Varicose veins are a disease that indicates poor tone of the venous wall, inoperative valves, impaired blood flow to the heart, congestion in distant areas and places with mechanical obstacles. The treatment of varicose veins is a complex and complex process that includes therapeutic effects and surgical methods. Phlebological surgeons are experts in choosing treatment methods in the event of varicose veins in the legs.
Expansion of the veins is also possible in other areas with long-term chronic diseases:
- esophageal varices in the context of liver cirrhosis;
- varicocele (damage to testicular veins) in men;
- hemorrhoids from prolapsed venous vessels;
- varicose veins of the vagina during pregnancy.
These are the most common examples of injuries with which doctors of various specialties treat.
Serious complications (thrombosis, thrombophlebitis), the development of internal bleeding are fatal. They depend on how to cure varicose veins and prevent their consequences.
What is required of the patient
Like any disease, varicose veins will require a regime of restrictions, get rid of bad habits, a certain diet. It is impossible to cure varicose veins with medication alone. The doctor always informs the patient of those possibilities that depend only on him.
The patient is contraindicated:
- drinking alcoholic beverages, including beer;
- visit to the steam sauna;
- slimming underwear (corsets, belts);
- tight high-heeled shoes;
- long stationary positions when driving or at a desk in the office;
- the habit of crossing your legs.
An active engine mode is recommended. Contracting the leg muscles helps the relaxed veins to push blood. It's a good idea to come back from work every day.
In the morning exercises, it is necessary to include exercises from the complex of therapeutic exercises for varicose veins. It is about lifting the legs lying on the floor, "bicycle", working on the ankle joints with stretching of the socks and heels. Some movements can be done sitting on a chair during short breaks. Swimming is considered a very useful sport.
How to eat with varicose veins
Excess weight is one of the risk factors, therefore, the diet requires fasting days, restricts fatty and caloric foods, dishes with salt, hot spices.
It is necessary to forego fatty meat dishes, butter, mayonnaise, cheese, confectionery, carbonated drinks.
To improve the tone of the veins, vitamins and minerals contained in vegetables and fruits, kefir, low-fat cottage cheese, cereals, vegetable oils and green tea are useful. Onions and garlic will replace the seasonings.
How to choose a treatment method
The methods of treating varicose veins depend on the severity of the patient's condition. In the initial stage of the disease, when pain and swelling begin to appear at dusk, and vascular networks are visible in the legs in some places, a combination of dietary measures, rational nutrition with the use of compression stockings or socks is sufficient. They are sold in pharmacies. You need to buy them according to their size.
An easier way - the cinnamon bandage is applicable at home, but it doesn't look aesthetically pleasing on the street or at work. An elastic bandage is applied in the supine position from the toes, with a slight stretch of the fabric, up to the middle of the thigh. The vessels should not be tightly tightened.
Optimists expect varicose veins to be treated with gels and ointments. Advertising diligently convinces us of this. However, the opinion of specialist doctors is much more pessimistic. The ointments offered slightly reduce the pain and have a cooling effect. But its effect is very exaggerated. The drugs have a temporary effect, relieve fatigue, but do not solve the general problems of the disease. They are suitable in the countryside after physical work, on a tourist trip, when you have to walk a lot.
Internal remedies are more effective. They are able to increase venous tone, relieve swelling and restore the vessel wall. The choice of drugs in pharmacies is very large. Some are available in pills and ointments. Only a doctor can choose the right treatment and set the dose.
People with chronic gastritis and peptic ulcer should be treated with caution. Some medications have contraindications. Also, don't choose your own treatment for pregnant women. Recommended course of drug use for at least three months, followed by frequent repetitions.
A more radical treatment method, considered to be effective in 95% of cases, is considered a "minor surgery".
In the last decade, non-surgical techniques for treating veins have become widespread. The best modern methods of treating varicose veins are applied with little or no skin incision (or a very small incision is made that leaves no scar). All sterility conditions are observed, as in the operating room. The patient does not need to be in the hospital. In a few hours he goes home. The periods of incapacity for work are reduced to two to three days. The method is associated with the availability of certain equipment in a medical clinic.
Laser ablation technique
Laser ablation is performed under local anesthesia. A catheter with a light guide is inserted into the affected area of the vein, then the beam is connected and the laser gradually burns the internal surface of the choroid.
The procedure takes about two hours. It is used for varicose veins of any diameter. A few days later, the vessel becomes hardened (overgrown).
The method does not require special equipment. Sclerotherapy involves injecting a chemical substance into a vein with a needle that can cause the walls to collapse and, subsequently, excessive lumen growth. Foam products are used that do not pose a danger to the body.
After the procedure, it is recommended that the patient walk for about an hour so that the medication is well distributed throughout the vein. Compression socks or golf shoes are supposed to be worn for about two more months. This treatment is indicated when the diameter of the affected vessel does not exceed one cm.
Under local anesthesia through a small incision in the skin, the diseased vein is hooked, the ends are tied, the vessel is removed. The method is suitable for shafts of any diameter. The bleeding remains for several days. Compression stockings are recommended for ten days.
Radio frequency ablation technique
A catheter is inserted into the varicose vein under local anesthesia with a special device with a microwave effect. The method is based on the ability of certain radio frequencies to "seal" the vessel. At the same time, there is no internal burn, as when using a laser. The procedure takes half an hour. It is considered the least traumatic. Seven days later, it was allowed not only to work, but also to play sports.
When surgery is indicated
Methods of surgical treatment for varicose veins are shown in 5% of cases, when venous disease causes widespread damage, there is a threat of blood clots. The patient is admitted to a specialized surgical or vascular department. A complete examination of the functions of the heart and lungs is performed. Blood clotting is analyzed.
General anesthesia is used. With venous nodules in the leg, incisions are most often made in the groin area and under the knee. The ends of the veins are connected. The affected area is pulled and removed.
In the postoperative period, rest, drugs are prescribed that reduce blood clotting. This is necessary to prevent thrombosis. Until the sutures are removed (7 to 10 days), the patient is in the hospital.
Even with severe varicose veins, the operation is considered contraindicated for:
- the patient's old age;
- simultaneous atherosclerosis of the lower extremities;
- severe diabetes mellitus;
- concomitant oncological pathology.
Recommendations from people
Treatment with folk remedies is popular with patients. You should not expect a complete cure. All recommendations help to influence metabolism, relieve leg stress and prevent stagnation. Bathing and friction agents must be chosen individually due to the possibility of allergic complications. With the phenomena of thrombophlebitis and trophic ulcers, they are categorically contraindicated.
For bathing, they offer chamomile, St. John's wort, twine, oak, chestnut and willow bark.
As a solution for compresses and lotions, use a decoction of nettle, apple cider vinegar, cabbage leaf, potato juice, ground absinthe. It is recommended that the pads be changed every 4 hours.
The admirers of bee products are treated and offer others different compositions of honey with lemon, garlic. Bee stings are used to inject hirudin into the venous trunk.
All traditional methods must be agreed with the doctor, they require caution. They can worsen the condition of other organs.
Significant advances have been made in the treatment of varicose veins. Under the guidance of a specialist, complications can be avoided.