Varicose Veins of Lower Extremities (VBLK)

When people see the diagnosis of VDVL in medical books, they usually don't understand it. In fact, the term hides varicose veins in the lower extremities. The disease is characterized by the elongation of blood vessels and their further deformation. This pathology is very common. Approximately 76% of residents suffer from varying degrees of varicose veins in the legs. Next, we will study the symptoms of the disease and how to prevent its development.

Causes of the onset of the disease

The disease can be primary or secondary. It all starts with the failure of the venous valve. It can be congenital or acquired. Due to congenital insufficiency of blood supply, varicose veins manifest in childhood. Acquired deficiency develops in the context of exposure to pathogenic factors. These include:

  • Hard physical labor;
  • Stay in one position for a long time;
  • The period of hormonal changes;
  • Long-term use of inappropriate hormone drugs;
  • Pregnant.

Nor should bad habits be ruled out. Under the influence of ethanol and nicotine, blood vessel walls become more fragile, which accelerates the development of VBNK. Some doctors believe that this disease is common to all people, because the huge burden is reduced due to the upright posture on the veins and bones. Other experts do not support this theory, and believe that the formation of varicose veins should be blamed on the patient.

Causes of varicose veins in extremities

Symptoms of varicose veins

The manifestation of this disease depends on its stage. In the first stage, the patient is only concerned with the visual manifestations of the disease. In humans, spider veins appear, and after exercise or at the end of the day, the veins begin to appear under the skin. Some patients complain of heaviness in the legs. Symptoms of stage II vein dilation:

  • Increased fatigue;
  • A strong feeling of heaviness in the legs;
  • Feet and calves will swell when walking short distances;
  • Cramps in the feet and legs were observed at night.

In the second stage of the disease, the visual manifestations become more obvious. In the standing position, the veins are very obvious and the edema is obvious. If the patient stands still, the symptoms will decrease or disappear completely. The third stage of varicose veins depends on the obvious expansion of the veins. The skin becomes dry and trophic ulcers often occur, which requires special medicine to cure. The person is constantly experiencing pain in the limbs.

Diagnosis of varicose veins

Usually, the phlebologist will notice the first symptoms of the disease during a routine examination of the patient’s legs. After examining the patient’s main complaint, the doctor can turn to an intravenous instrumental examination. According to the results of ultrasound examination, the diagnosis and diagnosis of VBNK varicose veins is carried out in 90% of cases. Of course, patients will need to pass biochemical and clinical blood tests. If the ultrasound results are suspicious, the patient will be referred for the following types of diagnosis:

  • Double-sided scanning;
  • Contrast with computed tomography;
  • Radiopaque venography;
  • Occlusal plethysmography;
  • Rheological angiography.
Diagnosis options for varicose veins of lower extremities

Effective treatment methods

The treatment of varicose veins is multifaceted. This is not to say that there is only one way to help a person cope with disease. The treatment of varicose veins starts with taking medication and using creams, ointments or gels. It is also recommended to wear compression socks. If these methods fail, refer the patient to physical therapy and surgery.

Elastic compression therapy

Even if there is no varicose veins, you can wear knitted underwear with a certain pressure to reduce the burden on blood vessels. If you are diagnosed with this disease, be sure to buy special stockings or bandages. The degree of compression should be determined by a phlebologist. In addition, elastic bandages can be used instead of medical underwear, but this is not very convenient because you must wear them often.

Taking medicine

In the later stages of the disease, drugs are rarely effective. On its own, it cannot prevent the further development of the disease, but it helps the recovery of blood vessels. Doctors usually prescribe the following types of drugs to patients:

  • Regulates veins. They contain substances related to the structure of blood vessel walls.
  • Improve microcirculation. This group of drugs makes blood and other nutrients move faster through blood vessels.
  • Prevent blood clots. These drugs help the liver break down bad cholesterol.
  • Relieve pain. These drugs have a cooling effect on the legs.

Perform sclerotherapy

Inject a special substance into the affected area, causing damage from the inside. As a result, over time, it contracts and becomes a tendon. If the blood vessel is severely stretched, this method may not be effective because the medicine will dissolve and the vein will enter normal blood again. In addition, this technique is contraindicated for allergy sufferers.

Sham therapy

One of the causes of varicose veins is "thick" blood. Water will help get rid of this problem. For patients with allergies and anemia, sham therapy should not be given. As for the operation itself, 3-4 pieces of water are attached to the site of the vein node, and the rest are placed along the entire length of the vein. This procedure is executed every 7-14 days. Because patients may develop anemia, hand and foot therapy is usually not possible.

Physical Therapy

Patients are exposed to specialized medical equipment that can improve blood microcirculation and increase the tone of blood vessel walls. This is both traditional electrophoresis and segmental therapy. This also includes massage and the use of low-frequency magnets. The attending physician should select the type of physical therapy suitable for the patient based on the examination results.

