Treatment of varicose veins: the best methods and remedies

>Varicose veins are a widespread disease and in most cases manifest themselves in the legs, but at the same time they can form in other parts of the body.

Signs of varicose veins

For most people, especially women, varicose veins are primarily an aesthetic problem. In the early stages, the disease does not pose a threat to health. Swollen and ugly veins can ruin the appearance of certain body parts, but if you do not pay attention to the treatment and prevention of varicose veins, complications can develop over time.

Causes of varicose veins

There are a number of factors that can increase your risk of getting varicose veins:

  • Hereditary tendencies. If someone in your family suffers from varicose veins, you have a chance of inheriting the disease.
  • Gender. According to statistics, varicose veins are more common in women than men.
  • Age. With age, the veins and valves become weaker, and varicose veins tend to expand.
  • Disruption of blood flow between arteries and veins.
  • Hormonal changes. This occurs mainly during pregnancy, premenstrual period and menopause, during hormonal changes. During this period, the risk of developing varicose veins increases. During pregnancy, the growing fetus presses on the veins in the legs. Moreover, each subsequent pregnancy increases the risk of varicose veins.
  • Obesity. Being overweight puts too much pressure on the veins, which can provoke the appearance of varicose veins.
  • "Sedentary" and "stand-up" work and inactive lifestyleIf you have to stand or sit for a long time, the risk of varicose veins increases. This is because it is more difficult for the veins to carry blood to the heart during long movements.

The main symptoms of varicose vein development

In addition to the characteristic dark blue or purple vein formation, the following are the main signs of varicose vein development:

  • Slight swelling of the ankles and feet, especially after prolonged standing.
  • Pain, burning and heaviness in the legs.
  • Cramps and throbbing.
  • Itching in the ankles and lower legs, often misdiagnosed as dry skin.
  • Skin discoloration in the area of ​​development of varicose veins (bruises).

Treatment of varicose veins in the lower leg

To effectively deal with varicose vein problems, an integrated approach is needed, which includes:

  • Medications for the treatment of varicose veins - tablets, capsules and drops;
  • Local remedies - creams, ointments and gels;
  • Compression therapy;
  • Proper lifestyle;
  • Moderate physical activity;
  • Methods of rescue and surgery (laser endogenous ablation, sclerotherapy).

Compression therapy

When the first symptoms of varicose veins appear, it is recommended to start wearing compression garments - stockings, tights or leggings using light pressure from the bottom of the legs up, reducing blood accumulation and reducing swelling. You need to wear such compression clothes continuously, only in this case a positive effect can be achieved. Wearing compression clothing will not cure existing varicose veins, but will help prevent or reduce varicose veins and further complications.

Methods of surgical and surgical treatment

Laser endogenous ablation (radio or laser frequency)

The laser endogenous ablation method is the most effective and safe method to treat varicose veins. This is the use of laser or radio frequency therapy, with the help of varicose veins closed or removed. The doctor makes a small incision in the skin near the vein and inserts a catheter into it, then a special device is connected to the end of the catheter, with which the catheter heats up and closes or removes varicose veins (depending on the method of ablation chosen). This procedure is performed using local anesthesia and the patient usually returns home on the same day.

Sclerotherapy

Sclerotherapy refers to a gentle method of treating varicose veins. During the procedure, a special substance is injected into a varicose vein, which damages the lining of the vein and causes blood to clot in it. After a while, the veins collapse and disappear.

Surgical method

In the case of advanced varicose veins, some very gentle treatment methods are no longer effective. In this case, the patient suffering from varicose veins can be assisted with surgery, in which the superficial veins are removed surgically. Indications for surgery are boils, bleeding, phlebitis. The operation is performed under general anesthesia, as a rule, the patient returns home on the same day. Pain and discomfort may occur for 2 weeks after surgery, this is normal.

Surgical methods

Bad physical activity and lifestyle

Exercises for varicose veins

Many movements and moderate exercise are key allies in the fight against varicose veins. Not all exercises are equally beneficial, and some can even harm someone suffering from varicose veins.

