All about the treatment of varicose veins on the legs

Apply medicated ointment to the feet for varicose veins

The symptoms of varicose veins on the legs and their treatment are interdependent with each other. When varicose veins on new legs start to grow, they can be stopped by taking special medications and applying creams. They will help the weak ship to restore its previous tone. If the signs of varicose veins on the legs start to appear stronger, i. e. spider veins and severe edema appear, then it is necessary to use apparatus therapy that restores normal blood circulation.

Not all patients know how to treat leg varicose veins properly without surgery. Some argue 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, you need to see a doctor who prescribes the necessary medication and gives advice on how to treat a particular patient. We will consider the most popular methods for treating varicose veins on the lower extremities (VLD).

Drug therapy

As we have mentioned before, the shape of varicose veins influences the characteristics of its treatment. In the early stages, doctors try to get drug therapy. One of its advantages is the absence of direct surgical intervention. But even if the varicose veins in the lower part of the leg have entered the second stage, you can not stop taking the medication. They will help increase blood flow with varicose veins and prevent further stretching of the vascular wall.

Ointments and gels

These funds increase the tone of blood vessels in the legs. They can be used to treat veins close to the surface of the foot. If the deep veins are affected by this disease, then ointments and gels will not help, as they are unable to penetrate the muscular barrier. Treatment of varicose veins on the legs is done with the following drugs:

  • Ointment, its main active ingredient is flavonoids (a derivative of rutin). Taking tablets with this active ingredient is considered the most effective, but the gel can also help overcome the early stages of varicose veins.
  • Horse chestnut medicine. Apply 2 times a day on damaged vessels.
  • Gel designed to relieve tiredness in the legs. Has a cooling effect.
  • Preparations of other herbs, in which the main active ingredient is an extract from grape leaves.
  • This medicine contains a synthetic derivative of vitamin R. Strengthens blood vessels, reduces edema, and helps in the treatment of rosacea.
Gel application for varicose veins

Tablets and capsules

If the expansion of the veins in the legs takes place or during the examination, it is found that the patient has weak and thin veins, then the doctor prescribes a pill.

Injections

If the patient suffers from affected small veins, then the treatment of varicose veins on the lower part of the leg can be done by introducing various drugs that have a gluing effect on the vessels. Often, iodine -based products or synthetic sclerosing materials are used. The advantage of these drugs is that they do not provoke thrombosis, but only burn the vascular wall. Injections with animal protein can also be given, but are very rarely used.

Procedure

Enlargement of the veins in the lower part of the leg cannot always be cured with injections and conventional medications. In the advanced stages of the disease, hardware effects on the affected vessels are required. The essence of all procedures is to stop or remove the affected vein. If the patient has contraindications to the use of lasers, nitrogen and other chemicals, then the destroyed vessel is removed surgically. While treating varicose veins, patients can be directed to:

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

Each method of treatment has positive and negative characteristics and is only suitable for certain types of varicose veins. Latent varicose veins on the lower part of the leg are rarely treated with surgery. In this case, the only effective way to get rid of it is to apply a clip to the entire surface of the vein. The operation is very difficult and very rare if vasodilation is life threatening for the patient.

Sclerotherapy

Varicose veins on the lower legs can be treated with sclerosant. They damage the vessel, which causes further drying. After the introduction of sclerosant, strains are formed in 2-4 months, but patients notice the first advantage of the procedure 10-15 days after surgery. The most important advantage of this procedure is the absence of lesions on the skin. There is also a minus. Not all patients have damaged veins from the bloodstream. In about 30% of patients, it re -grows, and the disease continues to progress further. Sclerotherapy stage:

  1. The administration area of the solution is disinfected.
  2. Anesthetics are given if necessary.
  3. With a syringe with a fine needle, the phlebologist makes injections into the dilated veins and spider veins.
  4. Once the procedure is complete, an elastic bandage is wrapped around the leg, and the patient is sent on foot 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 legs and minimally invasive methods to affect dysfunctional veins, doctors refer patients for phlebectomy. This operation is performed to remove a large group of blood vessels that are excessively dilated. The patient must be given anesthesia. Often, doctors use a combination of phlebectomy. The operation is performed as follows:

  1. Crossctomy. The patient made a small incision in the groin area, where the base of the damaged superficial vein is located. The venous valve is severed and the duct is blocked.
  2. A second incision is made in the lower leg or ankle. Its length is 1. 5 cm. A metal rod is inserted into the damaged vein through a hole produced. At the opposite end of the ship, it was glued. If it is not possible 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 through an incision. The edge of the tip that passes through the probe serves as a knife. It frees the vessel from the surrounding tissue.
  4. Miniflebectomy. If the vein is generally healthy, but there is a jugular vein, then the vein is removed through a special point marked for incision. Veins and tributaries are tied.
  5. Sewing. Then, sutures are applied to the puncture and incision site, wound compression bandages, and the patient is transferred to the ward.
Phlebectomy

Phlebectomy can involve one or more stages, or all of them. The number of procedures depends on the degree of neglect of the disease. In modern clinics, laser phlebectomy is practiced. The essence of the operation remains the same, but instead of specialized surgical instruments, lasers are used. The advantages of this method are obvious. The incision itself becomes smaller and the patient recovers faster. But not at all stages of varicose veins can be used.

Radio frequency ablation

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

Radio frequency ablation

Compression therapy

This procedure is performed with varicose veins in the legs in the early stages. A special rubber suit is placed on the patient, and then air is injected into him. Artificial pressure is created on the veins, which contributes to the return of their tone. A number of patients stated that after undergoing compression therapy, the amount of cellulite on their body had decreased.

