Treatment of varicose veins in the legs: how to treat varicose veins

Varicose veins treatment methods differ in the intensity of impact on the pathological problem and the effect on the human body as a whole. Varicose veins are swelling of the subcutaneous veins with a sharp violation of blood circulation. Venous plexuses in the affected area twist and acquire a bluish tint.

A phlebologist treats varicose veins in the legs.

Compression jersey

Shapewear is an integral part of treating varicose veins at any stage. In the early stages of development of the pathology, compression hosiery can stop the progression of the disease and restore the former beauty of the legs.

There are several types of knitwear:

  • Knee High Socks, Tights, Hosiery;
  • elastic bandages.

All of them are classified according to the degree of compression, material of manufacture and manufacturer. Given that therapeutic underwear must be worn regularly, it is better to have the type of compression chosen by a doctor. For prevention, compression stockings and tights can be worn, especially if there is an increased risk of developing varicose veins.

medicines

Conservative treatment refers to non-invasive methods of correction. The average course is 2-3 months. During therapy, swelling and inflammation decrease, venous protrusion decreases. It is important to combine local and systemic treatment with wearing compression stockings. Medication correction allows you to remove varicose veins of the arms and legs due to the possibility of a systemic effect on the body.

Pills

Tablets are widely used in complex therapy. In addition to tablets, systemic treatment may include injections and capsules. Effective and well-known drugs are:

  • blood thinners;
  • anti-inflammatory;
  • phlebotonics.

Local therapy

Ointments, ointments and gels are used as local means for the treatment of varicose veins to be applied to the surface of the skin. Topical drugs are convenient to use in home therapy. Medicines relieve swelling and burning in the area of the venous bulge, reduce cyanosis and relieve pain.

The following popular drugs are distinguished:

  • based on glycosaminoglycan;
  • based on natural ingredients (horse chestnut, sweet clover, butcher's broom);
  • nonsteroidal anti-inflammatory drugs;
  • hormonal.

Treatment with leeches

Hirudotherapy (treatment with leeches) in phlebological practice is fully justified. The positive effect of the therapy is due to the following positive aspects:

  • remove tissue swelling;
  • thinning of the blood;
  • prevention of thrombosis;
  • pain reduction;
  • strengthening of vascular walls.

Carrying out therapy of venosclerosis

Treatment of varicose veins by sclerotherapy

A common method of treating varicose veins, used in the early stages of the disease. The effect of the procedure is noticeable after 1-3 sessions. There are two fundamentally different options for sclerotherapy.

Puncture method

This is an injection treatment of veins in the affected area. In some situations, patients may be prescribed intravenous injections. The following drugs are used for intravenous administration:

  • platelet disaggregates (for blood thinning);
  • thrombolytic agents (dissolving existing blood clots);
  • drugs to improve blood microcirculation.

In severe forms of varicose veins, a synthetic analogue of natural prostaglandin E is used1. Not all patients need puncture and injection treatment. The appropriateness of the method is prescribed by the doctor.

Radiofrequency ablation

The method was borrowed from cardiac surgery, where it is still used successfully to improve heart rhythm in affected areas of the heart. Radiofrequency ablation literally means vaporizing a substance. The method is based on the use of a current with a strength of up to 750 kHz. The current is delivered into the venous lumen using catheterization. Under the influence of current at a temperature of 120 ºС, the walls of the vessels stick together.

Obliteration differs from classical sclerotherapy in that there is no need to introduce special adhesives.

Surgical correction

Surgical treatment is a radical method of treating varicose veins if conservative therapy is ineffective and the pathology quickly progresses to healthy areas of the lower extremities.

The following methods are used for the complete recovery of the affected veins:

  • Phlebectomy.Surgery to remove damaged veins. Duration - about 1. 5 hours, performed under general anesthesia. The recovery period can last up to 3 months. There is a risk of permanent scarring after surgery.
  • Electrocoagulation.The method is based on cutting fabric by vaporizing moisture under the influence of direct current. The effectiveness of the method depends on the depth of impact of high-frequency currents. Coagulation is used in the treatment of blood vessels, warts, hemorrhoids and papillomas.
  • Cryosurgical treatment.This is a widely used method of treatment. The treatment is based on the effect of high temperatures on the affected veins. Under the influence of cold, the body begins to protect itself, which is expressed in the activation of regenerative processes in damaged tissues. 3-5 sessions will be required for best results. It is used for reticular varicose veins (stage I), as well as for venous disease of the 2nd and 3rd degree.
  • Scleroobliteration.A simple and effective procedure that involves drilling varicose veins. At the site of injury, destruction of the endothelial layer occurs and fibrous tissue is formed. With proper compression, the damaged and fibrotic vascular walls fuse together and the vascular lumen is completely closed. The procedure consists of 5-7 courses, but after treatment the probability of complete disappearance of the affected veins increases significantly.
  • Performing endoscopic dissection.The method is one of the types of subfascial ligation. In other words, the affected veins are ligated (cut) using endoscopic instruments from remote surgical access. After the procedure, no traces or scars remain.
  • Laser treatment.An effective, highly accurate and safe method of removing the affected veins. The entire treatment consists of local heating of the venous walls and their subsequent sclerosing. The advantage of the method is that only one procedure is required.
Laser treatment of varicose veins of the lower limbs

An innovative treatment can be used to treat varicose veins in children with obesity and endocrine diseases.

Traditional methods

There are several recipes used to improve the overall trophism of tissues and blood vessels:

  • essential oils;
  • Apple vinegar;
  • applications from raw potatoes;
  • aloe juice for ulcers;
  • cabbage leaf;
  • apitherapy - treatment with bee products.

It is possible to use drugs to increase immunity and increase vascular elasticity. Official medicine does not recognize such drugs as therapeutic and effective.

Lifestyle

In the absence of varicose veins, a number of recommendations should be followed to prevent the disease. If you have varicose veins, changing your lifestyle and following your doctor's instructions will reduce the risk of the pathology spreading to healthy veins:

  • active lifestyle;
  • eliminating bad habits;
  • charging in an upright position for long periods of time;
  • wearing comfortable shoes (you can alternate heels with wedges several times a day);
  • balanced diet to prevent constipation;
  • weight correction with increased body mass index;
  • compliance with the drinking regime;
  • regular exercise to treat varicose veins.

Varicose veins, when they progress and without proper therapy, can be dangerous due to the risk of blood clots, trophic ulcers and even gangrene. Varicose veins often coexist with diabetes mellitus, so when the first symptoms of pathology appear, it would be a good idea to visit an endocrinologist and rule out various hormonal disorders.