All methods of treating varicose veins: alternative methods, non-invasive, surgery

Effective methods of treating varicose veins ensure the elimination of clinical signs of varicose veins, prevent the occurrence of complications, as well as relapse of the disease. An integrated approach to treatment, the use of minimally invasive methods that complement each other, drug therapy, compression hosiery, healthy nutrition, gymnastic exercises are the key to successful treatment of varicose veins.

Use of angioprotectors and venotonics

effective treatments for varicose veins

Unpleasant symptoms of the disease force you to act independently. As a rule, having felt the heaviness and heat in the legs, having noticed swelling in the ankles in the evening, the person does not go to the doctor, but goes to the pharmacy, where he gets an ointment or gel that removes the painful manifestations of varicose veins. At first, help will be felt immediately. The venotonics contained in the ointments, which normalize the structure of the blood vessel wall, increase tone and improve microcirculation, help at first.

The disadvantages of treatment with ointments and gels include the fact that the effect of medicinal substances is limited to superficial blood vessels; to treat internal veins, you need to take pills. The appointment can only be made by a phlebologist. At this stage, the patient tries to get by with his own funds and the next stage of treatment is the purchase of compression underwear.

Compression stockings or boots

Like ointments, compression stockings, over the knee boots or tights do not solve problems and do not cure varicose veins. It is very difficult to choose the right compression ratio on your own. Compression is prescribed by a doctor after treatment or in particularly difficult cases in the later stages of the disease. Nevertheless, wearing compression underwear helps to suspend varicose veins, reduce painful manifestations, a feeling of bloating, heaviness in the legs by the end of the working day. Wearing such underwear is useful for sedentary work, for prolonged stay on your feet, for people who are engaged in heavy physical labor.

There are restrictions on the use of stockings: they cannot be worn all day, as the leg muscles must work. The weakening of muscle tone leads to an increase in the manifestations of insufficiency of the venous valves, the treatment of varicose veins with the help of compression alone is impossible, and the disease continues to grow. The patient is faced with the need to resort to effective treatment, but since going to the doctor is still scary, the person resorts to traditional methods of treatment.

Folk remedies

Due to the prevalence of the disease, there is an endless variety of treatments for varicose veins. In terms of availability and efficiency, the following stand out:

  • horse chestnut - fruits, bark, leaves, flowers are used. Compresses, tinctures, warm wraps are made from medicinal raw materials;
  • apple cider vinegar - it is recommended to make it yourself, used for ingestion, rubbing, compresses on dilated veins;
  • yogurt infused with wormwood - make lotions, wraps;
  • blue clay - lotions, wraps, warm foot baths;
  • daily intake of grape juice or small amounts of natural grape red wine is recommended.

All the listed methods of traditional medicine help to reduce the manifestations of varicose veins, but they are not able to cure it. In the arsenal of unconventional methods of treating varicose veins, there are many techniques, among which hirudotherapy should be emphasized.

Hirudotherapy

The method is aimed at reducing the manifestation of varicose veins and cannot serve as a treatment. According to supporters of hirudotherapy, hirudin contained in the saliva of leeches with a bite enters the patient's blood, reduces its viscosity, which reduces the risk of thrombus formation in the dilated deformed varicose vessels.

The decision on the appropriateness of the procedure is made by the attending physician, since there are contraindications:

  • pregnancy;
  • blood diseases - anemia, hemophilia;
  • leech allergy;
  • depletion of the body;
  • low blood pressure;
  • inflammatory skin diseases;
  • old age of the patient.

Minimally invasive procedures for treating varicose veins

minimally invasive procedures for the treatment of varicose veins

Treatment of varicose veins is achieved using minimally invasive techniques, low-traumatic procedures that do not require a hospital stay, anesthesia, long-term rehabilitation after the intervention. Non-surgical intervention can be performed in the treatment room, while there is no need to follow a special regime and prepare the operating room. Minimally invasive procedures have less traumatic effect than surgery on varicose veins.

In all non-surgical techniques, the impact on the patient's body is limited to a needle stick or a small incision. In 95% of all cases of varicose veins, non-surgical interventions are used, and only 5% of patients are offered phlebectomy.

