There are two main treatments for varicose veins:
- Conservative,
- operate.
The type of treatment depends on the stage of the disease.Non-external methods are used in patients with small caliber lesions in the form of vascular networks or stellar forms, as well as in isolated localized lesions in certain subcutaneous veins.
If large subcutaneous veins, such as large subcutaneous veins, and their large tributaries of the thigh and lower legs, the operation method is used.
Under what circumstances can varicose veins be treated conservatively?
Any form of varicose veins requires conservative treatment.In the absence of large subcutaneous veins, only vascular networks or asterisks, there are small veins on the skin, and a conservative treatment is the main one.If the disease affects a greater subcutaneous vein, conservative treatment is used as a supplement to the surgical manual.
Characteristics of conservative treatment of varicose veins
The conservative treatment of varicose veins includes the following components:
- Drug therapy.
- Risk factors for modifying varicose veins.
- Wear compressed knitted garments or use elastic bandages.
- Sclerotherapy.
How to deal with risk factors for varicose veins?
Treatment of varicose veins should begin to eliminate the risk factors of the disease:
- The struggle against sports is the category of mobile sports such as swimming, cycling, running, sport walking, skiing, etc.
- The legs are elevated during rest
- Weight control
- Reject static loads, physical labor, frequent exposure to high temperatures - visit saunas and take a hot bath.
- Refusal to take hormone contraceptives
- Refuse to wear high heels (more than 5-6 cm)
Compression knitted garments
Wear compressed knitted garments or use elastic bandages during static loads, i.e. staying in a standing or sitting position for a long time, is an integral part of treating varicose veins.You should choose to compress flax because many patients do not adequately apply elastic bandages, pulling them to different levels and vice versa.
Compressed knitwear is chosen individually, and the manufacturer's compression level is the most physiological of the limb.Medical compression products (leggings, stockings, golf balls) come in several compression categories.The type of compression is determined by the doctor based on the patient's examination results and an instrumental examination is performed if necessary.
- Level I is used to prevent varicose veins.
- II-There are signs of existing disease,
- III-In the case of complex varicose veins (nutritional ulcers, pigmentation).
The only significant limitation of using compressed knitted clothing is the difficulty of wearing clothes.Therefore, to facilitate the process of dressing clothes, it is recommended to use special equipment - the butler.If it is difficult to choose compressed knitted garments by the diameter of the limb (non-standard leg configuration), or use other restrictions - it is necessary to use medium or short degree of elastic bandages.
Drug treatment for varicose veins
Patients with varicose veins are advised to conduct regular prevention courses through medication.These drugs are used for at least 1 year, 2-3 months per year.In summer.Drug therapy cannot cure patients from already developing varicose veins, but you can reduce the complaints about leg severity and fatigue, i.e. their swelling.
The formulation also reduces the rate of disease progression, i.e. the further development of varicose veins slows down and protects healthy veins.The most effective treatment is to take the medication in the form of tablets, capsules or drops.The use of medications is less effective in the form of gels, ointments, creams, or aerosols, however, topical use allows you to immediately reduce the symptoms of the disease when used, so it is often used as first aid when expressing discomfort, leg severity, or fatigue.
Sclerotherapy for varicose veins
Sclerotherapy is a method of treating varicose veins in which a special drug is administered into the cavity of the varicose veins.
Once it is introduced into the container, its stack sticks it together, causing the container to "close", i.e. carpet varicose veins occur.As a result, the blood is redirected to a healthy blood vessel and the gum veins are "closed" from the blood.
Sclerotherapy is an outpatient procedure that can be hospitalized in the hospital without the need for hospitalization.After each sclerosis therapy, compressed knitted clothing or elastic bandages must be worn for days or weeks.In the case of large venous damage, sclerotherapy does not give reliable long-term results, and gum veins often reappear.In contrast, this technique is very effective for patients with only small venous blood vessel damage.Therefore, when only small diameter veins (represented by the reticular or star on the skin) are affected, it is commonly used in SO called "intradermal varicocele".
Complications after sclerosis therapy
Complications after sclerosis therapy are extremely rare (less than 1%).The main type of complications is darkening of the skin in the treated area.It can be saved for several months, and in some cases it can be saved forever.Other more rare complications are possible - skin necrosis, etc.