Treatment of varicose veins

Varicose veins on the legs are not only a cosmetic problem that worries people because of their attractiveness, but also a dangerous disease that requires adequate treatment and adherence to preventive measures.

The causes of varicose veins are many: from a sedentary lifestyle, physical overload and ending with hormonal disorders, congenital weakness of the walls of blood vessels, pregnancy. What happens during varicose veins? With varicose veins of the lower extremities, they lose normal elasticity and stretch under blood pressure.

The valves in the veins are normally locked and when blood passes through them, they close and allow the blood to flow back. If the valves do not work properly, blood can flow freely downward, leading to blood stasis.

Reasons

Why do varicose veins appear and what is it? Genetic predisposition and sex are considered to be the main risk factors for the development of the disease. Because of their love of high heels, hormonal changes during pregnancy, and taking contraceptives, women fall victim to varicose veins twice as often as men.

Disease development promotes:

  1. Heredity. It is not the disease itself that is inherited, but the genetically determined structure of the veins: weak connective tissue of the venous walls, congenitally damaged venous valves. Therefore, varicose veins can be noticed in young, healthy and active (regardless of gender) people, and even in children. According to scientists, genetic predisposition is the main factor that leads to varicose veins in the legs.
  2. Hormonal changes. Due to the characteristics of the body in women, periods of hormonal disorders become causes of blood stagnation. For them, the most dangerous periods are puberty, pregnancy and the time after childbirth. The time when menopause occurs is also dangerous. This gender category of patients visits doctors 2-3 times more often. There are not enough hormones in the female organs, which are called estrogens. Instead, so-called corpus luteum hormones predominate. It is believed that it has a relaxing effect on muscles. This promotes varicose veins.
  3. Sedentary, sedentary lifestyle or work that requires long-term work, contributes to the development of varicose veins.
  4. AgeOver time, the valves and walls of the veins become thinner, which leads to disturbances in their work.
  5. Obesity. Being overweight leads to increased stress on the veins in the legs.

Phases

There are 3 stages of symptom progression in the development of varicose veins.

  1. Compensation phase. No complaints. The examination reveals varicose veins on one or two legs.
  2. Subcompensation phase. On examination, pronounced varicose veins are visible on the legs. Patients complain of a feeling of satiety, paresthesia ("shivering") in the lower legs, night cramps. In the evening there is a slight swelling of the feet, ankles and lower legs. The swelling disappears in the morning.
  3. Decompensation phase. Dermatitis, eczema accompany the above signs. Patients are concerned about itching. The skin becomes dry, shiny, firmly adheres to the subcutaneous tissue. Minor bleeding and subsequent deposition of hemosiderin cause hyperpigmentation.

By themselves, varicose veins are not considered a very serious disease, but if it has already developed, it will never go away on its own, and even more, it will progress, leading to all sorts of complications that pose the greatest danger.

Characters

The first signs that indicate the beginning of the development of varicose veins:

  • rapid leg fatigue;
  • swelling of the lower extremities;
  • feeling of heaviness in the legs.

In the later stages, spider veins, bulging veins and various seals appear on the skin, which indicates congestion in the vessels.

Symptoms of varicose veins on the legs

In different stages of varicose veins, the symptoms can be different - from almost asymptomatic small spider veins to severe and painful manifestations.

You can assume the development of the initial phase according to the following symptoms:

  • the appearance of pain in the legs, a feeling of warmth, and sometimes burning in the veins of the legs;
  • weight in legs;
  • swelling of the legs occurs in the evening;
  • leg cramps begin at night;
  • varicose veins;
  • the skin of the lower leg takes on a dark color, seals appear, trophic ulcers are possible.

When you detect any primary signs, you must start treating varicose veins immediately - the symptoms will not go away on their own.

Diagnostics

In order to diagnose varicose veins of the lower extremities and prescribe appropriate treatment, the specialist will offer the patient a comprehensive examination that includes various methods.

  1. Duplex scanning (vein ultrasound) is the most informative method for diagnosing varicose veins of the legs, which allows to get an idea of ​​the degree of varicose veins, the direction of blood flow through the veins and their patency, as well as detecting the presence of blood clots (thrombi).
  2. Contrast venography, which is a test method that allows you to detect varicose veins and find out the degree of their patency for blood.

Only a highly qualified phlebologist can diagnose varicose veins.

Varicose veins in women

varicose veins in women

Many women have varicose veins. This is due to the predisposition of women to this disease due to the peculiarities of the female hormonal system. In addition, pregnancy and childbirth in most cases become the reasons for the appearance of varicose veins, because there is an effect of increased stress and increased blood flow in the pelvic organs.

