Which treatment is most effective for varicose veins of the lower extremities

Depending on the degree of neglect of the pathology, treatment of varicose veins of the lower extremities can be conservative and surgical. In addition, the treatment of the disease should be comprehensive.

You can enter here:

  • drug use;
  • wear compression stockings;
  • adherence to diet, maintenance of normal body weight;
  • to follow the mode of work and rest;
  • Eliminate heavy lifting, stay on your feet for a long time;
  • 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 can be treated with massage that normalizes blood circulation in the legs. But this should be done only by a specialist, otherwise it will do more harm than good.

Wearing compression underwear prevents the development of pathology. Otherwise, you can wrap your legs with an elastic bandage.

Causes, symptoms and treatment of varicose veins

Home treatment can be done with prescription drugs. Blood may be sparse, analgesic and anti-inflammatory drugs, vitamin and mineral complexes. Special ointments that relieve fatigue, strengthen blood vessel walls, reduce the risk of blood clots, normalize the function of venous valves, help heal trophic ulcers.

It is important to organize your daily work. Not recommended for people suffering from varicose veins:

  • sit or stand for a long time;
  • sunbathing;
  • visit baths and saunas;
  • engage in team sports;
  • excessive physical activity;
  • wear a corset and tight underwear;
  • use of oral contraceptives;
  • Eat salty, spicy, fried foods, strong caffeinated beverages;
  • smoke;
  • Eat a lot, gain extra pounds.
Foot massage as a way to treat varicose veins

will be useful for them:

  • Long walks, including climbing stairs, are recommended for walking up to three kilometers a day.
  • Sports activities such as swimming, skiing, cycling (with compression stockings).
  • It is recommended to include in the menu a plant-based diet enriched with ascorbic acid, fermented dairy products and seafood.
  • Contrast foot shower.

Representatives of "standing" professions should perform 15 rolls from one ankle to another every half hour. If possible during the day, rest for 15 minutes in a horizontal position with your legs slightly raised every 3 hours.

Those who work all day should keep their legs straight, that is, their knees should be straight, with their knees not bent. They should also get up and walk for 5 minutes every 30 minutes.

It is desirable to raise the lower extremities by 15-20 cm at night, watching programs during the day, reading the press, it is better to rest in countries with temperate climates, but a vacation in the tropics will not be useful.

Methods and rules of treatment of varicose veins

In addition, alternative methods can be used to treat varicose veins. Increase vascular tone and normalize blood circulation baths with chamomile, St. John's wort, celandine, oak bark. Internal herbal solutions help to thin the blood and speed up blood circulation.

These could be:

  • hawthorn flowers and fruits;
  • hop cones;
  • yellow sweet clover;
  • licorice and angelica roots.

Compresses with agave juice, honey, sea buckthorn and olive oil help heal trophic ulcers.

Surgical therapy

Despite the existing conservative therapy methods, surgical treatment remains the most effective method. Modern surgical interventions not only eliminate the clinical picture of the disease, but also prevent the risk of various complications.

There are several types of surgery that can help defeat the pathology.

Combined venous phlebectomy

Combined phlebectomy has been used for more than a century to treat varicose veins. The essence of the operation is as follows: the patient's vessel is closed and removed.

Depending on the form of the pathology, an incision is made either at the level of the groin or the popliteal valve, 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 vessels of the lower extremities

The purpose of laser treatment is to "glue" the damaged vessel without removing it further, as it will resolve itself over time. Surgery is performed in specially equipped operating rooms under the control of the condition of the patient's blood vessels and blood flow in them.

This method is comparable in effectiveness to combined phlebectomy. Because it does not provide skin incisions and all manipulations are performed through small holes, there is a short rehabilitation period and virtually no complications. After the operation, the patient is kept in a medical institution for a maximum of 24 hours and then released. The procedure itself can be performed using different types of anesthesia. Sometimes only local anesthetics are enough. After the operation, the patient does not feel pain and does not need analgesics.

After the procedure, you should wear compression stockings and monitor your blood flow with the help of USDG.

Radiofrequency vascular obliteration

Another alternative method of phlebectomy is radiofrequency vein obliteration. Under the influence of radio waves, the damaged vessel heats up and sticks to each other, then thickens and dissolves. It is also a low-traumatic intervention performed without the use of general anesthesia and without hospitalization. Immediately after the operation, he will begin to lead a normal life.

Sclerotherapy

The essence of the method is to inject a special substance that sticks to the walls of the damaged vessel and then enters the body. This treatment is not as effective as laser or radiofrequency therapy, but it does not lag behind classical phlebectomy.

A sclerotic substance is injected into a vein through a puncture, after which the patient wears a compression garment and is advised to walk for an hour. Because the drug is injected directly into a vein, adjacent tissues do not suffer, and complications after sclerotherapy are rare.

There are currently many ways to treat varicose veins, and the earlier therapy is started, the more effective it will be. Therefore, you should not delay seeing a doctor at the first signs of illness.

02.03.2021