All about the treatment of varicose veins of the legs

Apply a medicinal ointment to the legs for varicose veins

Symptoms of varicose veins on the legs and treatment depend on each other. When varicose veins on the legs have just begun to develop, it can be stopped by taking specialized medications and applying creams. They will help weakened vessels restore their former tone. If the signs of varicose veins in the legs began to appear stronger, eg. spider veins and severe edema appear, so it is worth resorting to apparatus therapy that restores normal blood circulation.

Not all patients know how to properly treat varicose veins in the legs without surgery. Some suggest that taking herbs and using homemade ointments can help, but these are only a small part of the methods for treating varicose veins on the legs that are effective in the early stages of the disease. When the symptoms of varicose veins on the legs become permanent, it is necessary to consult a doctor who prescribes the necessary medications and advice on how to treat a particular patient. We will also consider the most popular methods for the treatment of varicose veins of the lower limbs (VLD).

Pharmacological therapy

As mentioned above, the shape of varicose veins affects the features of its treatment. In the early stages, doctors try to get by with drug therapy. One of its advantages is the absence of direct surgery. But even if the varicose veins of the lower limbs have passed to the second stage, you can not stop taking the drugs. They will help improve blood flow with varicose veins and prevent further stretching of the vascular wall.

Ointments and gels

These funds increase the tone of the blood vessels in the legs. They can be used to treat veins that are close to the surface of the legs. If the deep veins are affected by the disease, ointments and gels will not help, because they cannot penetrate the muscle barriers. Treatment of varicose veins on the legs is carried out with the following drugs:

  • Ointment, the main active ingredient of which is a flavonoid (a derivative of rutin). Taking tablets with this active ingredient is considered the most effective, but the gel can also help to cope with the initial stage of varicose veins.
  • Horse chestnut medicine. Apply 2 times a day on damaged vessels.
  • Gel designed to eliminate the feeling of tiredness in the legs. It has a cooling effect.
  • Another herbal preparation, in which the main active ingredient is an extract of grape leaves.
  • The drug contains a synthetic derivative of vitamin R. It strengthens blood vessels, reduces edema and helps in the treatment of rosacea.
Application of the gel for varicose veins

Tablets and capsules

If the expansion of the veins in the legs progresses or during the examination it was revealed that the patient has weak and thin veins, doctors prescribe pills.

Injections

If the patient has small affected veins, then the treatment of varicose veins of the lower extremities can be carried out by introducing various drugs that have a gluing effect on the vessels. Most often, iodine-based products or synthetic sclerosing substances are used. The advantage of these drugs is that they do not provoke thrombosis, but simply burn the vascular wall. Injections with animal proteins can also be given, but they are used very rarely.

Procedures

The expansion of the lower limb veins cannot always be cured with conventional injections and medications. In the advanced stages of the disease, a hardware effect on the affected vessels will be required. The essence 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, the destroyed vessels are surgically removed. When treating varicose veins, the patient may be referred to:

  • sclerotherapy;
  • phlebectomy;
  • radiofrequency ablation;
  • compression therapy;
  • laser coagulation;
  • endoscopic dissection;
  • cryosurgery;
  • ozone therapy.
Sclerotherapy

Each method of treatment has positive and negative characteristics and is suitable only for a specific type of varicose veins. Latent varicose veins of the lower extremities are rarely treated with surgery. In this case, the only effective way to eliminate it is to apply clips to the entire surface of the vein. The operation is very difficult and is extremely rare if the vasodilation threatens the patient's life.

Sclerotherapy

Varicose veins of the lower limbs can be treated with sclerosing agents. They damage the ship, which leads to its further drying. After the introduction of the sclerosant, the stumps are formed in 2-4 months, but patients notice the first advantages of the procedure 10-15 days after the operation. The most significant advantage of this procedure is the absence of incisions on the skin. There is also a downside. Not all patients have a damaged vein closed off from the bloodstream. About 30% of patients regenerate and the disease continues to develop further. Stages of sclerotherapy:

  1. The solution administration area is disinfected.
  2. If necessary, an anesthetic is given.
  3. With a syringe with a fine needle, the phlebologist makes injections into the dilated veins and spider veins.
  4. At the end of the procedure, an elastic bandage is wrapped around the leg and the patient is sent for a 40-minute walk.
  5. The elastic bandage is removed by the doctor one day after the procedure.