In addition to varicose veins of the lower extremities, women often develop varicose veins in the perineal area, affecting the external genitalia, which is a consequence of congenital or acquired weakness of the vascular wall and valve insufficiency. Exposure to external (long-term static stress, significant physical activity) or internal factors (excess body weight, pelvic diseases in a chronic form) leads to the formation of varicose veins.

Important! The question of the impact of oral contraceptives and hormone replacement therapy remains open.

Development of varicose veins during pregnancy

Wearing each subsequent pregnancy dramatically increases the chances of developing venous insufficiency in women and the formation of varicose veins. This is due to hormonal changes in the female body and a significant increase in the load on the veins.

Pregnancy significantly increases the risk of developing varicose veins of the lower extremities, which is facilitated by the following reasons:

  1. Hormones circulating in the blood during pregnancy increase the elasticity of the venous wall and contribute to congestion of venous blood in the legs.
  2. Increased intra-abdominal pressure in late pregnancy impedes blood flow through the leg veins.
  3. Varicose veins that appear during pregnancy may disappear completely after childbirth or further progress, depending on individual factors (heredity, the presence of other contributing factors).

Varicose veins in men

Varicose veins often occur in men in the form of varicocele - varicose veins of sperm. Disease symptoms:

  • pain in the testicle and a feeling of heaviness, scrotum, along the seminal vesicle, which increases with physical exertion and prolonged standing;
  • during palpation of the scrotum, curved veins of the seminal vesicle are found.

The development of varicocele becomes a cause of male infertility due to impaired blood circulation and related pathological changes in the normal functioning of the testes:

  • there is an increase in testicular temperature to body temperature. High temperature affects the course of spermatogenesis;
  • testicular hypoxia (oxygen starvation, ischemia);
  • accumulation of free radicals in testicular tissues, disrupting their activity.

Treatment of varicose veins in men consists of surgery if there are indications: testicular pain, infertility, aesthetic defect in the scrotum, lack of growth of the affected testicle during puberty. However, the disease can be asymptomatic and cannot cause significant discomfort in men.

In adolescents and children, when diagnosing varicocele, surgery is required at any stage of the disease, thus avoiding further development of infertility.

Operations are performed both in the usual open way and endoscopically. It is possible to perform surgical intervention from a mini approach and microsurgical revascularization of the testicles.

Varicose veins in children

varicose veins in children

Children are also prone to developing varicose veins. For them, this phenomenon is extremely rare and in most cases is a consequence of congenital pathology - angiodysplasia, an anomaly of the peripheral vascular system. The disease mainly affects the lower extremities. As a result, pronounced anatomical functional disorders occur. This leads to irreversible changes and early disability.

Important! The effectiveness of treatment depends on the age of the child. It requires urgent hospitalization at the first signs of varicose veins. In this case, surgery is indicated.

In addition, the development of varicose veins in adolescence has become quite common. This disease mainly affects girls. This can cause:

  • hormonal changes in the adolescent body;
  • hereditary predisposition.

Among the factors that affect the appearance of varicose veins in children are:

  • squinting, flat feet, hernias;
  • poor posture;
  • incorrectly fitted shoes;
  • overweight.

For preventive purposes, in order to avoid the development of varicose veins, it is necessary to monitor the child's diet. The diet should be balanced, it is useful to include foods rich in routine in the food. It is found in large quantities in hazelnuts, wild chestnuts, as well as in berries - pomegranate, sea buckthorn, black currant. Decoctions and juices from these berries can have a preventive and general strengthening effect on the body.

Varicose veins of the pelvis

Varicose veins can also occur in the pelvic area. In this form it is found in most cases in women, which is associated with the peculiarities of the supply of the female body with blood. Varicose veins cause a feeling of pain and heaviness in the pelvic area, which can be caused by venous congestion.

varicose veins

The development of varicose veins in the small pelvis occurs for several reasons:

  • pregnancy and childbirth;
  • change in the shape of the uterus;
  • lifting and carrying weights;
  • hereditary predisposition;
  • lack of physical activity;
  • sedentary work;
  • taking oral contraceptives.

If there are risk factors and symptoms of the disease, it is necessary to undergo an examination. In the early stages, it is possible to detect varicose veins of the small pelvis by ultrasound diagnostics. Preliminary diagnosis is possible with a gynecological examination during the standard procedure.

Treatment of the disease includes taking venotonic medications, wearing special compression underwear, performing therapeutic and prophylactic gymnastics. It is also necessary to exclude risk factors and monitor them regularly by a gynecologist. With the ineffectiveness of conservative treatment methods, surgical intervention is indicated.

