Under varicose veins or varicose veins, which implies that the pathological process that leads to an excessive blood filling of the venous bed. In this case, the wall vein becomes thinner, with the appearance of hillocks and formation of certain nodes, or lumps along the vein.
What are the General principles of treatment of varicose veins?
This process can affect veins of different location – esophagus, hemorrhoidal, veins of the spermatic cord. But most often, this pathology develops in the veins of the lower extremities.
This is due to the characteristics of the structure and the functioning of the veins in this anatomical region. Exactly the lower extremities, especially the tibia, are experiencing the maximum static and dynamic loading.
The exit of venous blood going in one direction upward, against the forces of gravity. This is achieved through the work of the chest, the pumping function of the heart, the tension of the muscles of the diaphragm, lower limbs and also smooth muscle with the presence of certain entities, bicuspid venous valves. These valves prevent the backflow of venous blood.
The veins of the lower limbs presenting superficial and deep venous network. Under the influence of various provoking factors (overweight, endocrine disorders, "foot" of the nature of the work, or pregnancy) develops an insufficiency of the venous valves, which leads to the overflow of deep veins of the blood.
The excess of blood from the deep vein back to the surface. The surface of the veins are also overfilled with blood, their walls are stretched, the length increases, resulting in a pathological of the disease with the presence of certain nodes. Since the formation of varicose veins.
Treatment of varicose veins is aimed at:
- The strengthening of the wall venous
- Improvement of venous valves
- The elimination of local inflammatory manifestations in the form of eczema and dermatitis
- Improvement of the venous blood flow of the microcirculation of the blood in the lower extremities
- The strengthening of the muscles of the legs
- Prevention of complications of varicose veins – vein thrombosis, venous ulcers and pulmonary embolism
Treatments
Drugs
The use of drugs in the treatment of varicose veins is a leader in the conservative therapy of varicose veins. The main focus of medication treatment is medications of the group of protectors to reinforce the wall venous.
Equally effective fruit extract of horse chestnut. Among the drugs for the treatment of varicose veins play an important role of the vitamins. One of them, Vit. P (rutin) also strengthens the vascular wall.
In General, the treatment of varicose veins should be combined, and to combine the preparations for injection, for internal and external use. Among this latter group are creams and gels with non-steroidal anti-inflammatory drugs (Nsaids). In addition to reduce inflammation Nsaids reduce the risk of thrombosis, which is also important for varicose veins.
Compression therapy
During the compression (squeezing) of the veins is a narrowing of the light. This saves the current venous blood, eliminates congestion in the veins superficial.
The simplest way of compression – tight bandaging bandage elastic, which is carried out from the base of the toes with the transition to the foot, tibia and femur.
It is important that the travel of the bandage was smooth, and each subsequent round overlap of not less than 2/3 of the previous one. Recently, elastic bandaging gradual decline. The fact that there were more efficient, convenient and attractive accessories in the form of a specially-made tights, socks, and even rolling.
Physical therapy
Among the physical treatments treatment of varicose veins shows:
- darsonvalization,
- magnetotherapy,
- electrophoresis,
- phonophoresis,
- UHF,
- muscle, electrical stimulation.
In these procedures, the strengthening of the muscles of the lower part of the leg, venous vascular wall, improves venous valves. However, these methods are contraindicated in cases in which the varicose veins are accompanied by severe pain. It can be used with any skin pathological processes, including with trophic ulcers.
The physiotherapeutic methods include and medical (oxygen, minerals) bath and stay at mud cure resorts.
Physical therapy
Physical therapy and Therapeutic physical culture. Dosed physical loads are accompanied by a strengthening of the muscles of the lower extremities, improving venous valves, which in turn facilitates venous outflow.
Between the exercises and flexing of the legs at the knees, rolling from the toe to the heel. Efficient to Run and play in the pool.
Physiotherapy is not indicated for thrombotic complications of varicose veins. Also not desirable to jump, skiing, sports, and weight lifting.
Folk remedies
Perhaps, among all the types of treatment, traditional medicine offers the richest Arsenal of means for treatment of varicose veins.
Mostly it's herbs used as infusions, decoctions, compresses. In this ability to use a horsetail, celandine, hops, nettle.
In folk recipes for the treatment of varicose veins popular and a bit of food – potatoes, honey, Apple cider vinegar, olive oil and the butter.
It should be noted that folk remedies for the treatment of varicose veins should be considered only as a Complement of the techniques. However, to completely ignore this type of treatment should not be.
Some folk remedies, such as the chestnut, to find a good use in the manufacture of modern medicines for the treatment of varicose veins.
Hirudotherapy
Another method of non-conventional treatment for leeches. Contained in the saliva of leeches substance reduces the coagulation of the blood, and thus prevents thrombosis in the veins. The material also has anti-inflammatory action.
In addition, when the collection of blood leech is reduced, the circulation of the blood in the veins. It should be noted that the treatment uses only disposable medical leeches, is not dangerous in terms of complications infectious.
Phlebectomy
The classic method of surgical treatment of varicose veins of the legs, which involves the removal of extended surface areas of the saphenous veins.
Although the trauma of this operation low, it is used only in extreme cases of varicose veins running, when the previous conservative methods are ineffective.
Sclerotherapy
A relatively new method of treatment of varicose veins of the lower extremities. Its essence lies in the fact that the vein entered the special substance.
Under the action of this substance to the wall of the veins stick together, and their light is reduced.
As a result, the site of the veins formed from the pain spinal. To achieve the result required multiple injections of sclerosing substances.
This method of treatment requires the experience and skill of the physician who performed the same. A treatment similar effect can be achieved by laser photocoagulation. In this case, the union of the veins occurs under the action of the laser beam.
In the treatment of varicose veins is almost never used with only one of the above methods. For example, exercises of physiotherapy should be combined with medication and physical treatments.
And after sclerotherapy, it is mandatory to use compression tool. In any case, the methods of treatment of varicose veins and their sequence must be determined by the doctor – a narrow specialist in the treatment of venous disease.