Methods of treatment of varicose veins

Varicose veins are not just an aesthetic defect in the legs. It is a direct catalyst for the violation of tissue trophism and the development of various complications. In later stages, varicose veins lead to the development of trophic ulcers, fistulas and atrophic lesions on the skin.

Mechanism of varicose veins formation

Varicose veins are considered a "female" disease because a higher percentage of women suffer from it than men. Although the latter are not free from the appearance of varicose veins. It is believed thatEndocrine disorders, unhealthy lifestyles, irrational nutrition, nutritional-constitutional or hormonal obesity play an important role in the development of the disease.

legs without signs of varicose veins

The disease is associated with a thinning of the venous walls, causing abnormal elongation and irreversible expansion of the vessel. This process catalyzes the formation of characteristic "nodules. "Varicose veins can be caused by genetically determined damage to the blood vessels.

Pay attention to your closest relatives, especially your parents. If the father or mother has visible varicose veins, care should be taken to see a phlebologist in good time for alarming symptoms and preventative measures should be taken.

Varicose veins are caused by the following phenomena:

  • Pregnancy;
  • taking hormonal drugs (including contraception);
  • hypodynamics;
  • Obesity or obesity;
  • Static physical activity in the vertical position of the body;
  • Mechanical injuries of the lower extremities;
  • Hereditary predisposition (congenital insufficiency of venous valves that carry blood through the bloodstream).

The disease can also affect the internal organs - the stomach, esophagus, intestines, uterus, testicles and sperm cord. It causes diseases such as varicocele and hemorrhoids. The first pathology, if the treatment is ignored, leads to infertility.

Most commonly, however, venous disease affects the lower extremities. This is due to the anatomical distal location of the local blood vessels. In addition, under certain loads on the lower extremities, venous pressure increases sharply, which also leads to the development and progression of the disease.

Varicose veins cannot be described as specific and can affect all people under certain conditions, even if there is no hereditary predisposition to such pathologies.

Diagnostic measures

Diagnosing varicose veins is not difficult for a skilled practicing phlebologist.

The specialist conducts a general assessment of the patient, thoroughly examines his personal and family history, and asks for complaints (prescription, severity, intensity of symptoms). An instrumental examination is then prescribed (usually an ultrasound examination, which is sufficient).

Surgical treatments for varicose veins

Surgical treatment is most effective in treating varicose veins. They are usually resorted to at a later stage of the disease, but as patients often turn to a specialist during this period, they have no choice.

Phlebectomy is the most common surgical procedure aimed at completely excising and removing the affected vessel. This procedure is considered radical and aggressive, but it provides the most pronounced therapeutic result.

Previously, phlebectomy fell into the category of open surgical interventions. Classical surgery was performed according to the traditional scheme, with incision, vascular resection, and suturing of the exposed skin area. Consequently, standard phlebectomy was associated with the formation of scars that did not aesthetically exceed the varicose nodes. Because of this, many women saw no point in resorting to such measures. Phlebectomy was performed more often when there was a real need for health and well-being.

In modern phlebological practice, a combined mini-phlebectomy of the saphenous veins is performed. This is a minimally invasive procedure performed with a miniature puncture on the skin. Through them, varices are inserted into a vein and then the vessel is removed toward the incision. The veins are not ligated because the bleeding is stopped by local compression.

Unlike classical surgery, mini-phlebectomy does not cause common complications (varicose syndrome) and relapse, does not require general anesthesia during the procedure, and is no different from tedious and painful rehabilitation.

Sclerotherapy

Sclerotherapy is a method of treatment that involves the local injection of drugs into a vein to get an "glue".

This procedure is simple and quick, and often does not require local anesthesia. The drug is injected into the affected vessel with the thinnest insulin syringe so that the patient does not feel subjective discomfort during sclerotherapy. After dispensing the drug, the person skilled in the art will compress the container for gluing. The manipulation is performed with an elastic bandage or latex pad.

The last step in the procedure is to put on a compression stocking. The patient will receive recommendations for wearing it and some precautions during the recovery period. It is not necessary to stay in the hospital after sclerotherapy, and one session is enough to achieve maximum results (up to 10 injections are injected into the vessel during its execution).

The procedure is notable for its excellent cosmetic effect - the nodes merge quickly and no scars form.

Hardware methods

Hardware methods for treating varicose veins include laser therapy. EVLT (EVLO) or endovascular laser coagulation (endovenous laser obliteration) is relevant to any form and stage of the disease. This involves inserting a light guide into the affected vessel and activating the device. When exposed to light, the plasma in the vein boils, and the vein itself turns into a connective tissue cord (scars) and dies.

EVLK (EVLO) is performed even in the case of acute thrombosis to prevent their complications.

The technique is surgical but does not require hospital treatment and complicated rehabilitation.

Conservative treatment

Conservative treatment of varicose veins is mainly performed in the early stages of recognition. It does not produce visible results with progressive pathology, although it is used as a preventive postoperative measure.

Conservative therapy involves taking certain medications:

  • Venotonics (phlebotonics);
  • Angioprotectors;
  • Anticoagulants;
  • Platelet aggregation inhibitors;
  • Antioxidants;
  • fibrinolytics;
  • Decongestants.

In some cases, specialists prescribe multivitamin complexes and diet therapy to the patient. Physiotherapy is important for patients with varicose veins, but exercises can only be performed under the supervision of a competent instructor.

Compression knitwear is used to optimize microcirculation and lymphatic drainage. The degree of compression is strictly selected by the observing or treating phlebologist, but by no means independently. Compression is recommended as prophylaxis for people prone to varicose veins, especially in certain circumstances (long-distance travel, flights, the need for prolonged sitting / standing, etc. ).

Varicose veins are pathologies that are best treated by a phlebologist. Do not attempt self-medication, including folk remedies.