Treatment of varicose veins: the best methods and drugs

Varicose veins turn blue-purple or red due to the accumulation of large amounts of blood when the veins stretch and grow. Varicose veins are a common disease and often manifest themselves in the legs, but can also occur in other parts of the body.

Symptoms of varicose veins

For most people, especially women, varicose veins are primarily an aesthetic problem. In the early stages, the disease does not pose a threat to health. Swollen, ugly veins can ruin the appearance of certain parts of the body, but if you do not pay attention to the treatment and prevention of varicose veins, complications can develop over time.

Causes of varicose veins

There are a number of factors that can increase the risk of developing varicose veins:

  • Hereditary tendency. If someone in your family suffers from varicose veins, you have a chance to inherit the disease.
  • Sex. According to statistics, varicose veins are more common in women than men.
  • Age. With age, blood vessels and valves weaken and varicose veins are more likely to develop.
  • Impaired blood flow between arteries and veins.
  • Hormonal changes. This is especially true during pregnancy, premenstrual and menopause, when hormonal changes occur. During these periods, the risk of developing varicose veins increases. During pregnancy, the growing fetus presses on the blood vessels in the legs. In addition, each subsequent pregnancy increases the risk of varicose veins.
  • Obesity. Excess weight puts too much pressure on the arteries, which can lead to the appearance of varicose veins.
  • sedentary and sedentary work and sedentary lifestyle. If you have to stand or sit for a long time, the risk of varicose veins increases. This is because it is more difficult for the arteries to supply blood to the heart during prolonged inactivity.

The main symptoms of the development of varicose veins

In addition to the characteristic formation of dark blue or purple veins, the main symptoms of developing varicose veins are:

  • Slight swelling of the ankles and feet, especially after standing for a long time.
  • Pain, burning and heaviness in the legs.
  • Leg cramps and pulsation.
  • Itching of the ankle and lower leg is often diagnosed as dry skin.
  • Changes in skin color (bruising) in the development of varicose veins.

Treatment of varicose veins of the lower extremities

To effectively combat the problem of varicose veins, you need an integrated approach that includes the following.

  • Medicines for the treatment of varicose veins - tablets, capsules and drops;
  • Topical medicines - creams, ointments and gels;
  • Compression therapy;
  • Proper lifestyle;
  • Moderate physical activity;
  • Surgery and surgical methods (laser endovenous ablation, sclerotherapy).

Compression therapy

When the first symptoms of varicose veins appear, it is recommended to start wearing compression garments - socks, tights or tights apply light pressure from the bottom of the foot upwards to reduce blood clotting and reduce swelling. This type of compression garment should always be worn, only in this case a positive effect can be achieved. Wearing tight clothing will not cure existing varicose veins, but will help prevent or reduce dilated veins and further complications.

Treatment and treatment methods

Laser endovenous ablation (radiofrequency or laser)

Laser endovenous ablation is the most effective and reliable way to treat varicose veins. Varicose veins are the use of laser or radio frequency therapy to close or remove the vein. The doctor makes a small incision in the skin near the vein and inserts a catheter into it, then a special device is attached to the end of the catheter, thereby heating the catheter and closing or removing the varicose vein (depending on the chosen method of ablation). The procedure is performed under local anesthesia and the patient usually returns home the same day.

Sclerotherapy

Sclerotherapy is a subtle method of treating varicose veins. During the procedure, a special substance is injected into the vein affected by varicose veins, which destroys the lining of the vein and causes blood to clot inside. Over time, the vein collapses and disappears.

Surgical method

In advanced varicose veins, some particularly mild treatments are no longer effective. In this case, surgical removal of the superficial vein during surgery can help a patient suffering from varicose veins. Indications for surgery are ulcers, bleeding, phlebitis. The operation is performed under general anesthesia, as a rule, the patient goes home the same day. Pain and discomfort may occur within 2 weeks after surgery, which is normal.

