What treatment is most effective for varicose veins of the lower extremities
Treatment of varicose veins of the lower extremities, depending on the degree of neglect of the pathology, can be conservative and surgical. In addition, the therapy of the disease should be comprehensive.
This may include:
- use of medicines;
- wearing compression hosiery;
- adherence to diet, maintenance of normal body weight;
- observance of the work and rest regime;
- elimination of heavy lifting, prolonged stay on the legs;
- surgical treatment.
Conservative treatment of varicose veins of the lower extremities
In the early stages, varicose veins of the extremities can be treated conservatively. At the onset of the disease, it can be treated with massage, which normalizes blood circulation in the legs. But only a professional should perform it, otherwise there will be more harm than good from it.
Prevents the progression of pathology by wearing compression underwear. If not, you can wrap your legs with elastic bandages.
Treatment at home can be done with medication prescribed by a doctor. It can be blood thinning, analgesic and anti-inflammatory drugs, vitamin and mineral complexes. Special ointments that relieve fatigue, strengthen the walls of blood vessels, reduce the risk of blood clots, normalize the function of venous valves, promote the healing of trophic ulcers.
It is important to adjust your daily routine. It is not recommended for persons suffering from varicose veins:
- sit or stand for a long time;
- visit baths and saunas;
- engage in team sports;
- excessive physical activity;
- wearing corsets and tight underwear;
- use of oral contraceptives;
- consume salty, spicy, fried foods, strong caffeinated drinks;
- overeat, gain extra pounds.
Will be useful for them:
- Long walks, including climbing stairs, it is recommended to walk up to three kilometers daily.
- Sports activities such as swimming, skiing, cycling (in combination with compression hosiery).
- A plant-based diet enriched with ascorbic acid, it is also advisable to include fermented milk products and seafood in the menu.
- Contrast foot shower.
Representatives of "standing" professions, every half hour must perform 15 rolls from heel to toe. If it is possible during the day, every 3 hours, rest 15 minutes in a horizontal position with slightly raised legs.
Those who sit at work all day should keep their legs straight, that is, unbent knees, placing them on a small hill. They should also get up and walk for 5 minutes every 30 minutes.
During night sleep, as well as during the day when watching programs, reading the press, it is desirable that the lower limbs were raised by 15-20 cm. It is preferable to rest in countries with a temperate climate, but a vacation in the tropics will not be beneficial.
In addition, alternative methods of treating varicose veins can be used. Increase vascular tone and normalize blood circulation baths with chamomile, St. John's wort, celandine, oak bark. Decoctions of herbs taken internally contribute to thinning blood and accelerating blood circulation.
These can be:
- hawthorn flowers and fruits;
- hop cones;
- yellow sweet clover;
- licorice and angelica roots.
Compresses with agave juice, honey, sea buckthorn and olive oil contribute to the healing of trophic ulcers.
Despite the existing conservative methods of therapy, surgical treatment remains the most effective method. Modern surgical interventions allow not only to eliminate the clinical picture of the disease, but also to prevent the risk of developing various complications.
There are several types of surgical techniques to help defeat pathology.
Combined venous phlebectomy
Combined phlebectomy for the treatment of varicose veins has been used for over a century. The essence of the operation is as follows: the diseased vein is tied up and removed.
Depending on the shape of the pathology, an incision is made either at the level of the groin or popliteal cap, and the central vein is cut in the place where it flows into the deep veins, and then completely removed.
Endovasal laser obliteration of the veins of the lower extremities
The point of laser treatment is to "glue" the damaged vein, without further removing it, as it will resolve itself over time. Surgical intervention is performed in specially equipped operating rooms under the control of the condition of the diseased veins and the blood flow in them.
This method is compared in effectiveness to combined phlebectomy. Since it does not provide for skin incisions and all manipulations are carried out through small punctures, then after it there is a short rehabilitation period and there are practically no complications. After the operation, the patient is kept in a medical facility for a maximum of 24 hours, and then released home. The procedure itself can be performed using various types of anesthesia. Sometimes local anesthetics alone are sufficient. After the completion of the surgery, the patient does not feel pain and does not need analgesics.
After the procedure, you will have to wear compression hosiery and control the state of blood flow with the help of USDG.
Radiofrequency vein obliteration
Another alternative phlebectomy method is radiofrequency vein obliteration. Under the influence of radio waves, the damaged vein heats up and sticks together, after which it thickens and dissolves. It is also a low-traumatic intervention, which is carried out without the use of general anesthesia and the placement of the patient in a hospital. And after the operation, he will be able to immediately begin to lead his usual way of life.
The essence of the method is to inject a special substance into the damaged vein, which glues its walls and then it is absorbed inside the body. This method of treatment is not as effective as laser or radio wave therapy, but it is not inferior to classical phlebectomy.
A sclerotic substance is injected into a vein through a puncture, after which a compression garment is put on and the patient is advised to walk for an hour. Since the drug is injected directly into the vein, the adjacent tissues do not suffer and complications are rarely observed after sclerotherapy.
Currently, there are many ways to treat varicose veins and the earlier therapy is started, the more effective it will be. Therefore, at the first signs of the disease, you should not postpone the visit to the doctor.