Varicose veins - what is it and how to live with it?

varicose veins on the leg

Varicose veins are a very common disease and, according to statistics, occur in more than thirty million people. Varicose veins are more common in women than in men. With this disease, elasticity is lost at the walls of blood vessels, knots appear on the veins and the outflow of blood is disturbed.

Varicose veins - what to do with such a disease?

varicose veins in the leg

With the onset of summer, people with varicose veins should drink more fluids - water, tea, fruit juices. Food should be light with adequate fiber and less saturated fat. Constipation and excess weight should be prevented.

Long sitting or standing still should be avoided, using every opportunity to move the legs and shins. Before going to bed, 10-15 minutes of walking is required, and during sleep and rest, it is useful to raise the legs about 10-15 cm above chest level.

Everyone should choose a suitable sport for themselves - intensive walking, running, aerobics, cycling, dancing, swimming, avoiding going to the beach from 10 to 15 hours. Walking and being waist-deep in sea water provides a natural foot massage and reduces congestion in the veins.

Patients who cannot spend time on the beach may benefit from washing their feet with warm water at night before going to bed. Hot baths, baths and saunas, as well as hot physiotherapy, are also useful, but a maximum temperature of 30-31 degrees should be avoided.

Prevention of varicose veins

Clothing should be wide and comfortable, preferably in light colors, tight trousers, corsets, socks and tight elastic cuffs are contraindicated. Shoes should also be comfortable, with a heel height of 3 to 5 cm. On the other hand, in summer it is necessary to wear special elastic compression stockings against varicose veins.

It is imperative to wear them, although they cause discomfort to patients due to elevated temperatures. Taking medicines containing diosmin, troxerutin, or grape or chestnut extracts reduces swelling and subjective complaints. Applying topical gels or creams has a similar effect.

A regular consultation with a general practitioner, gynecologist or vascular surgeon is mandatory, especially if there are complaints such as swelling, pain or heaviness in the legs, as well as excessive protrusion of superficial varicose veins.

It should be noted that the hottest summer months (July and August) are not the best time for surgical treatment of the disease due to increased venous congestion in the lower extremities, as well as the need to strictly wear an elastic bandage or sock after surgery (about 30 days).

Treatment of varicose veins

injection treatment of varicose veins

Very often, varicose veins develop into a disease that can progress to particularly severe stages. But patients, their relatives and doctors often underestimate this. They say: "Yes, I’m fine, my grandmother also had such veins. "And people ignore the signs, seek medical help when the disease is too advanced.

The disease has entered into more severe stages, there are already large veins covering the entire leg, or, even worse, there are already changes in the skin or phlebitis. And the most unpleasant thing is when damage appears. Many people are "calmed down" by the hereditary factor. In general, this is a very interesting topic, on which a lot of research is currently being carried out.

It has not been definitely proven that there is a hereditary factor, but it is noticeable that it is present in the family. So there is a certain dependence. If the family has such a disease and the first complaints appear, you should regularly consult with a vascular surgeon and an oncologist to get the most accurate recommendations for prevention.

Do not wait until the disease develops to a severe stage. If the patient understands the need for special care for their veins, then they need to take care of their legs in the same way that every person takes care of their face and hands.

The main advice for varicose veins is to move. You have to walk several kilometers a day. If people lead a sedentary life because of their profession or life habits, then a larger movement needs to be organized. For vein problems, sports activities such as swimming and cycling are incredibly helpful. Be sure not to be overweight.

Slightly raised legs are a prevention against varicose veins. The legs rest best when they are slightly raised from the level of the buttocks by 10-15 cm, which ensures good reverse blood flow.

Modern treatment of varicose veins

varicose veins in the leg

It is rather complicated. The first and most important part of the treatment of vascular diseases in general is a change in lifestyle, movement. In second place is compression therapy - with the help of special elastic stockings. Drug treatment has existed for more than 20 years, there are very good drugs.

One of them is a flavonoid micronized preparation, which provides very good absorption and has a very good effect. It should be taken one tablet in the morning and evening, for two to four months, depending on the severity of the disease.

Suitable for all stages, but it is best to appoint a specialist. Self-medication is not recommended. The following methods are operational - radiofrequency and laser ablation, sclerosing therapy, embolization of arteries with medical glue, which help to stop the disease.

Embolization of arteries with medical glue

endovascular thrombectomy for varicose veins

The method of arterial embolization is one of the greatest achievements in the modern treatment of varicose veins. The first step in initiating this type of treatment begins with the examination of the patient by a vascular surgeon or oncologist.

After a thorough assessment of complaints, Doppler ultrasound of the veins is performed, the purpose of which is to determine which venous segments are susceptible to disease.

Only then, taking into account the anatomical and Doppler ultrasound features established during the examination, the specialist can offer the patient the most appropriate treatment for him: embolization (gluing), mechanochemical ablation, radiofrequency ablation, stripping or conservative treatment.

After a thorough discussion of the method, its advantages and disadvantages, as well as possible complications, the patient is assigned an appointment and treatment. Instructions are given for the necessary documents and studies. Adhesive embolization is an extremely innovative, minimally invasive technique.

It is performed under ultrasound control, "glue" is applied through the catheter, which leads to instant adhesion of the vein. The method is performed using local anesthesia placed in the area where the catheter is inserted. The great advantage of the method is its speed and efficiency, the absence of tumescent anesthesia with a catheter, as well as the need for elasto compression.

After treatment, the patient returns to his normal lifestyle on the same day without restrictions on diet and exercise. Complications are extremely rare. They are usually not severe and pass without a residual effect after a few days. Some of the most common are aseptic inflammation along the vein, without major bruising.

At what age do the first signs of varicose veins usually appear?

This is the time after the second decade of life. Many young people in their 20s and 25s have vein problems. But with age, the veins appear more and more, and in the sixth decade, many people suffer from progressive varicose veins. Thus, age is a risk factor.

Other risk factors for varicose veins are overweight, immobility, prolonged sitting in one place with legs down. Professions in which a person remains upright for a long time (teachers, dentists, surgeons, hairdressers, etc. ) are also at risk, since venous blood cannot flow normally.

There is no proven upward trend in the number of people suffering from this disease. But as more and more people talk about this disease, what it is, it is detected earlier, and those who need to eliminate the disease receive better quality treatment.

conclusions

Now we know that varicose veins are a common pathology, often developing on a hereditary basis, as well as under heavy loads. Be sure to contact a phlebologist for advice at the very first signs. Otherwise, the disease can lead to complications.

25.02.2022