Varicose veins are a disease that shows poor venous wall tone, non-operative valves, impaired blood flow to the heart, blockages in remote areas, and places with mechanical obstruction. Treatment of varicose veins is a complex process involving therapeutic effects and surgical methods. Phlebology surgeons are specialists in choosing treatment methods if varicose veins develop in the legs.
Varicose veins are also possible in other areas with long-term chronic disease:
- varicose veins of the esophagus on the background of cirrhosis of the liver;
- varicocele (damage to the testicular veins) in men;
- hemorrhoids from prolapsed venous vessels;
- varicose veins of the vagina during pregnancy.
These are the most common examples of lesions that doctors of different specialties deal with.
Severe complications (thrombosis, thrombophlebitis), the development of internal bleeding are life threatening. They depend on how the varicose veins heal and prevent its consequences.
What is required of the patient
Like any disease, varicose veins will require a restrictive regimen, getting rid of bad habits, a certain diet. It is impossible to cure varicose veins with medication alone. The doctor always acquaints the patient with those possibilities that depend only on himself.
The patient is contraindicated:
- drinking alcoholic beverages, including beer;
- visit to the steam room;
- slimming trousers (corsets, belts);
- tight shoes with high heels;
- long stationary positions while driving or at a desk in the office;
- the habit of crossing your legs.
An active motor mode is recommended. Tightening the leg muscles helps relax the veins to push blood. It's a good idea to get back from work every day.
In the morning exercises, you should include exercises from the complex of therapeutic exercises for varicose veins. This is lifting the feet lying on the floor, "bicycle", work on the ankle joints with stretching socks and heels. Some movements can be made while sitting in the chair during short breaks. Swimming is considered a very useful sport.
How to eat with varicose veins
Excess weight is one of the risk factors, therefore, the diet requires days of fasting, restricts fatty and caloric foods, dishes containing salt, hot spices.
It is necessary to give up fatty dishes of meat, butter, mayonnaise, cheese, confectionery, carbonated beverages.
To improve the tone of the veins, vitamins and minerals contained in vegetables and fruits, kefir, low-fat cottage cheese, cereals, vegetable oils, green tea are useful. Onions and garlic will replace spices.
How to choose a treatment method
Methods of treating varicose veins depend on the severity of the patient's condition. In the initial stage of the disease, when pain and swelling begin to appear in the evening, and vascular networks are visible in the foot in some places, a combination of regime measures, rational nutrition with the wearing of socks or compression stockings is enough. They are sold in pharmacies. You need to buy them according to your size.
An easier way - shin bandage is applicable at home, but does not look aesthetically pleasing on the street or at work. An elastic bandage is applied in the supine position with a slight stretch of tissue in the middle of the thigh. Dishes should not be squeezed hard.
Optimists hope that varicose veins will be treated with gels and oils. Convincing advertising convinces us of this. However, the opinion of medical specialists is much more pessimistic. The ointments offered slightly reduce the pain and have a cooling effect. But their effect is greatly exaggerated. Drugs have a temporary effect, relieve fatigue, but do not solve the general problems of the disease. They are suitable on the spot after physical work, on a tourist trip, when you have to walk a lot.
Domestic remedies are more effective. They are able to increase venous tone, facilitate bloating, and restore vessel wall. The choice of drugs in pharmacies is very large. Some are available in both pills and oil. Only a doctor can choose the right treatment and decide the dose.
People with chronic gastritis and peptic ulcer disease should be treated with caution. Some medicines have contraindications. Also, do not choose your treatment for pregnant women. Recommended course of drug use for at least three months, followed by frequent recurrences.
A more radical method of treatment, which is considered effective in 95% of cases, is considered "minor surgery".
In the last decade, non-surgical techniques for treating veins have become widespread. The best modern methods of treating varicose veins are applied with little or no skin incision (or a very small incision that leaves no scar). All sterility conditions are observed, as in the operating room. The patient does not need to be in the hospital. After a few hours he goes home. Inability to work is reduced to two to three days. The method is associated with the availability of certain equipment in a medical clinic.
Laser removal technique
Laser ablation is performed under local anesthesia. A catheter with a light guide is inserted into the affected area of the vein, then the beam is turned on and the laser gradually burns the inner surface of the choroid.
The procedure takes about two hours. Used for varicose veins of any diameter. A few days later, the vessel hardens (grows).
The method does not require special equipment. Sclerotherapy involves injecting a chemical substance into a vein with a needle that can cause the walls to collapse, and then - excessive lumen enlargement. Foam products that do not pose a risk to the body are used.
After the procedure, the patient is recommended to walk for about an hour so that the medicine is well distributed along the vein. It is assumed to use compression stockings or golf for about two more months. Such a treatment is indicated when the diameter of the affected vessel is not more than one cm.
Under local anesthesia through a small incision in the skin, the diseased vein is ligated, the extremities ligated, the vessel removed. The method is suitable for veins of any diameter. The hemorrhages last for several days. It is recommended to use compression stockings for ten days.
Radiofrequency ablation technique
A catheter is inserted into a varicose vein under local anesthesia with a special microwave-effect device. The method is based on the ability of several radio frequencies to "seal" the ship. At the same time, there is no internal burning, as when using a laser. The procedure takes half an hour. Considered the least traumatic. Seven days later, he was allowed not only to work but also to play sports.
When surgery is indicated
Methods of surgical treatment for varicose veins are indicated in five% of cases, when venous disease causes widespread damage, there is a threat of blood clotting. The patient is admitted to a vascular surgical or specialized department. A thorough examination of the heart and lung functions is performed. Blood clots are analyzed.
General anesthesia is used. With venous joints in the leg, incisions are made more often in the groin area and below the knee. The ends of the veins connect. The affected area is removed and removed.
In the postoperative period, rest, medications that reduce blood clotting are prescribed. This is necessary to prevent thrombosis. Until the sutures are removed (7-10 days), the patient is in the hospital.
Even with severe varicose veins, surgery is considered contraindicated for:
- old age of the patient;
- concomitant atherosclerosis of the lower extremities;
- severe diabetes;
- concomitant oncological pathology.
Treatment with folk remedies is popular with patients. You should not hope for a complete cure. All recommendations help to affect metabolism, relieve stress from the legs and avoid stagnation. Washing and rubbing agents should be chosen individually due to the possibility of allergic complications. With the phenomena of thrombophlebitis and trophic ulcers, they are categorically contraindicated.
For baths, they offer chamomile, St. John's wort, wire, oak, chestnut and willow bark.
As a solution for compresses and lotions, use a decoction of nettle, apple cider vinegar, cabbage leaf, potato juice, roasted wormwood. Compresses are recommended to be changed every 4 hours.
Fans of beekeeping products are treated and offer others different compositions of honey with lemon, garlic. Bee suckers are used to inject hirudin into the venous trunk.
All traditional methods should be discussed with the doctor, they require care. They can worsen the condition of other organs.
Considerable progress has been made in the treatment of varicose veins. Under the guidance of a specialist, complications can be prevented.