Minimally invasive procedures include:

  1. sclerotherapy;
  2. laser ablation;
  3. radiofrequency ablation;
  4. microflebectomy.

Sclerotherapy

The essence of this minimally invasive method of dealing with varicose veins is the transformation of a deformed vein into a fibrous cord. The method has been known since the 17th century; acid, iodine, perchlorine, tannin were used as a sclerosant introduced into the vein. The reagents had many side effects. With the advent of fibrowein sclerosant in the 20th century, this method of treatment has become widespread. The doctor makes the decision to use sclerotherapy based on the results of an ultrasound examination.

Sclerotherapy is used as the main treatment for varicose veins of the saphenous veins, carried out under constant ultrasound control. The recently introduced "foam sclerotherapy" method further increases the effectiveness of the procedure. This method is used when veins are no more than 10 mm in diameter. In these cases, the intervention has practically no complications. To consolidate the success of the procedure, the patient is recommended to walk for 30-40 minutes immediately after the intervention and wear compression stockings for a month.

Laser ablation

The procedure is performed on an outpatient basis, it takes from 30 minutes to 2 hours, the patient after the manipulations is able to go home on his own. The intervention is performed under local anesthesia. An optical fiber is inserted into the affected vein and pushed along the vein. Then turn on the laser and lead the light guide back. Under the influence of radiation, the blood coagulates, the walls of the vessels are burned and stick together, forming a cord, which dissolves over time.

Light guides are allowed:

  • end- used to treat veins no more than 1 cm in diameter;
  • radial- uniformly scatter radiation with a coverage of 360 degrees, injected into veins of any thickness.

After the procedure, the patient should wear compression stockings as prescribed by the doctor and be examined by a phlebologist.

Radiofrequency ablation (RFA)

The radiofrequency ablation procedure is considered one of the least traumatic, it is an effective way of dealing with varicose veins. The method is used on veins of any diameter; thrombophlebitis and trophic skin changes are contraindications. The intervention is performed under local anesthesia, under ultrasound guidance.

A radiofrequency catheter is inserted into a vein through a puncture. After the catheter is inserted to the desired length, an anesthetic is injected into the tissues around the vessel. It creates a "water bed" around the affected vessel, which protects the surrounding tissues from radio waves. The method allows you to go in for sports after 15 days, this method is preferred by most specialists.

Microflebectomy

During the procedure, the diseased vein is removed using special hooks, which are inserted into the vein under local anesthesia through an incision in the skin (up to 1 mm). The patient can start work in 3-5 days after the procedure, small bruises formed during non-surgical intervention dissolve in 3-4 weeks. For 1-2 weeks after the procedure, the patient should wear compression stockings. The advantages of the technique include the removal of a deformed vein and the applicability of this method to veins of any diameter.

Phlebectomy

In some cases, the only way to treat varicose veins of the lower extremities is a classic operation to remove the affected veins - phlebectomy. Pain relief: spinal anesthesia or endotracheal anesthesia. The patient should be in the hospital for 1-2 days after the operation.

Indications for surgery are:

  1. extensive varicose lesions of the saphenous veins;
  2. severe impairment of blood outflow;
  3. acute complications of varicose veins - thrombophlebitis, trophic ulcers.

Phlebectomy is used when all other methods are ineffective. The risk of surgery is now minimized.

There are a limited number of contraindications:

  1. internal deep vein thrombosis;
  2. hypertension, heart disease;
  3. inflammatory skin diseases;
  4. infectious diseases.

An operation is performed using a special probe, which is inserted into the lumen of the vein through a skin incision. The extended area is removed by mechanical pulling. After removing the vein, the incisions are sutured. The operation usually lasts no more than two hours.

On the first day after the operation, bed rest is recommended; with the permission of the doctor, it is allowed to walk a little in the hospital ward. After 2-3 days, the patient is discharged home. In the postoperative period, the patient should take venotonics and drugs to reduce blood viscosity, wear compression underwear for 1. 5 months, perform gymnastics, and walk.

The choice of a method of treatment depends on the results of a comprehensive examination of the patient, often a phlebologist turns to combined methods of treating a patient. Modern, gentle methods of non-surgical procedures for treatment in the early stages of the disease give excellent results. It is important not to self-medicate, not to allow varicose veins to interfere in your life.