There are two main methods to treat varicose veins:
- conservative,
- operational.
The type of treatment depends on the disease stage.In patients with small caliber lesions in the form of vascular networks or stars on the legs, as well as with local lesions isolated from some subcutaneous veins, non -surgical methods are used.
In the case of damage to large trunks of subcutaneous veins, such as a large or small subcutaneous vein, as well as its large tributaries in the thigh and leg, operating methods are used.
In what cases can varicose veins be treated conservative?
Any form of varicose veins requires conservative treatment.In the case, when large subcutaneous veins are not affected, but there is only a disease of small veins in the skin in the form of vascular or asterisks, a conservative approach in the treatment is the main one.If the disease affects the largest subcutaneous veins, then conservative treatment is used as an addition to an operational manual.
Characteristics of conservative treatment of varicose veins
The conservative treatment of varicose veins includes the following components:
- Pharmacological therapy.
- Modification of risk factors for varicose veins.
- Use of compression point garments or the use of elastic bandages.
- Sclerotherapy.
How to deal with the risk factors of varicose veins?
The treatment of varicose veins should begin to eliminate the risk factors of the disease:
- The fight against hypodinamia are mobile sports classes, such as swimming, bicycle, race, sports, walking, skiing, etc.
- high leg position during break
- Body weight control
- The rejection of static charges, heavy physical work, frequent exposure to high temperatures, visiting the sauna, taking hot baths.
- Refuse to take hormonal contraceptives
- Refuse to wear high heel shoes (more than 5-6 cm)
Point clothes
Use of compression point garments or the use of elastic bandages during static loads, that is, with a long stay in sitting or sitting position, it is an integral part of the treatment of varicose veins.You should choose compression linen, since many patients inappropriately apply an elastic bandage, pulling it at different levels or vice versa.
Compression knitted clothes are selected individually and has a compression level by the manufacturer, the most physiological for the limb.Medical compression products (stockings, stockings, golfs) have several compression kinds.The doctor determines the type of compression through the results of the patient exam and, if necessary, the instrumental exam.
- Grade I is used to prevent varicose veins,
- II - With existing signs of the disease,
- III - In cases of complicated varicose veins (trophic ulcer, hyperpigmentation).
The only significant restriction in the use of compression knit garments are the difficulties in dressing it.Therefore, to facilitate the point clothing process, it is advisable to use a special device: Butler.In the event that compression knitted clothes are difficult to choose by the diameter of the limb (non -standard leg configuration) or there are other restrictions in its use: it is necessary to use elastic bandages of medium or short degree of stretching.
Pharmacological therapy of varicose veins
Patients are recommended to suffer from varicose veins to regularly perform preventive courses with drugs.These drugs are used at least 1 year a year 2-3 months.In the summer.Pharmacological therapy does not cure the patient of the varicose veins already developed, however, it allows him to reduce patients' complaints about the sensation of gravity and leg fatigue, his swelling.
Preparations also reduce the rhythm of progression of the disease, that is, the development of the additional development of varicose veins slows down, protecting healthy veins.The most effective treatment is to take medications 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 at the same time at the time of use and, therefore, are often used as first aid when expressed discomfort, a sense of severity or fatigue in the legs.
Sclerotherapy for varicose veins
Sclerotherapy is a method to treat varicose veins, in which a special medication is administered in varicose veins.
After introducing it into the container, its batteries join, which leads to "turn off" the container, that is, the varicose veins of carpets are produced.As a result, the blood is redirected to the healthy vessels, and the glued veins are "turned off" from the bloodstream.
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 knit or elastic bandages for several days or weeks.In the case of the damage of the large veins, sclerotherapy does not give a long -term reliable result, and often stuck veins often appear again.In patients with only small venous vessels, on the contrary, this technique is very effective.Therefore, it is used more frequently for "intradermal varicose", when only small diameter veins are affected, manifested by a vascular mesh or skin stars.
Complications after sclerotherapy
Complications after sclerotherapy are extremely rare (less than 1%).The main type of complications is the darkening of the skin in the treatment area.which can be saved for several months, and in some cases forever.Other rarest complications are possible: skin necrosis, etc.