Treatment of varicose veins on the legs: methods and methods

varicose veins on legs how to treat

Varicose veins are a serious disease that significantly impairs a person's quality of life. To a greater extent, the representatives of the fair sex are subject to him, but he does not bypass men either. Swelling and discomfort, the appearance of a characteristic blue mesh - these are just some of the symptoms of varicose veins on the legs. How to treat this disease, we will tell in today's article.

Description of the disease

Varicose veins are a chronic vascular disease. It occurs due to stagnation of blood. In the normal state, the vascular valves pass the blood ascending, that is, from the lower extremities to the heart. In case they fail, the biological fluid begins to stagnate, exerting pressure on the walls of the vessels. As a result, the latter become thinner, lose their elasticity and deform, significantly expanding. At the same time, vein networks can be observed on the legs, rising above the surface of the skin. Sometimes they form varicose veins.

Doctor's advice for varicose veins.

main reasons

There are several causes of varicose veins in the legs. Treatment is largely determined by the primary factor that initiated the disease process.

The appearance of the disease can lead to:

  1. hereditary predisposition. There have already been cases of varicose veins in the family, the probability of its occurrence is quite high.
  2. Increased venous pressure. A sedentary lifestyle, regular vertical loads and obesity can provoke a violation. This condition is also common among pregnant women.
  3. Taking hormonal drugs. For example, birth control pills with a high content of the hormone estrogen contribute to the thickening of the blood and, as a result, the development of varicose veins.
  4. Violation of blood circulation against the background of smoking, wearing too narrow shoes, chronic constipation.
  5. Hormonal disturbances due to age-related changes in the body.
  6. Inflammatory diseases of the pelvic organs.

Considering the above reasons, we can conclude that all women are at risk of varicose veins in the legs.

clinical picture

The disease is characterized by gradual development. Pronounced clinical manifestations do not appear immediately. The first symptoms are the following:

  1. Leg swelling. It is especially noticeable after a long stay in a sitting position. In the morning, as a rule, all symptoms disappear.
  2. Cramps and numbness in the legs.
  3. Sensation of heaviness, burning and pain in the legs.
  4. Red-bluish spider veins, clearly visible on the skin.

If these symptoms appear, you should immediately consult a doctor. If ignored, the disease will continue to progress. The clinical picture will be complemented with:

  • seals and darkens the skin;
  • pain in the veins during palpation;
  • venous nodules that protrude above the surface of the skin;
  • severe muscle pain, the intensity of which usually increases when walking.

If the treatment of varicose veins in the legs is not prescribed, the patient will inevitably face complications. They are discussed below in the article.

varicose veins on legs how to treat

Diagnostic methods

If you suspect varicose veins, you should see a phlebologist or vascular surgeon. The diagnosis of the disease begins with a questioning of the patient and an examination of the affected areas. To obtain a detailed clinical picture and assess the severity of the disease, it will be necessary to perform ultrasound of the veins and undergo contrast venography.

Possible complications

Many patients, if they do not notice swelling and bumps on the skin, think that the disease has passed by. However, such a clinical picture is typical for an advanced stage of the pathological process, when the only method of treating varicose veins on the legs is surgery. Its danger lies not in the appearance of cosmetic defects, pain and burning.

Causing stagnant processes, pathology provokes the appearance of blood clots in the vessels, dense blood clots, consisting mainly of red blood cells. They spread rapidly throughout the body, they can reach the heart, lungs and even the brain. As a result, blood clots completely block the vessels and cause clogging. The following health problems are the result of the ongoing changes:

  • myocardial infarction;
  • career;
  • gangrene.

The consequence of these conditions is disability and, in especially severe cases, death.

