15136810 ways to cure varicose veins

151368

10 ways to cure varicose veins

10 ways to cure varicose veins/capillaries in the legs (new technique) to be completely cured !!

Varicose veins

Varicose veins, varicose veins, varicose veins, varicose veins, or varicose veins in the legs (English: Varicose veins) is a disease caused by the presence of venous blood in the veins, resulting in veins. Dilation, aneurysm, and varicose veins can occur in veins throughout the body, such as veins on the esophageal wall female genital veins on the scrotum veins at the anus, etc., but the most common is Superficial veins in the legs that are superficial under the skin (Superficial veins) are clearly visible and result in aesthetic problems. especially when born to women

Pregnant women, obese people, people with occupations that have to stand most of the day. or lifting heavy objects Often have a higher chance of getting this disease.

Varicose veins are a common disease. It is an adult disease and the older you get, the more likely you are to develop it. Can be found in both women and men. But it can be found in women about 3 times more than men. In general, this disease is found in women in about 25-33% and in men, it can be found about 10-20% and has also been reported. The disease is found in up to 72% in women aged 60-69 years but is found in only 1% of men aged 20-29. In addition to depending on age and gender, the disease is found in western people more. in Asians And often found that there are parents, and siblings in the family with this disease.

Capillaries in the legs

Leg capillaries, varicose capillaries, or dilated capillaries (Spider veins or Telangiectasia) are similar to varicose veins. but will be much smaller and often have a red, green, or purple color. Because it is with veins that are shallow under the skin. Varicose veins (as opposed to varicose veins, which are usually medium to very large veins) can occur anywhere, but the most common are the face, thighs, and calves. The causes and treatment methods are similar to varicose veins. yes

Causes of varicose veins

The mechanism of varicose veins is caused by the deterioration of the efficiency of various small valves in the leg veins. These tongues are responsible for regulating the flow of venous blood. By blocking the venous blood from the legs, which must flow back against the gravity of the earth by using the force of the muscles in the feet to bring the venous blood back up to the heart and back down to congestion in the legs, so if the tongue These results in performance deterioration. Venous blood flow will be lost. causing chronic venous congestion in the leg veins and causing the pressure in the veins to be chronically elevated as well As a result, the vein walls stretch, sag, and aneurysm, resulting in varicose veins.

This deterioration in the efficiency of the aortic valve can be caused by the valve deterioration, the valve does not close properly, or a combination of the two. The cause of the degeneration of the valves in the veins is believed to be age or genetic degeneration. The reason why valves in the veins cannot be completely blocked is caused by chronic increased pressure in the veins from various causes such as standing for long periods of time. or obstruction of the venous blood flow, such as venous pressure from a lump or pelvic cancer or increased intra-abdominal pressure, for example from pregnancy, obesity, or from chronic constipation This will result in congestion.

The vein wall thus stretches and bulges out. As a result, the valves in the veins cannot be completely blocked. Causing venous blood flow to be reduced chronically until chronic congestion of venous blood in the veins The veins thus expand and become aneurysms. which all the pathologies mentioned above will go around in a cycle until eventually varicose veins Which many doctors will not count this varicose veins as a disease But it is considered a condition or condition caused by poor blood flow in the legs.

if the valve in the vein is normal and working fine when the blood flows back to the heart The tongue will block the flow of blood back down the leg. But if the valve deteriorates or does not close completely, it will result in blood flowing back down to congestion in the leg and resulting in varicose veins.

Risk factors for varicose veins

Age. The older you get, the higher your chances of developing this disease due to the degeneration of the valves in the veins and the cells in the walls of the veins. This disease is found in more than 70% of people aged 70 years and over.
Gender: Women are approximately 3 times more likely to develop the disease than men due to pregnancy resulting in increased intra-abdominal pressure. and from having natural menopause The sex hormones help to maintain the flexibility of the walls of blood vessels.
Heredity and ethnicity Because the disease was found to be approximately 2 times higher in people with a family history of this disease. and found higher in western people than in Asians This may be related to the food you eat. (Varicose veins are found in approximately 12% of western people, while the incidence is lower in Asians.)
Occupations A profession that requires standing or sitting for a long time or having to lift heavy objects causing blood to congestion, such as soldiers, surgeons, nurses in operating rooms, teachers, etc.
Obese or overweight people (Higher than the standard) because obesity and being overweight will increase the pressure in the abdomen.
Hormonal changes, such as in adolescence, pregnant women, menopausal women, or even taking oral contraceptives, can increase the risk of varicose veins.
Pregnant woman Due to the increased amount of blood, the blood vessels expand. The steadily increasing weight of the womb that results in increased intra-abdominal pressure and pressure on the veins. and from the body’s secretion of the hormone progesterone (Progestertone) to help in pregnancy. This hormone will cause the vein walls to lose their flexibility. But the symptoms will improve about 3 months after giving birth (the more you get pregnant, the higher the chance of varicose veins)
Chronic constipation Because having to exert force on a regular stool that results in an increase in abdominal pressure all the time
People who lack exercise lack of body movement or living a life that is too comfortable Because it will result in the deterioration of leg muscles performance. The leg muscles are another important factor in helping to support the veins and increase blood flow in the legs.
Other causes such as heart disease patients People who have had surgery, especially in the hip area. Patients with a history of leg swelling or venous obstruction in the leg in the past Will have a chance to get varicose veins than the general population.
Prolonged exposure to light can also cause facial capillaries.