Phlebectomy

When conservative treatment for varicose veins on the legs does not help at all, there is a risk of developing chronic venous insufficiency (CVI) of the lower limbs, and minimally invasive methods of affecting the veins do not work, doctors refer the patient to phlebectomy. This is done to remove large bundles of overly dilated sections of blood vessels. The patient should be given anesthesia. Most often, doctors resort to combined phlebectomy. The operation is performed as follows:

  1. Crossctomy. 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 disrupted and the vessels are ligated.
  2. A second incision is made in the lower leg or ankle. Its length is 1. 5 cm. A metal probe is inserted into the damaged vein through the resulting hole. At the opposite end of the ship, it is fixed. If it is impossible to pass through the entire vein to the end, several incisions are made and several probes are inserted.
  3. Striptease. The damaged vein is pulled through the incision. The edge of the tip passed through the probes acts as a knife. Free the ship from surrounding tissues.
  4. Miniflebectomy. If the vein is generally healthy, but there are knots, they are removed through special points marked for incisions. The veins and tributaries are linked.
  5. Sewing. Then, sutures are applied to the puncture and incision sites, compression bandages are injured, and the patient is transferred to the ward.
Phlebectomy

Phlebectomy can include one or more stages or all. The number of procedures depends on the degree of neglect of the disease. In modern clinics, laser phlebectomy is performed. The very essence of the operation remains the same, but instead of specialized surgical tools, a laser is used. The advantages of this method are obvious. The incisions themselves become smaller and patients recover faster. But not at all stages of varicose veins can be applied.

Radiofrequency ablation

To have varicose-free legs, you don't have to sacrifice the beauty of your skin. With the help of radiofrequency ablation, you can get rid of damaged vessels in a couple of minutes. Through a small puncture, high-frequency radio waves are transmitted through a special needle into the veins. They injure the vessel wall, which leads to its reduction and replacement by the connective tissue. The patient is in the hospital only 1 day.

Radiofrequency ablation

Compression therapy

This procedure is performed with varicose veins in the legs of the initial stage. A specialized rubber suit is worn on the patient, then air is injected. Artificial pressure is created on the veins, which contributes to the return of their tone. Some patients notice that after undergoing a course of compression therapy, the amount of cellulite on their body has decreased.

Compression therapy

Laser coagulation

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

Laser coagulation

Endoscopic dissection

When the surural veins and perforators are dilated, this method of surgery is used. With varicose veins of the lower extremities, trophic ulcers are often observed in patients. By itself, the defeat of the sural or perforating veins cannot provoke the appearance of skin disorders. This ailment develops against the background of circulatory failure. To normalize it, endoscopic dissection is performed. Stage of the procedure:

  1. The lower leg 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, forms a cavity into which the endoscope and instruments are inserted.
  2. Isolation and removal of the vein.
    • Way without gas. The veins are exposed and cut by the surgeon using optical control.
    • Gas method. Carbon dioxide is injected into the wounds. In the wound, a cavity is formed, in which all the veins to be removed appear.
    • Sewing.

Cryosurgery

Cold temperatures can be used to treat leg veins. The method is considered completely safe, but it is rarely used, because there is no guarantee that varicose veins will completely disappear after such therapy. Contrary to popular belief, the operation does not use chemicals, but a cryoprobe. It has cooled to some extent, which leads to a burn of the ship. An inexperienced doctor can damage the tissues located near the vessel during the operation.

Cryosurgery

Ozone therapy

When the first symptoms of varicose veins in the lower limbs occur, some doctors recommend physiotherapy. The essence of the procedure is that ozone is injected intravenously. The drug is strictly dosed, becauseToo much can damage blood cells. The effect of ozone therapy is the same as that of other treatments that damage blood vessels.

Medical shirt

With the symptoms of varicose veins of the main veins of the legs, doctors prescribe the use of compression underwear for treatment. A doctor should help with the choice of knitwear and degrees of compression. In case of segmental varicose veins of the lower limbs, it is recommended to wear underwear of the 2nd degree of compression. Your blood pressure will be 32mm Hg. If you are just thinking about how to deal with varicose veins on the legs, but you have no visible signs of the disease, then for the sake of experimentation you can buy underwear with the first degree of compression. Knitwear with 3 and 4 degrees of compression in pharmacies can only be purchased by prescription.