Surgical method

Physical activity and bad lifestyle

Training for varicose veins

Many movements and moderate exercise are key allies in the fight against varicose veins. Not all exercises are equally beneficial, and some can harm a person suffering from varicose veins.

Moderate, rhythmic physical activity, such as walking, prevents the development of disease and complications, because dynamic muscle movements help to divert blood from the environment to the heart.

Walking is great for preventing varicose veins, this type of physical activity promotes healthy circulation by stretching and narrowing the venous pump in the calf muscles. Walk at least 5 times a week for at least 30 minutes.

Low intensity work

Running at low speeds works well for calf muscles, but there is one drawback - running puts stress on our joints. If you're not ready to replace running with another activity, run on grass or rubber roads, not on hard asphalt.

Elliptical and sports bike

Training on an elliptical trainer and stationary bike actively engages the calf muscles, which helps normal blood circulation.

Power Education

Patients with varicose veins should avoid strenuous resistance exercises, squats, lungs, and wheezing. All of them have a negative impact on the course of the disease and contribute to its further development. During prolonged muscle tension, blood accumulates in the arteries of the legs, blood circulation deteriorates, all of which leads to the development of complications. It is recommended to wear compression stockings during and after strength training.

The most effective drugs for the treatment of varicose veins

Today, pharmacies offer a wide range of drugs for the treatment of varicose veins in the form of tablets, drops, ointments, creams, gels.

The main groups of drugs used in the treatment of varicose veins

Several groups of drugs are used to treat varicose veins: ointments, creams, tablets, less injections.

Features of each of the listed groups:

  • Separating. Prevents thrombus formation, reduces the adhesion of platelets and erythrocytes and their ability to adhere to the endothelium of blood vessels. They reduce the surface tension of erythrocyte membranes, facilitate deformation as they pass through the capillaries and improve blood flow.
  • Phlebotonics. They act to improve venous flow.
  • Venotonics. They help to normalize the filling of blood vessels.
  • Anticoagulants. They change the viscosity of the blood.
  • Non-steroidal anti-inflammatory drugs. They have analgesic and anti-inflammatory effects, are used to relieve pain.
  • Fibrinolytics. Reduces the risk of developing venous thrombosis.
  • Antioxidants. Vaso have a strengthening effect.

Phlebotonics

To solve the problem, it is necessary to increase the tone of the arteries. Therefore, phlebotonics (venotonics) is prescribed to patients with varicose veins. The main task of drugs with venotonic properties is to strengthen weak blood vessels and normalize blood circulation.

Phlebotonics vary in composition and price range, so you can find the most cost-effective drug for the treatment of varicose veins.

Diosmin

Phlebotonics

Diosmin is a bioflavonoid and is included in many medications to fight varicose veins. It has a venotonic effect, improves lymphatic drainage, improves microcirculation, reduces the adhesion of leukocytes to the venous wall and migration to the tissues of the pelvis, improves the diffusion and perfusion of oxygen in the skin tissue and has anti-inflammatory effect. Inhibits the production of free radicals, the synthesis of prostaglandins and thromboxane.

Experimental studies have shown that diosmin doubles lymph output, increases venous wall tone, suppresses leukocyte activity, and prevents inflammation.

Separators

This is a group of drugs that affect the blood clotting system, preventing the adhesion of the formed elements, platelets. Antiplatelet agents are another name for drugs in this group because, in fact, natural or synthetic substances prevent platelet adhesion and prevent the formation of blood clots, which are often needed in the treatment of varicose veins of the lower extremities.

Antioxidants

Antioxidants are substances that prevent the peroxidation of lipids and proteins in the cell membrane, bind free radicals and thus slow down the oxidation and aging processes. Drugs in this group can be prescribed for the complex treatment of varicose veins. They help to improve and strengthen the dilation and elasticity of the walls of blood vessels, and prolong the normal life of every cell in the walls of even the smallest blood vessels.

Decongestants

Varicose veins are often accompanied by pain and swelling. Decongestants to relieve the legs are often prescribed in the complex treatment of varicose veins. They improve lymph flow from the affected areas, remove excess fluid from the body.