Physical therapy for varicose veins of lower extremities

Surgical treatment

Varicose vein surgery in the lower extremities is one of the most effective ways to eliminate the disease. Compared with conservative methods, surgical methods allow you to completely get rid of damaged blood vessels and prevent the further development of the disease. Surgical method:

  • Vein extraction;
  • Mini Lobectomy;
  • Endoscopic vein dissection;
  • Radiofrequency ablation;
  • Peel (short or non-traumatic);
  • Laser condensation.
Laser treatment of varicose veins

Proper nutrition

Food should be low in calories, but at the same time rich in useful vitamins. The patient can eat all types of meat, but only stewed, grilled or cooked. It is not recommended to fry food in oil. The main part of the recommended diet includes fruits and vegetables. They contain many vitamins and minerals that are beneficial to cell metabolism.

Nutritional rules for varicose veins

Spa treatment

All people with chronic diseases can visit the professional center. This list includes patients with VBNK. In case of blood vessel damage, it is best to choose a resort with ra water. If tissue nutrition changes, you should go to a nursing home with a source of nitrogen or hydrogen sulfide. After the surgical intervention, the patient can begin treatment at the health resort in 2 months.

Hydrotherapy for varicose veins

Complications that may occur after treatment

Side effects vary depending on the type of treatment chosen. If a surgical intervention involving vein removal or cauterization is performed, the patient will experience severe pain in the limbs for a period of time. For sclerotherapy, one of the disadvantages may be the absorption of the substance and the inclusion of normal blood in veins. Then the treatment simply won't work.

If there is no effect after treatment, the disease will begin to develop in a standard pattern. The patient will develop a trophic ulcer on the affected area of the leg. Then an active blood clot will begin to form, which will lead to thrombophlebitis. If the cholesterol plaque falls off, the patient may at best face complete vein blockage. In the worst case, a blood clot can enter the bloodstream and then into the pulmonary artery. This may result in disability or death of the patient.

Prevention and prevention of recurrence

Preventing the formation of varicose veins is easier than treating varicose veins. The general advice is the same for all patients: physical therapy is necessary to get rid of bad habits, adjust eating habits, and reduce the burden on the legs in general. If you cannot follow all the tips, you should at least try to use special accessories to increase physical exercise and relieve unnecessary stress on your limbs.

Physiotherapy practice

The exercise is very simple. This is an ordinary birch tree and scissors. The patient can swing his leg freely while lying on the floor. Stretching has a positive effect on the condition of varicose veins. It helps to improve tissue nutrition and prevent the development of osteochondrosis. But you cannot do free weight exercises (dumbbells and barbells over 10-15 kg). They generate additional static stress, which is very harmful to blood vessels.

People with varicose veins can swim and stretch. Staying in the water can reduce the pressure on the joints, and deep stretching will help improve blood flow to the pelvic organs and limbs. It is recommended that the coach develop a specific set of exercises for the patient. VBNK patients should not go to the sauna.

Physical therapy exercises for varicose veins of extremities

Healthy lifestyle

Quitting alcohol and smoking is the only way to prevent the development of varicose veins in the legs. The patient must establish a way of working and resting. It is recommended that you stretch every day. You should also minimize the impact of unfavorable factors on your body, that is, avoid stress, wear comfortable clothes, etc. It is recommended to walk anywhere. A healthy person should walk at least 7 kilometers a day.

Reduce the burden on the legs

Many patients confuse the reduction of intravenous load with the complete elimination of physical activity. These two points are completely unrelated. Exercise should exist in the life of the patient. It is recommended to stretch every day, but it can reduce the total load on the legs. This can be done in several ways:

  1. Get rid of bad habits. Cross-legged is not allowed. In addition, do not sit on a chair and do not put one foot under you. In both cases, there will be additional stress on the blood vessels.
  2. Wear comfortable clothes and accessories. You should not buy size 2 jeans that are smaller than the size you are currently wearing, or try to wear narrow-toed shoes when the body becomes wider. First of all, people who are susceptible to varicose veins should have their own health conditions.
  3. Use compression socks. Nowadays, you can find different types of medical linens in pharmacies and specialty stores. It is recommended that people who are susceptible to VBNK use compression pants instead of standard leggings, knee-high socks and socks. Visually, they are actually no different from ordinary containers, but in the process, they reduce the load on the container.
  4. Use special accessories to relax. Various massage pads and applicators help relieve stress. Plastic surgery and massage pillows can be used not only at work, but also after sleep.
  5. Massage. You can do it yourself or entrust yourself to an experienced massage therapist. This process is only useful in the initial stages of the disease. For varicose veins in the second and third stages, massage cannot be performed.

Generally, if a comprehensive treatment is taken, the development of VBNK can be prevented. Don't think that using drugs or exercise alone will help the blood vessels return to their original elasticity. It is necessary to follow all doctor's prescriptions, and if necessary, do not worry about surgical removal of damaged veins.

10.03.2021