Medical knitwear for varicose veins of the legs

ethnoscience

When treating varicose veins in the legs with the help of recipes from healers, you need to be extremely careful. First, some plants and herbs thin the blood. If platelet and hemoglobin levels are normal, they cannot be treated. Second, no tax can replace drug therapy. You can't refuse to take drugs. For varicose veins, the following recipes are considered effective:

  • A mixture of garlic and oil. The garlic, along with the peel, is crushed into a gruel and then mixed with 2 tablespoons of butter. The resulting composition is applied to the diseased veins at night, parchment paper is placed on top and wrapped in a scarf.
  • Potatoes. 5 raw root vegetables are peeled and then grated. The resulting gruel is used instead of the ointment. It is kept standing for 4 hours, then washed off with warm water.
  • Kalanchoe tincture. Kalanchoe leaves are washed, placed in a jar and poured with a 70% alcohol solution. Insist on the composition for 14 days. Subsequently, the resulting tincture is applied to the feet every day. The procedures are carried out for 3-5 months.

Hirudotherapy

In the early stages of varicose veins in the legs, patients with "thick" blood are referred to treatment with leeches. The effect of the procedure will not appear immediately. It is necessary to perform at least 5-6 sessions to notice the first improvement. 2 leeches are placed on the area most damaged by varicose veins, then a couple more are attached along the entire length of the vein. The course of treatment is repeated every 3 months.

Hirudotherapy

Prevention of varicose veins

First of all, absolutely all people must learn to sit correctly. The twisting of the lower limbs and the more traditional throwing of the legs on the legs leads to the fact that the blood flow in the veins is disturbed. As a result, under the influence of physical forces, the vessels stretch and varicose veins of the lower extremities appear. The good news is that in this zero stage, the progression of the disease can be reversed, but not all people are willing to give up the habit. Methods for the prevention of varicose veins of the lower extremities include:

  • Hiking. 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 stamina.
  • Foot and leg massage. It can be done between jobs. It is necessary to massage slowly and easily with the toes, lower leg and thigh. Do not put too much pressure on your feet, because with a congenital tendency to varicose veins, it is possible to worsen the condition of the blood vessels.
  • Cold and hot shower. It is good for the whole body, but if it is unpleasant for you to take it, you can only subject the legs to the procedure.
  • Compress with herbal decoctions. Chamomile, calendula, St. John's wort and other plants normalize blood flow and relieve muscle tension.
  • Apple cider vinegar wipes / compresses. This substance is found in almost all kitchens. Apple cider vinegar has an irritating effect on blood vessels. It causes them to contract, which helps repair muscle cell walls. But this method cannot be used if you have leg injuries. Apple cider vinegar is not used in pure form, but is mixed with water 1: 1.
  • Wear comfortable clothes and shoes. You need to select your own things according to the size. Do not wear very tight jeans and do not wear high heels with an awkward shape.
  • Gym. Employees can also do blood flow exercises while sitting in a chair. You can simply raise your legs straight or bent to knee height, but it's best to walk close to the workplace.

Diet and nutrition

At all stages of varicose veins, it is necessary to adhere to a balanced diet. Foods with high cholesterol should be excluded. If the patient likes beef or pork, he must not fry them in oil. It is allowed to cook or boil fatty meat. Doctors recommend eating more foods that contain protein, magnesium, calcium, and selenium. These include beans, almost all types of fruit, nuts.

Therapeutic exercises for varicose veins

Non-surgical treatment of varicose veins of the lower extremities includes the implementation of certain physical exercises. Squats, leg swings, and any exercises that involve working with your own weight are allowed. It is necessary to completely exclude from the training exercises with heavy weights (50-60 kg), flexion and extension of the trunk in a chair, long runs. The most effective exercises for varicose veins:

  • Scissors and bike. Perform at a medium pace, lying on the floor.
  • Rotating movements of the legs. You need to get up, grab the support with your hand, lift one leg, bring it to the side and start rotating it. 5 movements are performed inwards and 5 movements outwards.
  • Stand up rolling from toes to heels.

Stretching and warming up always start in the upper body. You can not start active training right away or just warm up the legs, because this will not help improve the condition of the vascular system. You can also walk on the spot. If the body mass index is significantly exceeded, it is recommended to lose weight first, and then to start training.

22.03.2021