Varicose veins - what is it and how to live with it?

varicose veins in the leg

Varicose veins are a very common disease and, according to statistics, occur in more than thirty million people. Varicose veins are more common in women than men. With this disease, the walls of the arteries lose elasticity, nodules form in the arteries, and blood flow is impaired.

Varicose veins - what to do with such a disease?

varicose veins in the legs

With the onset of summer, people with varicose veins should drink more fluids - water, tea, fruit juices. The meal should be light with enough fiber and less saturated fat. Constipation and excess weight should be avoided.

You should avoid sitting or standing for long periods of time, using every opportunity to move your legs and feet. It is necessary to walk for 10-15 minutes before going to bed, and during sleep and rest it is useful to raise the legs about 10-15 cm above the level of the chest.

Everyone should choose a sport that suits them - intensive walking, running, aerobics, cycling, dancing, swimming, not going to the beach for 10-15 hours. Walking in sea water and being up to the waist provides a natural massage of the feet and reduces congestion in the arteries.

Patients who are unable to spend time on the beach may benefit from washing their feet with lukewarm water before going to bed at night. Hot baths, baths and saunas, hot physiotherapy are also useful, but a maximum temperature of 30-31 degrees should be avoided.

Prevention of varicose veins

Clothing should be wide and comfortable, preferably in light colors, tight pants, corsets, socks and tight elastic cuffs are contraindicated. Shoes should also be comfortable, heel height should be 3-5 cm. On the other hand, in the summer you need to wear special elastic compression stockings against varicose veins.

Although patients may experience discomfort due to high temperatures, it is important to wear them. Medications containing diosmin, troxerutin or grape or chestnut extract reduce swelling and subjective complaints. Applying topical gels or creams has a similar effect.

Regular consultations with a general practitioner, gynecologist or vascular surgeon are mandatory, especially if there are complaints such as swelling, pain or heaviness in the legs, as well as excessive superficial varicose veins.

It should be noted that the hottest summer months (July and August) are not the best time for surgical treatment of the disease due to the increase in venous congestion in the lower extremities, as well as the need to wear a tight elastic bandage or socks after surgery. (about 30 days).

Treatment of varicose veins

injection treatment of varicose veins

Varicose veins often become a disease that can progress to particularly severe stages. However, patients, their relatives and doctors often do not appreciate it. They say, "Yes, I'm fine, my grandmother had such veins. "People ignore the symptoms and go to the doctor when the disease is very advanced.

The disease has progressed to more severe stages, there are already large veins covering the entire leg, or worse, there are already changes in the skin or phlebitis. And the most unpleasant thing is when the damage is visible. Many people "calm down" by hereditary factors. In general, this is a very interesting topic, and a lot of research is being done on it.

There is no conclusive evidence of hereditary factors, but it does appear to be present in the family. So there is a certain dependency. If you have such a disease in the family and the first complaints appear, you should regularly consult a vascular surgeon and oncologist to get the most accurate recommendations for prevention.

Do not expect the disease to progress to a severe stage. If the patient understands that special care is needed for the arteries, then he should take care of the feet as well as the face and hands of each person.

The main advice for varicose veins is to move. You have to walk a few kilometers a day. If people are sedentary according to their profession or lifestyle, then a wider movement should be organized. Sports activities such as swimming and cycling are incredibly helpful for vascular problems. Make sure you are not overweight.

Slightly raised legs prevent varicose veins. The legs rest well when lifted slightly 10-15 cm above the level of the hips, which provides good reverse blood flow.

Modern treatment of varicose veins

varicose veins in the legs

This is very complicated. In general, the first and most important part of the treatment of vascular diseases is a change in lifestyle and movement. In the second place compression therapy - with the help of special elastic stockings. Drug treatment has been available for more than 20 years, there are very good drugs.

One of them is a micronized flavonoid that provides very good absorption and has a very good effect. Depending on the severity of the disease, one tablet should be taken in the morning and evening for two to four months.

Suitable for all stages, but it is better to appoint a specialist. Self-medication is not recommended. The following methods are operative - radiofrequency and laser ablation, sclerosing therapy, vascular embolization with medical glue help to stop the disease.

Embolization of blood vessels with medical glue

endovascular thrombectomy for varicose veins

Arterial embolization is one of the greatest achievements in the treatment of modern varicose veins. The first step in starting this type of treatment is to have the patient examined by a vascular surgeon or oncologist.

After a thorough evaluation of the complaints, a Doppler ultrasound examination of the vessels is performed to determine which venous segments are susceptible to the disease.

Only then, taking into account the anatomical and Doppler ultrasound features identified during the examination, the specialist can offer the patient the most appropriate treatment for him: embolization (gluing), mechanical chemical ablation, radiofrequency ablation, peeling or conservative treatment.

After a thorough discussion of the method, its advantages and disadvantages, as well as possible complications, the patient is prescribed and prescribed treatment. Instructions are provided for the necessary documents and research. Adhesive embolization is an extremely innovative, minimally invasive method.

It is performed under the guidance of ultrasound, "glue" is applied through a catheter, which causes instantaneous adhesion of the vessel. The method is performed using local anesthesia, which is placed in the area where the catheter is placed. The great advantages of the method are its speed and effectiveness, the absence of swollen anesthesia with a catheter, as well as the need for elasto compression.

After treatment, the patient returns to a normal lifestyle on the same day without restrictions on diet and exercise. Complications are extremely rare. They are usually not severe and pass without a residual effect after a few days. Some of the most common are aseptic inflammation along the vein, without large bruises.

At what age do the first signs of varicose veins usually appear?

This is the period after the second decade of life. Many young people in their 20s and 25s have problems with their arteries. However, with age, the veins become more visible, and in the sixth decade, many people suffer from progressive varicose veins. Thus, age is a risk factor.

Other risk factors for varicose veins include excess weight, inactivity, and prolonged sitting with the legs down. Occupations (teachers, dentists, surgeons, hairdressers, etc. ) in which a person stays upright for a long time are also at risk, because venous blood does not flow normally.

There is no proven trend in the number of people suffering from this disease. But more and more people are talking about this disease, what it is, it is detected earlier, and those who need to eliminate the disease receive better treatment.

results

We now know that varicose veins are a common pathology that often develops on an inherited basis, as well as under heavy loads. At the first signs, be sure to contact a phlebologist for advice. Otherwise, the disease can cause complications.

25.02.2022