Separately, it is necessary to talk about a frequent companion of varicose veins - a trophic ulcer. The causes of its appearance are chronic venous insufficiency and increased pressure in the veins. Such ulcers do not heal for a long time, they are difficult to treat. At the same time, they significantly worsen a person's quality of life, limiting their ability to work. Swelling, pain, and bad breath are just some of the symptoms of an ulcer. Sometimes they even degenerate into a malignant tumor. Therefore, you cannot ignore and run varicose veins on your legs. Treatment should begin as soon as the diagnosis is confirmed.

treatment methods

There are two options for treating the disease: conservative and surgical. The choice of treatment for varicose veins in the legs depends on the doctor. In this case, the doctor must take into account the severity of the disease, the presence of concomitant health problems, the age of the patient and other factors.

Conservative methods (drug therapy, compression therapy, exercise therapy, physiotherapy) are recommended at the initial stage of the pathological process, as well as for women during pregnancy. With advanced forms, surgical intervention is required. Today, minimally invasive methods (sclerotherapy, laser coagulation) are also actively practiced. They give good results and allow you to permanently get rid of a cosmetic defect.

More details about each of the methods will be discussed later in the article.

External treatment: creams, ointments and gels

In the case of varicose veins, the superficial vessels are damaged first and only later the deep vessels, leading to congestion. At the initial stage, external means are especially effective. From varicose veins on the legs, various ointments, creams and gels are prescribed. Its application is recommended exclusively in the affected area twice a day.

All drugs are usually divided into several conditional groups:

  1. based on heparin. They have a decisive effect and prevent blood stasis.
  2. Based on natural ingredients. In chronic varicose veins, the pain is relieved; during pregnancy, leg fatigue is reduced.
  3. Non-steroidal drugs. It is used to prevent inflammation, as well as in the treatment of thrombosis and thrombophlebitis.
  4. Based on hormones. They have antihistamine and anti-inflammatory effects.

The only contraindication to the use of these drugs is the presence of skin lesions.

medical therapy

Pharmacological treatment of varicose veins in the legs is the basis of therapy. Their help is resorted to regardless of the stage of the disease. Prescription drugs are available in various forms: tablets, capsules, injectable solutions. They have a variety of effects on the body:

  1. Phlebotonics. This is a large group of drugs whose action is aimed at improving blood flow in the affected area and the tone of the vascular walls.
  2. Anticoagulant medications. They prevent the formation of blood clots, improve blood circulation. Similar remedies for varicose veins on the legs are used strictly according to the doctor's prescription.
  3. Anti-inflammatory medications. Contributes to pain relief, reduces swelling, inhibits the process of platelet sticking. The dosage of drugs and the duration of administration is determined by the doctor.

Wear compression stockings

The fair sex is more likely for men to experience varicose veins. This is due to hormonal changes that occur in the body (for example, menopause or pregnancy). Therefore, the best option to prevent varicose veins in the legs and subsequently treat them is the use of special tights or stockings. Compression underwear compresses the lower extremities and prevents stagnant processes. In the case of an already developed disease, it protects against pain, discomfort, swelling and fatigue.

compression stockings for varicose veins

Characteristics of hirudotherapy.

Treatment of varicose veins on the legs with leeches has been known for a long time. Otherwise, it is called hirudotherapy.

In the saliva of leeches there is a special enzyme that prevents blood coagulation. Therefore, in order to eliminate stagnant processes, they often resort to their help. Having sucked, the parasite falls off on its own after some time. This happens only after it is saturated with blood. The procedure is carried out exclusively in stationary conditions and only by qualified specialists. Afterwards, for some time, the wounds may bleed. This is a natural phenomenon that should not be feared. Hirudotherapy is especially effective in the early stages of the disease process.

Help from traditional medicine

As an addition to the main course of therapy, doctors recommend treating varicose veins on the legs with folk remedies. There are many recipes. Everyone will be able to choose for themselves the most acceptable and convenient option.