Compression therapy

Laser freezing

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

Laser freezing

Endoscopic surgery

When the sural vein and perforator are dilated, this method of surgical intervention is used. With varicose veins on the lower part of the leg, trophic ulcers are often observed in patients. By itself, the defeat of the surals or perforated veins cannot give rise to the appearance of skin diseases. The disease develops against the background of circulatory failure. To normalize it, endoscopic surgery is performed. Procedure stage:

  1. The lower leg is cut in the upper third. The width of the incision is 2 cm. The surgeon also opens the facial sheath, and then, using a spatula, forms a cavity in which the endoscope and instrument are inserted.
  2. Isolation and removal of veins.
    • Gas -free way. The veins are dissected and cut by a surgeon using optical control.
    • Gas method. Carbon dioxide is injected into the wound. Cavities form in the wound, where all the veins to be removed appear.
    • Sewing.

Cryosurgery

Cold temperatures can be used to treat leg veins. This method is considered completely safe, but is rarely used, as there is no guarantee that varicose veins will disappear completely after such therapy. Contrary to popular belief, the operation did not use chemicals, but a cryoprobe. It is cooled to a certain extent, which causes the burning of the ship. Inexperienced doctors can damage the tissue located next to the vessel during surgery.

Cryosurgery

Ozone therapy

When the first symptoms of varicose veins in the lower legs occur, some doctors recommend using physiotherapy. The essence of the procedure is that ozone is injected intravenously. This drug is a strict dose, because too much can damage blood cells. The effects of ozone therapy are similar to other treatments that damage blood vessels.

Medical jersey

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

Medical knitwear for varicose veins on the legs

ethnoscience

While treating varicose veins in the legs with the help of healing recipes, you need to be careful. First, a number of plants and herbs thin the blood. If your platelet and hemoglobin levels are normal, then it cannot be treated. Second, there is no fee that can replace drug therapy. You cannot refuse to take medication. For varicose veins, the following recipes are considered effective:

  • Mix garlic and oil. Garlic, along with the husk, is crushed into gruel, and then mixed with 2 tablespoons of butter. The resulting composition is applied at night on the diseased veins, parchment paper is placed on top and wrapped in a scarf.
  • Potatoes. 5 raw root vegetables peeled and then grated. The resulting gruel is used instead of ointment. He was kept for 4 hours, and then washed with warm water.
  • Kalanchoe tincture. Kalanchoe leaves are washed, placed in jars and poured with 70%alcohol solution. Confirm the composition for 14 days. After that, the resulting tincture is rubbed on the feet daily. The procedure is performed for 3-5 months.

Hirudotherapy

In the early stages of leg varicose veins, patients with "thick" blood are referred for treatment with leeches. The effects of the procedure will not appear for a while. You need to go through at least 5-6 sessions to see the first improvement. 2 leeches were placed in the area most damaged by the varicose veins, and then a few more were 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, of course everyone needs to learn how to sit properly. Turning the lower limbs and the more traditional throwing of the foot over the foot results in the fact that the blood flow in the veins is disrupted. As a result, under the influence of physical strength, blood vessels stretch and varicose veins on the lower part of the legs appear. The good news is that at this level of zero, disease progression can be reversed, but not everyone is willing to let go of the habit. Methods for the prevention of varicose veins on the lower legs include:

  • Travel. The more people walk, the better the blood circulation in the veins. In addition, this method helps get rid of excess fat storage and increases overall stamina.
  • Foot and foot massage. It can be done between jobs. You need to massage slowly and easily with the toes, lower legs and thighs. Do not put too much pressure on your legs, because with a congenital tendency for varicose veins, you can worsen the condition of the blood vessels.
  • Cold and hot showers. It’s good for the whole body, but if it’s not pleasant for you to take it, you can just undergo the procedure.
  • Compress with herbal ingredients. Chamomile, calendula, St. John’s wort and other plants normalize blood flow and relieve muscle tension.
  • Wipe / wrap apple cider vinegar. This material is found in almost all kitchens. Apple cider vinegar has an irritating effect on blood vessels. This causes them to contract, which helps repair the muscle cell walls. But this method should not be used if you have an injury to the leg. Apple cider vinegar is not used in pure form, but is mixed with water 1: 1.
  • Wear comfortable clothes and shoes. You need to choose your items according to the size. Don’t wear very skinny jeans and don’t wear high heels with uncomfortable clothing.
  • Gymnastics. Office workers can do blood flow exercises even sitting in a chair. You can only raise the legs straight or bent at the knees, but it is better to walk next 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, then he should not fry it with oil. It is allowed to grill or boil fatty meats. Doctors recommend eating more foods that contain protein, magnesium, calcium, and selenium. These include nuts, almost all types of fruit, walnuts.

Therapeutic exercises for varicose veins

Non -surgical treatment of varicose veins on the lower leg includes the implementation of certain physical exercises. It is allowed to do squats, leg swings and exercises that involve working with your own weight. It is important to completely exclude from the training exercises with large weights (50-60 kg), bending and elongation of the trunk on a chair, long-term. The most effective exercises for varicose veins:

  • Scissors and bicycles. Do it at an average rate, lying on the floor.
  • Rotational movement of the legs. You need to get up, hold the support with your hands, lift one leg, bring it to the side and start rotating it. 5 movements are performed inwards, and 5 movements are performed outwards.
  • Stand rolling from toe to heel.

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

22.03.2021