There are two main methods of treatment of varicose veins:
- conservative,
- operational.
The type of treatment depends on the stage of the disease.In patients with small caliber lesions in the form of vascular nets or stars on the legs, as well as local lesions isolated from certain subcutaneous veins, non-surgical methods are used.
In the case of damage to large undercutaneous vein trunks, such as a large or small subcutaneous vein, as well as their large tributaries on the thigh and the lower leg, operational methods are used.
In what cases can varices be treated in a conservative way?
Any form of varicose veins requires conservative treatment.In the event that large subcutaneous veins are not affected, but there is only one disease of small veins on the skin in the form of vascular nets or asterisks, a conservative processing approach is the main one.If the disease affects larger subcutaneous veins, conservative treatment is used as adding to an operational manual.
Characteristics of conservative treatment of varicose veins
Conservative treatment of varicose veins includes the following components:
- Drug therapy.
- Modification of risk factors for varicose veins.
- Porter compression knitting or the use of elastic bandages.
- Sclerotherapy.
How to manage the risk factors for varicose veins?
The treatment of varicose veins should start to eliminate the risk factors of the disease:
- The fight against hypodynamia is mobile sports classes, such as swimming, cycling, running, sports walking, skiing, etc.
- high leg position during rest
- body weight control
- Refusal of static loads, heavy physical work, frequent exposure to high temperatures - visit the sauna, take hot baths.
- Refusal to take hormonal contraceptives
- Refusal to wear high heeled shoes (more than 5-6 cm)
Compression knitting
Porter compression knitting or the use of elastic bandages during static loads, that is to say with a long stay in a standing or sitting position, it is an integral part of the treatment of varicose veins.You must choose the compression linen, as many patients insufficiently apply an elastic bandage, drawing it at different levels or vice versa.
Compression knitting are individually selected and have a level of compression in them by the manufacturer, the most physiological for the member.Medical compression products (tights, low, golf) have several compression classes.The type of compression is determined by the doctor by the results of the patient's examination and, if necessary, an instrumental examination.
- Grade I is used to prevent varicose veins,
- II - with existing signs of the disease,
- III - In case of complex varicose veins (trophic ulcer, hyperpigmentation).
The only significant restriction in the use of compression knitting is difficulty dressing it.Therefore, to facilitate the knitting clothing process, it is advisable to use a special device - Butler.In the event that compression knits are difficult to choose by the diameter of the limb (configuration of non -standard legs) or there are other restrictions in its use - it is necessary to use elastic bands of medium or short or short stretching degree.
Varicose drug therapy
Patients with varicose veins are recommended to regularly perform preventive courses with drugs.These drugs are used at least 1 year per year 2 to 3 months.In summer.Pharmacotherapy does not heal the patient with varicose veins already developed, however, it allows you to reduce complaints of patients concerning the feeling of severity and fatigue in the legs, their swelling.
Preparations also reduce the pace of progression of the disease, that is to say that the development of the subsequent development of varicose veins slows down, protecting healthy veins.The most effective treatment is to take medication inside in the form of tablets, capsules or drops.The use of drugs is less effective in the form of gels, ointments, creams or aerosols, however, local use allows you to reduce the symptoms of the disease both at the time of their use and are therefore often used as first aid when they are expressed, a feeling of severity or fatigue in the legs.
Sclerotherapy for varicose veins
Sclerotherapy is a method of processing varicose veins, in which a special drug is administered in the light of varicose veins.
After having introduced it into the ship, its batteries remain together, leading to "deactivate" the ship, that is to say that the varicose veins of carpet occur.Consequently, the blood is redirected to healthy vessels and the glued veins "go out" from the blood circulation.
Sclerotherapy is an ambulatory procedure that can be carried out without hospitalization of the patient in a hospital.After each sclerotherapy session, it is necessary to wear compression knitting or elastic bandages for several days or weeks.In the case of damage to large veins, sclerotherapy does not give a reliable long -term result and glued veins often reappear again.In patients with damage to small venous vessels, on the contrary, this technique is very effective.Therefore, it is most often used for "intradermal varicose veins", when only small veins of diameter, manifested by a vascular mesh or stars on the skin, are affected.
Complications after sclerotherapy
Complications after sclerotherapy are extremely rare (less than 1%).The main type of complications is darkening of the skin in the field of treatment.which can be saved for several months, and in some cases forever.Other rarer complications are possible - skin necrosis, etc.