Treatment of varicose veins on the legs

For varicose veins in the legs, treatment may not be a medical need unless the symptoms are problematic.

However, some people may want to be treated for varicose veins for cosmetic reasons because they are dissatisfied with their appearance.

Let's look at the main methods to help you solve this problem.

  1. Sclerotherapy. This method of treatment is used independently and in combination with conservative procedures. Its essence lies in the fact that a special filling preparation is injected into the vein with a thin needle or syringe, after which the vein completely disappears. Sessions are held once a week, 3 to 6 of these sessions are required. The method avoids scars and scarring.
  2. Non-surgical treatment. If the varicose veins are in the early phase and are not too uncomfortable, then elastic compression stockings can be recommended. They are worn during daily activities. They help constrict the veins, preventing them from stretching and limiting discomfort or pain.
  3. Medical treatment of varicose veins relieves symptoms, reduces swelling and pain, slows down the developmental process, but is not able to stop the disease completely and repair damaged veins.
  4. Laser treatment of varicose veins on the legs can be used on the skin surface. With the help of a small flash of laser light, a process of sclerosis develops in the vein wall and the varicose vein disappears as if it had been removed.

Physical activity - brisk walking, gymnastics, swimming and water exercises (excluding sports exercises with a large load on the legs - tennis, weightlifting, jumping) play an important role in treatment and prevention.

Venotonic drugs

The action of these drugs is aimed at increasing the tone of smooth muscles in the walls of blood vessels, which allows them to maintain elasticity and normalize blood circulation in the affected areas.

Many of the venotonics are complex drugs. The effect achieved by their use extends not only to the veins, but also to all the vessels in our body.

How to treat varicose veins with folk remedies

There are a huge number of methods for treating varicose veins on the legs with folk remedies, both for external and internal use. Below are the most common:

  1. Horse chestnut flowers (50 grams), you need to pour 500 g of alcohol and then let it cook for 14 days, shaking the bottle every day. Pass the tincture through a mesh and consume a tablespoon of water three times a day before meals. How to cure a week - take a break for two weeks. Then treatment can be restarted.
  2. Dried nettle infusion is used for varicose veins. Dry crushed leaves of the plant are poured into a thermos with 1/2 liter of boiling water, infused for 30-40 minutes, filtered and taken 1/3 cup 3 times a day 1 hour after meals.
  3. Tomato wrap. Finely chopped tomato, lay on a bandage, gauze and apply to the sore spot. For convenience, you can tie it with an elastic or other bandage. Such a compress lasts on the vein for 2 hours, then changes to a new one and so on a total of 3 times. The advantage of this wrap is that it can be repeated every day.
  4. Walnut oil tincture: chop unripe nuts, pour into a glass jar, add olive oil and infuse for 40 days in a sunny place. Lubricate the sore spots with the finished tincture. The course of treatment is long, as with the use of kalanchoe.

In addition to folk remedies, many patients with varicose veins supplement therapy with special gymnastics - Mikulin's exercises allow you to feel a significant improvement.

Varicose veins are mostly a female disease, which is associated with constant wearing of high-heeled shoes, pregnancy, childbirth and a number of other circumstances. But the disease can also affect men, especially if they have a work activity that requires more physical effort. Because varicose veins cause severe wear and tear of the veins, which can cause their atrophy and thrombosis, it is important to diagnose the disease in time and treat it. It can be performed by operative and conservative methods. Treatment can only be chosen by the attending physician.

Traditional methods of treating varicose veins

Apple cider vinegar

Apple cider vinegar can relieve pain in varicose veins

There are two ways to use this home remedy. The first involves rubbing a small amount of apple cider vinegar into the affected areas 1-2 times a day. The latter technique is best done before bed so that you can soothe sore limbs and improve sleep. If the varicose veins are localized, you can soak clean gauze with vinegar and apply to the sore spot for 5-10 minutes. Such manipulations are also repeated 1-2 times a day. The duration of treatment is 2-3 weeks. A monthly break between courses is mandatory.

Honey ointment

To make an effective home remedy, you need beeswax, propolis and olive oil. These ingredients must be taken in a ratio of 2: 1: 1. After thoroughly mixing the components, they must be stored in the refrigerator. Apply homemade ointment twice a day in the morning and evening, you do not have to rinse the product. Therapy can be carried out for 3-4 weeks, after which a break for the same period is required.