Simple, rhythmic physical activities such as walking prevent the development of disease and complications because dynamic muscle movement helps direct blood from the periphery to the heart.

Walking very well for the prevention of varicose veins, this type of physical activity promotes healthy blood circulation by stretching and contracting the venous pump on the calf muscles. Walk at least 30 minutes at least 5 times a week.

Low intensity running

Running at low speeds works well for the calf muscles, but has one drawback - running puts pressure on our joints. If you are not ready to replace the run with other activities, run on grass or rubber roads, not on hard asphalt.

Elliptical bike and exercise

Exercise with elliptical trainers and stationary bikes actively binds the calf muscles, this contributes to normal blood circulation.

Strength training

Patients with varicose veins should avoid a lot of very strong endurance exercises, squatting, lungs and headaches. All of them have a negative impact on the course of the disease and contribute to its development. During prolonged muscle tension, blood accumulates in the veins of the legs, blood circulation deteriorates, all of which provokes the development of complications. It is recommended to wear compression stockings during and after strength training.

The most effective medicine for the treatment of varicose veins

Today, pharmacies offer a wide range of medicines for the treatment of varicose veins in the form of tablets, drops, ointments, creams, gels.

The main group of drugs used to treat varicose veins

For the treatment of varicose veins, several groups of drugs are used: ointments, creams, tablets, infrequent injections.

Features of each group listed:

  • Disagregants. They inhibit the formation of thrombus, reduce the adhesion of platelets and erythrocytes and their ability to attach (adhesion) to the endothelial blood vessels. They reduce the surface tension of the erythrocyte membrane, facilitate its deformation when passing through capillaries and increase blood flow.
  • Phlebotonics. They act to increase venous outflow.
  • Venotonics. Helps normalize the filling of blood vessels.
  • Anticoagulant. They change the viscosity of the blood.
  • Nonsteroidal anti-inflammatory drugs. They have analgesic and anti-inflammatory effects, used to relieve pain.
  • Fibrinolytics. Reduces the risk of venous thrombosis.
  • Antioxidants. They have a vaso strengthening effect.

Phlebotonics

To solve the problem, it is necessary to increase the tone of the veins. Therefore, patients with varicose veins are prescribed phlebotonics (venotonics). The main task of drugs with venotonic properties is to strengthen weak blood vessels and normalize blood circulation.

Phlebotonics varies in composition and price range, therefore, for the treatment of varicose veins, you can get the most appropriate choice of medication in terms of cost.

Phlebotonics containing Diosmin

Diosmin belongs to the bioflavonoid representative and is found in many medicines to combat varicose veins. It has a venotonic effect, improves lymphatic drainage, improves microcirculation, reduces the adhesion of leukocytes to venous walls and their migration to paraffin tissue, increases the diffusion of oxygen and perfusion on skin tissue, and has anti-inflammatory effects. Inhibits the production of free radicals, the synthesis of prostaglandins and thromboxane.

Experimental studies show that diosmin doubles lymph outflow, improves venous wall tone, suppresses leukocyte activity and prevents inflammation.

Divider

This is a group of drugs that affect the blood clotting system, preventing the adhesion of formed elements, platelets. Antiplatelet agents are another name for drugs in this group, because, in fact, natural or synthetic substances inhibit platelet adhesion and prevent the formation of blood clots, which are often needed in the treatment of varicose veins in the lower extremities.

Antioxidants

Antioxidants are substances that inhibit the oxidation of lipids and proteins in cell membranes, bind free radicals and thus slow down the oxidation and aging processes. Drugs in this group can be prescribed in the complex treatment of varicose veins. They help increase the length and elasticity of the walls of blood vessels, strengthen them and extend the normal lifespan of each cell in the wall even the smallest veins.

Dekongestan

Often, varicose veins are accompanied by pain and swelling. To restore lightness in the legs, decongestants are often prescribed in the complex treatment of varicose veins. They increase the outflow of lymph from the affected area, removing excess fluid from the body.

