What treatment is most effective for varicose veins of the lower extremities?
The 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 can include:
- use of medications;
- wearing compression stockings;
- 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 beginning of the disease, it can be treated with massage, which normalizes blood circulation in the legs. But only a professional should do it, otherwise there will be more harm than good.
Prevents the progression of the pathology when wearing compression underwear. If not, you can wrap your legs with elastic bandages.
Home treatment can be done with medications prescribed by a doctor. It can be anticoagulant, analgesic and anti-inflammatory drugs, vitamin-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 and promote the healing of trophic ulcers.
It is important to adjust your daily routine. Not recommended for people with varicose veins:
- sit or stand for a long time;
- visit baths and saunas;
- participate in team sports;
- excessive physical activity;
- wearing corsets and tight underwear;
- use of oral contraceptives;
- consume salty, spicy, fried foods, strong caffeinated drinks;
- overeating, gaining extra pounds.
It will be useful to you:
- 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 stockings).
- A plant-based diet enriched with ascorbic acid, it is also advisable to include fermented dairy products and seafood on the menu.
- Contrast foot shower.
Representatives of professions "standing", every half hour must perform 15 laps from heel to toe. If possible during the day, every 3 hours, rest 15 minutes in a horizontal position with your legs slightly raised.
Those who sit at work all day should keep their legs straight, that is, their knees bent, by placing them on a small hill. They should also get up and walk for 5 minutes every 30 minutes.
During nighttime sleep, as well as during the day when watching programs, reading the press, it is desirable that the lower extremities rise by 15-20 cm. It is preferable to rest in countries with a temperate climate, but vacations in the tropics will not be beneficial.
Additionally, alternative methods can be used to treat varicose veins. Increases vascular tone and normalizes blood circulation baths with chamomile, St. John's wort, celandine, oak bark. Herbal decoctions taken internally help to thin the blood and accelerate 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 existing conservative therapy methods, surgical treatment remains the most effective method. Modern surgical interventions make it possible 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 overcome pathology.
Combined venous phlebectomy
Combined phlebectomy for the treatment of varicose veins has been used for more than a century. The essence of the operation is as follows: the diseased vein is tied off and removed.
Depending on the form of the pathology, an incision is made at the level of the groin or popliteal cap, and the central vein is cut at the point where it flows into the deep veins and then completely removed.
Endovasal laser obliteration of the veins of the lower extremities
The goal of laser treatment is to "glue" the damaged vein, without removing it further, as it will dissolve over time. Surgical intervention is carried out 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 incisions in the skin and all manipulations are carried out through small punctures, then there is a short rehabilitation period and there are practically no complications. After the operation, the patient is kept in a medical facility for up to 24 hours and then discharged. The procedure itself can be done under various types of anesthesia. Sometimes local anesthetics alone are enough. After the surgery is finished, the patient does not feel pain and does not need pain relievers.
After the procedure, you will wear compression stockings and monitor your blood flow status with the help of USDG.
Radiofrequency vein obliteration
Another alternative method of phlebectomy is obliteration of the veins by radiofrequency. 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 that is performed without the use of general anesthesia and the patient is admitted to a hospital. And after the operation, you can immediately start leading your usual lifestyle.
The essence of the method is to inject a special substance into the damaged vein, which sticks its walls and is then absorbed into 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 surrounding 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.