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

varicose veins on the legs

Varicose veins are a very common disease that, according to statistics, occurs in more than 30 million people. Varicose veins are more common in women than men. In this disease, blood vessel walls lose elasticity, veins develop nodules, and blood outflow is disrupted.

Varicose veins - what to do about this disease?

Varicose veins in the legs

As summer approaches, people with varicose veins should drink plenty of fluids—water, tea, juice. Foods should be bland, with adequate fiber and less saturated fat. Constipation and overweight should be prevented.

Sitting or standing still for extended periods of time should be avoided and every opportunity to move the legs and calves should be used. Walk for 10-15 minutes before going to bed, and raise your legs to about 10-15 cm above your chest during sleep and rest.

Everyone should choose an exercise that works for them—intensive walking, running, aerobics, biking, dancing, swimming, and avoiding going to the beach for 10 to 15 hours. Walking and waist-deep in sea water provides a natural foot massage and reduces venous blockage.

Patients who cannot spend time at the beach may benefit from having their feet washed with warm water at night before bed. Hot baths, soaks, and saunas, as well as thermal physiotherapy, are also useful, but maximum temperatures of 30-31 degrees should be avoided.

prevent varicose veins

Clothing should be large and comfortable, preferably in light colours, tight trousers, corsets, socks and tight elastic cuffs are strictly prohibited. Shoes should also be comfortable, with a heel height of 3 to 5 cm. On the other hand, in summer, special elastic compression stockings are needed to combat varicose veins.

They must be worn, although they can be uncomfortable for the patient due to the elevated temperature. Taking medicines containing diosmin, troxerutin, or grape or chestnut extract can reduce swelling and subjective discomfort. Using a topical gel or cream has a similar effect.

Regular consultation with a GP, gynaecologist or vascular surgeon is essential, especially in the presence of symptoms such as swelling, pain or heaviness of the legs and overly prominent superficial varicose veins.

It should be noted that in the hottest months of summer (July and August), due to the aggravation of lower extremity venous congestion, elastic bandages or socks need to be strictly worn after surgery, which is not the best time for surgical treatment of the disease. (about 30 days).

Treat varicose veins

Varicose vein injection treatment

Many times, varicose veins develop into a disease that can progress to a particularly severe stage. But patients, their relatives and doctors often underestimate this. They said, "Yes, I'm fine, and my grandmother had these blood vessels. " People ignore these signs and seek medical help when the disease progresses to an advanced stage.

The disease has advanced to a more severe stage, there have been large veins covering the entire leg, or worse, the skin or phlebitis has changed. And the most unpleasant thing is when the damage occurs. Many people are "cooled down" by genetic factors. Overall, this is a very interesting topic with a lot of research going on right now.

A genetic factor hasn't been definitively proven, but it's worth noting that it runs in families. So there is a certain dependency. If a family member suffers from such a disorder and has a first complaint, you should consult your vascular surgeon and oncologist regularly for the most accurate prevention advice.

Do not wait until the disease has progressed to a severe stage. If a patient understands the need to take special care of their veins, then they need to take care of their legs the same way everyone takes care of their face and hands.

The main recommendation for varicose veins is to move. You have to walk several kilometers every day. If people lead sedentary lives because of their profession or lifestyle, then a larger movement should be organized. Great for venous problems, physical activities like swimming and cycling. Be sure not to be overweight.

A slightly elevated leg can prevent varicose veins. Leg rest is best when the leg is slightly elevated 10-15 cm from hip level, which ensures good reverse blood flow.

modern treatment for varicose veins

Varicose veins in the legs

This is quite complicated. Generally speaking, the first and most important part of treating vascular disease is lifestyle changes, exercise. In second place is pressure therapy - with the help of special elastic stockings. Medication has been around for over 20 years and there are good drugs.

One of them is a micronized preparation of flavonoids, which is very well absorbed and works very well. Depending on the severity of the disease, one tablet should be taken in the morning and evening for two to four months.

Applies to all stages, but it is best to appoint an expert. Self-medication is not recommended. The following methods are operational - radiofrequency and laser ablation, sclerotherapy, embolization of arteries with medical glue, which helps stop the disease.

embolizing arteries with medical glue

Endovascular thrombectomy for varicose veins

Arterial embolization is one of the greatest advances in modern varicose vein treatment. The first step in starting this type of treatment is an examination of the patient by a vascular surgeon or oncologist.

After a thorough evaluation of the chief complaint, Doppler ultrasonography of the veins is performed, the purpose of which is to determine which vein segments are predisposed to disease.

Only then, taking into account the anatomical and Doppler ultrasound features established during the examination, can the specialist offer the patient the most appropriate treatment: embolization (gluing), mechanochemical ablation, radiofrequency ablation, dissection or conservative treatment.

After a thorough discussion of the method, its advantages and disadvantages, and possible complications, the patient was scheduled for an appointment and treatment. Instructions for necessary documentation and research are provided. Adhesive embolization is a very innovative minimally invasive technique.

It is performed under ultrasound guidance, and "glue" is applied through the catheter, which causes the veins to stick together instantaneously. The method is performed using local anesthesia placed in the area where the catheter is inserted. The greatest advantages of this method are its speed and efficiency, the absence of tumescent anesthesia with a catheter, and the need for elastic compression.

After treatment, patients returned to their normal lifestyle on the same day, with no restrictions on diet and exercise. Complications are extremely rare. They are usually not serious and pass after a few days without sequelae. Some of the most common are aseptic inflammation along the vein, without severe bruising.

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

This is the time after the second decade of life. Many young adults in their 20s and 25s have vein problems. But with age, more and more veins appear, and by the sixth decade, many people suffer from progressive varicose veins. Therefore, age is a risk factor.

Other risk factors for varicose veins are being overweight, immobile, and sitting in one place for long periods of time with your legs down. Occupations in which a person remains upright for long periods of time (teacher, dentist, surgeon, hairdresser, etc. ) are also at risk because venous blood does not flow properly.

There is no evidence that the number of people with the disease is on the rise. But as more people talk about the disease and what it is, it is caught earlier and those who need to get rid of it get better treatment.

in conclusion

We now know that varicose veins are a common disease that often develops on a genetic basis, as well as under heavy load. Be sure to contact a phlebologist for advice at the first sign. Otherwise, the disease can lead to complications.

25.02.2022