Which doctor treats varicose veins?

As a rule, a phlebologist is involved in the diagnosis and treatment of varicose veins. Unfortunately, not all medical institutions offer a doctor in this specialty. It should be noted that some narrow specialists can also help in the treatment of varicose veins - this is an angiologist and vascular surgeon. The general practitioner can also help diagnose the disease and refer the patient to an appropriate specialist.

Keep in mind that there are no obvious clinical manifestations in the early stages of the disease. Therefore, if you suspect varicose veins, you should contact a qualified specialist who will diagnose it immediately. As a rule, the diagnosis of varicose veins is made taking into account the patient's complaints, examination of the lower extremities, as well as data from laboratory and instrumental research methods. Timely measures to ensure the development and prevention of the disease are possible only after a thorough examination of the patient.

External means for the treatment of varicose veins

External means

All modern ointments are prescribed in addition to the basic drug treatment of varicose veins. Local treatment helps to have a complex effect on the problem.

In complex treatment, as well as for prophylactic purposes, the use of creams, gels and ointments is recommended. Especially for people with a genetic predisposition to varicose veins. In any case, immediate action should be taken when the first symptoms appear. Otherwise, the disease can develop and cause serious concern.

Local treatment of varicose veins, along with medication, exercise therapy and prevention, is an important therapeutic tool that helps to restore the health of the circulatory system:

  • Heparin-based ointments are used in combination with tablets in the complex treatment of varicose veins. The ointment is applied to the affected skin. Absorbed and has a therapeutic effect, the active substance heparin strengthens the walls of blood vessels and capillaries, improves the formation of clotted blood in microthrombi.
  • Plant extracts, especially horse chestnut, have a heparin-like effect and additionally stimulate regeneration processes and improve skin condition. Ointments based on plant extracts affect the metabolism of the skin and blood vessels, have a multifaceted effect, have a restorative effect and improve the appearance of the skin and blood vessels.
  • Non-steroidal anti-inflammatory drugs, in addition to relieving pain and inflammation, alleviate the general condition of patients with varicose veins and affect the recovery process in the body. The use of external drugs does not reduce their effectiveness, allowing them to act locally on painful areas.

The use of ointments for the treatment of varicose veins is regulated by a phlebologist, taking into account the indications for use and contraindications. Therefore, despite the simplicity of such a drug, its use on its own without consulting a doctor is unacceptable.

Heparin Ointments

Ointments for the treatment and prevention of varicose veins based on heparin are produced under different names, differ in the presence of excipients that change their action and manifestations, and have different manufacturers.

Heparin is a unique substance, so it is included in many drugs for the treatment and prevention of varicose veins. The doctor will tell you which ointment to choose for the treatment of varicose veins in the legs. In addition to heparin-based ointments, there are herbal remedies that are less effective in preventing the development of varicose veins.

topical drugs with venotonic and blood stimulating effect

The herbal components of the ointment are complex natural substances that act in a complex with varicose veins, strengthen the walls of blood vessels and improve blood circulation.

Non-steroidal anti-inflammatory drugs can be used to relieve pain and inflammation in varicose veins. Ointments based on NSAIDs can alleviate the general condition of a patient with varicose veins and accelerate the healing process.

How are ointments, creams and gels different?

There is no difference between topical preparations in the form of ointments, gels or creams, but ointments and creams are made on the basis of vegetable or animal oils, and the active ingredients are not completely soluble.

Gels are water-based, so all the active ingredients in them are completely dissolved without residue, which helps the skin to penetrate and be absorbed faster.

Local varicose veins should always be applied to clean skin. It should be used regularly, especially in severe forms of the disease. Remember, varicose veins are not a simple disease and a comprehensive approach is needed here. A specialist consultation is required, you should not treat yourself. Only after diagnosis will the doctor be able to prescribe treatment, which includes drugs for internal and external use. In this case, a patient with varicose veins should lead a healthy lifestyle.

10.11.2020