Which doctor deals with varicose vein treatment?

As a rule, phlebologists are involved in the diagnosis and treatment of varicose veins. Unfortunately, not all medical institutions offer physicians with this expertise. Keep in mind that some narrow specialists can also help in the treatment of varicose veins - these are angiologists and vascular surgeons. General practitioners can also help diagnose the disease and refer the patient to the appropriate specialist.

Remember that in the early stages of the disease, obvious clinical manifestations are usually absent. Therefore, if you suspect varicose veins, you should immediately contact a qualified specialist who will make a diagnosis. As a rule, the diagnosis of varicose veins is made by considering the patient's complaints, examination of the lower extremities, as well as data from laboratory and instrumental research methods. It is possible to be confident in the development of the disease and take timely action to prevent it only after a thorough examination of the patient.

External medicine for the treatment of varicose veins

External methods

All modern ointments are prescribed in addition to the main treatment of varicose veins with medication. Local treatment helps achieve a complex effect on the problem.

We recommend using creams, gels and ointments in complex treatments, as well as for prophylactic purposes. Especially for people who have a genetic predisposition to varicose veins. However, when the first symptoms appear, immediate steps must be taken. Otherwise, the disease can develop and cause severe discomfort.

Local treatment of varicose veins is an important therapeutic agent, which, along with medication, exercise therapy and prevention, helps restore a healthy circulatory system:

  • Heparin-based ointment is used in the complex treatment of varicose veins, along with tablets. Ointment is applied to the affected skin. It is absorbed and has a therapeutic effect, the active ingredient heparin strengthens the walls of veins and capillaries, increases the absorption of blood clots in microtrombi.
  • Plant extracts, especially horse chestnut, have heparin-like effects, and in addition stimulate the regrowth process and improve skin condition. Ointments based on plant extracts affect the metabolism of skin tissues and blood vessels, have a multifaceted effect, show regenerative effects, improve the appearance of skin and blood vessels.
  • Non-steroidal anti-inflammatory drugs, in addition to relieving pain and inflammation, reduce the general condition of patients with varicose veins, and affect the recovery process in the body. External use of the drug does not reduce its effectiveness, it allows you to act on the sore area in place.

The use of ointments for the treatment of varicose veins is regulated by a phlebologist, who takes into account the indications and contraindications for its use. Therefore, despite the simplicity of such a drug, its own use, without consulting a doctor, is unacceptable.

Heparin Ointment

Ointments for the treatment and prevention of varicose veins based on heparin are produced by different names, they differ from each other in the presence of excipients in compositions that change the action and effect significantly, and also have different manufacturers.

Heparin is a unique ingredient, so it is included in many medicines for the treatment and prevention of varicose veins. Your doctor will tell you which ointment to choose for the treatment of varicose veins on the legs. In addition to heparin-based ointments, there are herbal preparations that are no less effective in preventing the development of varicose veins.

Local preparations with venotonic effects and blood stimulants

The herbal component of the ointment is a complex natural substance that acts in a complex with varicose veins, strengthens the walls of blood vessels and improves blood circulation.

Nonsteroidal anti-inflammatory drugs can be used to relieve pain and inflammation in varicose veins. NSAID-based ointments ease the general condition of patients with varicose veins and can speed up the healing process.

How do ointments, creams and gels differ from each other?

There is no significant difference between topical preparations in the form of ointments, gels or creams, however ointments and creams are made based on vegetable or animal fats, and the active ingredients in them are not completely soluble.

The gel is produced on the basis of water, for this reason, all active components in it are completely soluble, without residue, which contributes to faster penetration and absorption into the skin.

Topical varicose veins should always be used on clean skin. They must be used periodically, especially in severe forms of the disease. Remember, varicose vein disease is not a simple disease, and a comprehensive approach is needed here. Expert consultation is required, you can not cure yourself. Only after the diagnosis is made will the doctor be able to prescribe treatment, which includes medication for internal and external use. In this case, the patient with varicose veins must lead a healthy lifestyle.

10.11.2020