Horse Chestnut

Chestnut solution is an effective remedy for varicose veins

To prepare the solution, collect half a liter jar of chestnuts and peel the fruit. After that, the plant should be poured with 200 ml of alcohol or vodka, the resulting solution is infused only in a dark, cool place for 14 days, for this you can use the lower drawer of the refrigerator. After settling, it is necessary to take three drops of the resulting infusion three times after the main meals. The duration of such treatment is 20-30 days.

The tincture can also be used as a rub, in which case the product cannot be taken internally. Rub your feet before bed, it is recommended to wash them first. Once the product is applied, you should go to bed immediately. Use chestnut tincture this way daily for a month. In both cases, a three-month break is required between treatments.

Potato juice

Potato juice for varicose veins is used in the form of compresses

This medicine can be used for the initial stage of varicose veins, as well as for ulcers in the affected area. To do this, you need to wipe the raw potatoes and then saturate it with a clean gauze bandage. It is applied to the ulcerative lesion for five hours. After that, the dressing should be changed. You can use the potato application 1-2 times a day for two weeks. Breaks between therapies should be at least three to four weeks.

Attention!The true effectiveness of folk remedies against varicose veins is still in doubt. Therefore, it is recommended to use such methods only with the permission of a doctor and in combination with traditional medicines.

When is an urgent need to see a doctor?

In severe cases of exacerbation of varicose veins, conditions may develop that require urgent medical attention. These cases include the following processes:

  • The pain in the affected area is so severe that it is impossible to move the limb and get out of bed;
  • the skin is characterized by elevated temperature on palpation, the painful area is swollen and very dense;
  • the skin got a shade ranging from normal to cyanotic or close to red and purple;
  • there is a sudden difficulty breathing, it is difficult to even breathe briefly;
  • there is increased sweating and severe weakness of the whole body;
  • there is bleeding from the affected vein or the whole area.

Attention!Similar conditions can occur not only in women, but also in men and children if they suffer from varicose veins. Delay in this case can endanger the death of the patient if the necessary medical care is not provided.

Complications (consequences) of varicose veins

Varicose veins can lead to serious complications. In the last phase of the development of varicose veins, extreme thinning of the walls of blood vessels is observed, and in this connection, the risk of trophic ulcers increases - open poorly healing wounds on the vessels, caused even with minor trauma.

The result of rupture of varicose veins is the development of thrombophlebitis. During the onset, which occurs by the formation of thrombosis with inflammation of the venous wall, a thrombus forms that closes its lumen.

With the development of acute thrombophlebitis, severe pain appears in the area of ​​thrombosed veins, body temperature rises, accompanied by chills. Superficial vein thrombophlebitis is characterized by painful seals with reddening of the skin along the veins. Deep vein thrombophlebitis is accompanied by edema of the extremities due to a sharp violation of venous outflow.

Disease Prevention

Preventive measures play an important role in the presence of risk factors for the development of varicose veins. Therefore, you should not neglect to respect them even with an already diagnosed varicose vein. This will save his further development and the need for surgical intervention.

prevention of varicose veins

To reduce the risk of developing varicose veins, you must:

  • moderate physical activity, a visit to the pool is especially useful. Swimming has a massaging effect, having a beneficial effect on blood vessels without unnecessary stress;
  • strengthening the walls of blood vessels with a contrast shower. Finish the hygienic procedures with a contrasting foot shower. To do this, water your feet for 10 minutes, alternating cold and warm water;
  • change of diet - reduction of consumption of fatty foods, including in the diet foods rich in routine;
  • wearing compression underwear, especially with increased physical activity on the legs;
  • intake of vitamins and mineral complexes that strengthen immunity, strengthen the walls of the vessel and reduce the risk of blood clots.

Exercises

Prevention and treatment of varicose veins also consists of performing therapeutic and prophylactic gymnastics exercises aimed at improving blood circulation and resolving signs of blood stagnation.

Important! It is helpful to do these exercises daily.

It is necessary to start classes with prior preparation of the legs: for this you need to lie on your back, placing your feet on the pillow or back of the sofa. Stay in this position for 10-15 minutes.

Then, while lying down, start the exercises:

  1. bicycle - bending the knee to mimic pedaling;
  2. flexion-extension of the foot in the ankle - legs are outstretched, alternately perform movements of flexion and extension;
  3. then work with your toes in the same way;
  4. lift your legs at an angle and twist your feet inward;
  5. in a supine position, perform the exercise with scissors: alternately crossing your legs;
  6. while standing, perform walking in place, with socks on your feet;
  7. Staying in a standing position, we do the ascent on the socks: on the inhale upwards, on the exhale we descend.

Varicose veins disease develops for a long time, so when the first signs appear, there is a chance to stop its flow. But the only method you can completely get rid of varicose veins is surgical removal of the veins.

14.11.2020