased.

Laser freezing

This is a modern method of treating leg veins.It is characterized by low tissue trauma, so many patients try to get this particular procedure.The essence of the operation is that the laser light guide is inserted into the damaged vein through a small size, which seals it.Doctors need to carefully move the device along the entire vessel.After surgery there are no scars or other side effects.

Endoscopic surgery

When expanding the sural and perforator veins, this method of surgical intervention is used.With varicose veins on the lower legs, patients often experience trophic ulcers.By itself, damage to the sural or perforated veins cannot trigger the appearance of skin disorders.This disease develops against the background of circulatory failure.To normalize it, endoscopic surgery is performed.Stages of the procedure:

1. The drumstick is cut in the upper third.The width of the incision is 2 cm.The surgeon also opens the fascial sheath, and then, using a spatula, creates a cavity where the endoscope is inserted along with the instrument.
2. Isolation and removal of veins.
   • Gasless method.The vein is isolated and cut by the surgeon using optical control.
   • Gas method.Carbon dioxide is injected into the wound.A cavity is formed in the wound, where all the veins to be removed appear.
   • sewing

Cryosurgery

When treating veins in the legs, exposure to low temperatures can be used.This method is considered completely safe, but it is rarely used, because... There is no guarantee that varicose veins will disappear completely after such therapy.Contrary to popular belief, the operation does not use any chemicals, but a cryoprobe.It cooled to a certain degree, which caused the ship to burn.Inexperienced doctors can damage the tissue located next to the vessel during surgery.

Ozone therapy

When the first symptoms of varicose veins on the lower legs occur, some doctors recommend using physiotherapeutic treatment.The essence of the procedure is that ozone is injected intravenously.This medicine is given a strict dose, because too much can cause damage to blood cells.The effects of ozone therapy are the same as other treatment methods that damage blood vessels.

Medical knitwear

For symptoms of varicose veins in the legs, doctors prescribe wearing compression garments for treatment.The doctor should help you choose a knitwear and level of compression.For lower segment varicose veins, it is recommended to wear level 2 compression underwear. The blood pressure will be 32 mmHg.If you are just thinking about how to deal with varicose veins on your legs, but you have no visible signs of the disease, then for the sake of experiment you can buy underwear with the first level of compression.Knitwear 3 and 4 degrees of compression can be purchased at the pharmacy only with a doctor's prescription.

Traditional medicine

When treating varicose veins on the legs using a prescription from a healer, you need to be careful.First, some plants and herbs thin the blood.If your platelet and hemoglobin levels are normal, then it cannot be treated.Second, no payment can replace drug therapy.You cannot refuse to take medicine.For varicose veins, the following recipes are considered effective:

• A mixture of garlic and oil.The garlic along with the skin is crushed into a paste, and then mixed with 2 tablespoons of butter.The resulting composition is applied to the diseased vein overnight, parchment paper is placed on top and wrapped with a scarf.
• Potatoes.5 raw root vegetables peeled and then grated.The resulting pulp is used instead of ointment.It is kept on your feet for 4 hours and then washed off with warm water.
• Kalanchoe colored.Kalanchoe leaves are washed, placed in a jar and filled with a 70% alcohol solution.Infuse the composition for 14 days.After this, the resulting tincture is smeared on the feet every day.The procedure is carried out for 3-5 months.

Hirudotherapy

In the early stages of varicose veins of the legs, patients with "thick" blood are referred for treatment with leeches.The effects of the procedure will not appear immediately.It is necessary to complete at least 5-6 sessions to see the first improvement.2 leeches are placed in the area most damaged by varicose veins, and then another pair is attached along the entire length of the vein.The course of treatment is repeated every 3 months.

Prevention of varicose veins

First of all, everyone needs to learn how to sit properly.Turning the lower limbs and crossing the legs more traditionally leads to the fact that the blood flow in the veins is disturbed.As a result, under the influence of physical forces, vessels stretch and varicose veins on the lower leg appear.The good news is that at this zero stage the progression of the disease can be reversed, but not everyone is ready to give up the habit.Methods to prevent varicose veins in the superficial veins of the lower extremities include:

• Climbing.The more a person walks, the better the blood circulation in the veins.In addition, this method helps to get rid of excess fat reserves and increase overall endurance.
• Foot and leg massage.It can be done during breaks between jobs.You need to gently and lightly massage your toes, shins and thighs.Do not put too much pressure on your legs, because... if you have a congenital tendency to varicose veins, you can worsen the condition of the blood vessels.
• Contrast shower.It is beneficial for the whole body, but if you are not comfortable taking it, you can only treat your feet.
• Compress with herbal decoction.Chamomile, calendula, St.John's wort and other plants normalize blood flow and relieve muscle tension.
• Apple cider vinegar based rub/wrap.This ingredient is found in almost every kitchen.Apple cider vinegar has an irritating effect on blood vessels.It causes them to contract, which helps restore the muscle cells in the wall.But this method should not be used if you have an injury to your leg.Apple cider vinegar is not used in pure form, but mixed with water 1:1.
• Wear comfortable clothes and shoes.You need to choose your items according to size.Don't wear very tight jeans or uncomfortable high heels.
• Gymnastics.Office workers can do exercise to improve blood flow even sitting in a chair.You can simply raise your legs straight or bent at the knees, but it is better to walk near your workplace.

Diet and nutrition

At all stages of varicose veins, it is necessary to adhere to a balanced diet.Foods with high cholesterol content should be excluded.If the patient likes beef or pork, then he should not fry it in oil.It is allowed to bake or boil fatty meat.Doctors recommend eating more foods that contain protein, magnesium, calcium and selenium.This includes legumes, almost any type of fruit, and walnuts.

Therapeutic exercises for varicose veins

Non-surgical treatment of varicose veins on the lower leg includes doing certain physical exercises.It is allowed to do squats, leg swings and any exercise that involves working with your own body weight.It is necessary to completely exclude from training exercises with large weights (50-60 kg), flexion and extension of the body on a chair, and long runs.The most effective exercises for varicose veins:

• Scissors and a bicycle.Do it at an average pace, lying on the floor.
• Rotational movement of the legs.You need to stand up, take support with your hands, lift one leg, take it to the side and start twisting it.5 movements are performed inwards, and 5 movements are performed outwards.
• Roll while standing from toes to heels.

Stretching and warming up always start with the upper body.You can not immediately start active training or warm up only your legs, because... this will not help to improve the condition of the vascular system.You can also walk in place.If your body mass index is significantly higher, it is recommended to lose weight first and then start exercising.