All about the treatment of varicose veins of the legs

Applying medicinal ointment to the legs for varicose veins

The symptoms of varicose veins on the legs and the 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 to restore their former tone. If the signs of varicose veins of the legs began to appear stronger, i. e. spider veins and severe edema appear, then it is worth resorting to apparatus therapy that restores normal blood circulation.

Not all patients know how to properly treat varicose veins of 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 initial stages of the disease. When the symptoms of varicose veins on the legs become permanent, you need to consult a doctor who prescribes the necessary medications and advises how to treat a particular patient. We will further consider the most popular methods of treating varicose veins of the lower extremities (VLD).

Drug therapy

As we mentioned earlier, the form of varicose veins affects the characteristics of its treatment. In the early stages, doctors try to get by with drug therapy. One of its advantages is the absence of direct surgical intervention. But even if varicose veins of the lower extremities have passed into the second stage, you cannot stop taking medications. 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 blood vessels in the legs. They can be used to treat veins that are close to the surface of the legs. If deep veins are affected by the disease, then ointments and gels will not help, becausethey cannot penetrate 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 pills 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 to damaged vessels.
  • Gel designed to eliminate the feeling of tiredness in the legs. Has a cooling effect.
  • Another herbal preparation, in which the main active ingredient is an extract from grape leaves.
  • A preparation containing a synthetic derivative of vitamin R. Strengthens blood vessels, reduces edema, and helps in the treatment of rosacea.
Application of 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, then the doctors prescribe pills.

Injections

If the patient has small veins affected, 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

Expansion of the veins of the lower extremities cannot always be cured with conventional injections and medication. 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, then the destroyed vessels are removed surgically. When treating varicose veins, the patient can be directed to:

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

Each method of treatment has positive, negative features 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 over the entire surface of the vein. The operation is very difficult and is extremely rare if vasodilatation threatens the patient's life.

Sclerotherapy

Varicose veins of the lower extremities can be treated with sclerosants. They damage the vessel, which leads to its further drying out. After the introduction of sclerosant, strains are formed in 2-4 months, but patients notice the first advantages of the procedure 10-15 days after the operation. The most significant plus of this procedure is the absence of incisions on the skin. There is also a minus. Not all patients have a damaged vein shut off from the bloodstream. In about 30% of patients, it regenerates, and the disease continues to develop further. Sclerotherapy stages:

  1. The area of administration of the solution is disinfected.
  2. Anesthetic is administered if necessary.
  3. With a syringe with a thin needle, the phlebologist makes injections into the dilated veins and spider veins.
  4. After the procedure is completed, an elastic bandage is wrapped around the leg, and the patient is sent on 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 extremities and minimally invasive methods of influencing the veins do not work, doctors refer the patient to phlebectomy. This operation is performed in order to remove large bundles of excessively dilated sections of blood vessels. The patient must be given anesthesia. Most often, doctors resort to combined phlebectomy. The operation is carried out 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 cut off 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 vessel, it is fixed. 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 through the incision. The edge of the tip passed through the probes acts as a knife. It frees the vessel from the surrounding tissues.
  4. Miniflebectomy. If the vein is generally healthy, but there are nodes, then they are removed through special points marked for incisions. Veins and tributaries are ligated.
  5. Stitching. Then stitches are applied to the puncture and incision sites, compression bandages are wound, and the patient is transferred to the ward.
Phlebectomy

Phlebectomy can include 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 very essence of the operation remains the same, but instead of specialized surgical instruments, a laser is used. The advantages of this method are obvious. The incisions themselves become smaller and patients rehabilitate faster. But not at all stages of varicose veins it can be applied.

Radiofrequency ablation

To get legs without varicose veins, it is not necessary to sacrifice the beauty of the 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 connective tissue. The patient is in the hospital for only 1 day.