The most popular is apple cider vinegar. It contains more than 20 minerals and trace elements, as well as vitamins A, C and B. This remedy helps strengthen blood vessels and relieves swelling. Perfectly tones the skin. The following are the main ways to use apple cider vinegar for varicose veins:

  1. Rubbing. After water procedures, this remedy should be rubbed into the affected areas with massage movements and not washed off until the next bath.
  2. compressesGauze should be moistened in a vinegar solution and applied to the affected area. Cover with a plastic bag and a terry cloth towel. Then you need to take a lying position so that the legs are 50 cm higher than the body. The duration of the procedure is 30 minutes.
  3. Torrential. 2 liters of water will require 150g of apple cider vinegar. The legs must be placed in a container and water the swollen veins with the prepared solution. You need to repeat the procedure for 5 minutes. There is no need to wipe your feet afterwards. They must dry naturally.
apple cider vinegar for varicose veins

Traditional medicine recommends the treatment of varicose veins of the legs and clay. Available in blue, white or green. This tool can be purchased at a pharmacy. It should be applied to varicose areas, after soaking in cold water. The layer thickness should be at least 1 cm, from above it should be covered with polyethylene, additional insulation is not required. This is a cold wrap. The duration of the procedure is from 1 to 1. 5 hours. After that, you should take a cold shower.

Cold wrap helps to narrow the veins, improve blood circulation. As a result, waste and toxins are removed. In addition, the wrap well relieves leg fatigue and stops swelling. To achieve a positive effect, at least 12 procedures with a frequency of 2 times a week are required.

To eliminate varicose veins, you can use white acacia flowers. They are used in the form of lotions, rubs or compresses. Tincture dissolves venous nodes well. To prepare it, you need 100 g of flowers, pour 0. 5 liters of vodka, leave in a dark place for 3 weeks. Then it needs to be filtered. Rub the product into the affected areas daily with massage movements. To restore full blood circulation, the procedure must be repeated daily.

Another popular recipe is white willow bark baths. It can be bought at a pharmacy. For the procedure, you will need to grind the bark, then pour 2 tablespoons of raw material into 400 ml of water and bring to a boil over low heat. The finished product must be poured into the bath. The procedure takes about 30 minutes. Immediately afterwards, it is essential to put on compression stockings and rest the legs. This treatment should be repeated every other day for 3 months. To enhance the effect, the decoction must be diluted with an infusion of oak bark in approximately equal proportions.

Many patients do not disdain the treatment of varicose veins on the legs with urine. However, this method of therapy raises a lot of questions among doctors and is quite unpleasant during implementation. Therefore, the decision about its necessity must be made by the patient himself.

complex exercise therapy

From the veins of the legs, special exercises help. The exercise therapy complex should be selected by a competent specialist. If done regularly, it improves blood flow to the lower extremities. The most popular exercises are listed below:

  1. In a standing position, it is necessary to alternately and vigorously raise the heels.
  2. Sitting on a chair, you can roll a small ball on the floor with your feet.
  3. In a standing position, slowly raise and lower your toes.

Exercises are always selected individually depending on the severity of the symptoms of the disease.

Nutrition for varicose veins.

According to reviews, the treatment of varicose veins on the legs is not complete without changing the diet. First of all, it is important to exclude fat and salty, spices and alcohol. Also forget about sweets. To improve the condition of blood vessels, berries, apples, citrus fruits are useful. They contain a large number of antioxidants and flavonoids, rutin. In general, the diet must be correct and balanced.

In order to thin the blood, it is important to properly organize the drinking regimen. It is necessary to consume up to 2 liters of liquid per day.

Minimally invasive techniques

Some patients, especially the fair sex, delay the treatment of varicose veins on the legs. In the photo after the intervention, scars and scars can often be seen. However, medicine does not stand still, constantly developing and introducing new methods of therapeutic action.

In the case of varicose veins, so-called minimally invasive techniques are actively practiced today. They do not require deep surgical intervention, are practically painless and do not entail complications. Among them, the following are particularly noteworthy:

  • sclerotherapy;
  • laser treatment;
  • radiofrequency ablation.

Let's look at each option in more detail below.

sclerotherapy

This is the most effective treatment for varicose veins in the legs. It is recommended to carry out the procedure at the initial stage, when only superficial veins are affected. During its implementation, the doctor injects a sclerosing drug through a syringe or microcatheter. The diameter of the latter is equal to the thickness of a human hair. The procedure itself is painless. The sclerosant glues the walls of the affected vein from the inside, removing it from the circulatory system. As a result, it dries up and stops working, gradually disappearing from the surface of the skin.

Sclerotherapy lasts no more than half an hour. During this time, the doctor makes several injections through punctures in the skin. Usually about three such procedures are required at weekly intervals. Complications rarely develop. As a rule, they are limited to itching at the puncture site, peeling of the skin. These unpleasant symptoms disappear on their own within 10 days. In rare cases, thrombophlebitis develops. After the course of treatment, it is important to adhere to some restrictions: avoid stress on the legs, not visiting the bathhouse, showers with hot water.

varicose veins laser treatment

laser treatment

Laser treatment of varicose veins in the legs has many advantages:

  • no traces on the skin after handling;
  • painless manipulations;
  • the procedure takes several minutes;
  • recovery is fast

The laser device generates waves of a certain length. Passing through the venous blood, they generate heat and seal the affected vessel from the inside. As a result, it is excluded from the bloodstream. The blood supply is also carried out through deep and collateral veins. They take over the entire load and, within a few days, completely replace the recalled container.

The procedure is performed under local anesthesia. It doesn't last more than 30 minutes. After that, the patient can immediately return to the usual rhythm of life. Laser treatment is not recommended during pregnancy and lactation, as well as in case of exacerbation of chronic diseases, with poor blood coagulation.

radiofrequency ablation

How to treat varicose veins with radiofrequency ablation literally 10 years ago, medicine did not know. Even today, this method is not universally used due to the high cost of the equipment needed to perform the treatment.

The principle of therapy is in many ways similar to laser treatment. Through an incision in the skin, the specialist introduces a radiofrequency waveguide into the lumen of the affected vessel. By emitting radio waves, he seals the container from the inside. The vein is excluded from the bloodstream and over time is replaced by connective tissue.

Radiofrequency ablation is not recommended for patients with obesity, atherosclerosis. The procedure must be performed by a qualified specialist to avoid complications.

Surgical intervention

How to treat varicose veins on the legs, if the above methods were ineffective? In this case, doctors recommend a traditional operation - phlebectomy. They also resort to their help if they are not superficial, but the deep veins are affected.

The operation involves the surgical removal of the vessels affected by varicose veins, resulting in the restoration of blood flow. It will last about two hours, and after the manipulations, small scars or bruises may remain on the skin. The latter disappear on their own within a few weeks.

The main indications for phlebectomy are the following:

  • extensive varicose veins;
  • violation of blood outflow;
  • pathological varicose veins;
  • Trophic changes in the skin.

A prerequisite for the operation is the absence of pustules, wounds and rashes on the affected area.

During the entire rehabilitation period, which usually lasts up to two months, it is important to follow the doctor's recommendations. Compression garments should be worn and excessive physical exertion should be avoided. Also, it is better to refuse to visit baths and saunas, laser hair removal. Otherwise, the patient can maintain the usual rhythm of life.

Prevention methods

How to treat varicose veins, the doctor should tell. Can this disease be prevented?

First of all, people at risk should think about prevention. These are those whose work is directly related to excessively high physical activity or its complete absence, pregnant women, overweight women, men with hereditary predisposition.

To prevent the disease, doctors recommend maintaining an active lifestyle. You can play sports (swimming, cycling), walk, climb stairs and not use the elevator. When sitting, it is important to periodically warm up and do simple exercises for the legs.

As prophylaxis against leg veins, compression underwear should be worn. This is especially true for people in whose families there have already been cases of the disease. During pregnancy and flights, during long bus/train trips or training, it is necessary to wear compression stockings, wrap the lower extremities with special elastic bandages.

cycling to prevent varicose veins

In conclusion, it should be noted that one should not be afraid of varicose veins. On the contrary, it is necessary to pay close attention to your own health, and if the first signs of damage appear, immediately consult a doctor.