Radiofrequency ablation

Compression therapy

This procedure is performed for varicose veins in the legs of the initial stage. A specialized rubber suit is put 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. Some patients note 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 leg veins. It is characterized by low tissue trauma, so many patients try to get into 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 doctor has to 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 sural veins and perforators are dilated, this surgical method 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. In order 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 case, and then, using a spatula, forms a cavity into which the endoscope is inserted along with the instruments.
  2. Isolation and removal of the vein.
    • Gas-free way. The veins are exposed and cut off by the surgeon using optical control.
    • Gas method. Carbon dioxide is injected into the wounds. A cavity is formed in the wound, in which all the veins to be removed appear.
    • Stitching.

Cryosurgery

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

Cryosurgery

Ozone therapy

When the first symptoms of varicose veins of the lower extremities occur, some doctors recommend resorting to 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 jersey

With symptoms of varicose veins of the main veins of the legs, doctors prescribe the wearing 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 extremities, it is recommended to wear underwear of the 2nd degree of compression. His blood pressure will be 32 mm Hg. 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 purchase underwear with the first degree of compression. Knitwear of 3 and 4 degrees of compression in pharmacies can be bought only by a doctor's prescription.

Medical knitwear for varicose veins of the legs

ethnoscience

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

  • A mixture of garlic and oil. Garlic, together with the husk, are crushed into a gruel, and then mixed with 2 tablespoons of butter. The resulting composition is applied at night to the diseased veins, 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 ointment. She is kept on her feet for 4 hours, and then washed off with warm water.
  • Kalanchoe tincture. Kalanchoe leaves are washed, placed in a jar and poured with 70% alcohol solution. Insist on the composition for 14 days. After that, the resulting tincture is applied to the feet every day. The procedures are carried out for 3-5 months.

Hirudotherapy

At the initial stages of varicose veins of the legs, patients with "thick" blood are referred for treatment with leeches. The effect of the procedure will not appear instantly. You need to go through at least 5-6 sessions to notice the first improvement. 2 leeches are placed on the area most damaged by varicose veins, and 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 need to learn how to sit properly. Twisting the lower limbs and the more traditional throwing of the legs over 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 at this stage zero, disease progression 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. Plus, this method helps to get rid of excess fat stores and increase overall stamina.
  • Massage of feet and legs. It can be done in between work. It is necessary to massage slowly and easily with the toes of the foot, lower leg and thigh. Do not put too much pressure on your feet, becausewith a congenital tendency to varicose veins, you can 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, then you can only subject the legs to the procedure.
  • Compresses with herbal decoctions. Chamomile, calendula, St. John's wort and other plants normalize blood flow and relieve muscle tension.
  • Apple cider vinegar wipes / wraps. 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 to repair the muscle cell walls. But this method cannot be used if you have injuries on your legs. Apple cider vinegar is not used in its pure form, but is mixed with water 1: 1.
  • Wear comfortable clothing and shoes. It is necessary to select your own things by size. Do not wear very skinny jeans and do not wear high heels with uncomfortable last.
  • Gymnastics. Office workers can do blood flow exercises even while sitting in a chair. You can simply raise straight or bent legs 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 loves beef or pork, then he should not fry them in oil. It is allowed to bake or boil fatty meat. Doctors recommend eating more foods that contain protein, magnesium, calcium, and selenium. These include beans, almost all types of fruits, walnuts.

Therapeutic exercises for varicose veins

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

  • Scissors and a bike. Perform at an average pace, lying on the floor.
  • Rotational movements of the legs. You need to get up, grab the support with your hand, raise one leg, take it to the side and start rotating it. 5 movements are done inward, and 5 movements are done outward.
  • Standing rolling from toes to heels.

Stretching and warm-up always starts in the upper body. You cannot immediately start active training or warm up only your legs, becausethis will not help improve the condition of the vascular system. You can also walk on the spot. With a significant excess of body mass index, it is recommended to first lose weight, and then start training.

22.03.2021