Symptoms of varicose veins

The early symptoms are visible aneurysms and zigzags. seen as dark green streaks under the skin Looks like a worm or an earthworm. (especially when standing There will be more or less depending on the severity of the disease) without any pain.

The most common location is the calf region (but may be found anywhere between the ankle and up to the hip), which is more or less common on both legs. But sometimes it can happen to only one leg. If it’s caused by a pelvic lump that presses on only one pelvic vein or caused by deep vein thrombosis with blood clots on only one side. In addition, in pregnant women, varicose veins may also be found in the vagina.

When it increases, there may be numbness or aches in the area, or swelling in the feet after standing for a long time. These symptoms are more common in the afternoon or evening and while women are menstruating or 2-3 days before menstruation, and the patient will feel better when lying down and raising their legs.

If it is severe, a rash may develop in the area of the varicose veins. Especially near the ankle, and the skin in that area may turn dark.

Symptoms of capillaries in the legs

The capillaries in the legs are small, red, green, or purple in color. and may be found in other areas as well, especially around the face.

Complications of varicose veins

The disease generally does not have dangerous complications and is not fatal. but will affect the beauty thus affecting the quality of life, especially in women. As for the complications that can occur, besides being beautiful, it can cause leg pain. Feeling tired or heavy in the legs, swollen legs, cramping, numbness, leg twitching (especially when the legs are not used for a long time, such as when lying down), itching in the legs or feet, especially in the ankles. (because the skin is irritated from the congestion)

It can easily cause sores on the legs and feet. which the wound will heal slowly due to poor blood flow and if the wound bleeds The blood tends to be profuse and stop flowing slowly due to higher than normal intravenous pressure.
If falling or being cut by a sharp object in the area with varicose veins It can cause severe bleeding ulcers.
When there is chronic varicose veins The color of the feet will turn red or black from the congestion of blood. This will cause changes in skin color and subcutaneous tissue. Especially the ankle area may be stiff from the hardening of the fat under the skin.
In severe cases The skin in that area may rupture and form a chronic ulcer known as a “ varicose ulcer” .
Some patients may develop inflammation of the veins. (Thrombophlebitis), which is often on the surface of the skin, is called “ deep vein thrombosis”, a condition that requires urgent treatment. The main symptom is sudden swelling of the legs along with leg pain.

Diagnosis of varicose veins

A doctor can diagnose varicose veins by taking a history of symptoms and a physical examination. (Especially the examination of varicose veins in the legs which will help diagnose this disease The doctor will examine the varicose veins both standing and lying) without the need for any other special examinations, except in cases where the doctor thinks there are complications, such as patients with chronic leg ulcers, swollen legs, a history of shots or was stabbed in the leg There is a vein on one leg while the other leg is normal. Varicose veins have occurred since childhood. having fractures taken before varicose veins, etc.

For those who have such complications Special tests will be needed to help place the treatment properly. (special examinations generally can be examined in large hospitals such as provincial hospitals hospitals affiliated with medical schools, etc.), which additional special examinations are as follows:

Checking if there is a backflow of veins (Venous filling time)
Checking to see if there is a blockage in the veins (Maximum venous outflow)
Doppler ultrasound imaging of veins and blood flow
Magnetic resonance venography (MRV), especially in cases where deep vein thrombosis is suspected, such as a history of leg swelling or ankle lesions or features suspected of being congenital varicose veins, such as Klippel–Trénaunay syndrome
Injection of color into the veins that are varicose and then X-ray to look at the appearance of the veins (Venography)
CBC blood test (CBC) to look at the function of platelets.

Varicose veins treatment

Treatment for varicose veins is aimed at relieving symptoms. to prevent complications for beauty (Make it look better) and to prevent more varicose veins Which method of treatment depends on the nature of varicose veins. doctor’s discretion and patient needs

1. Treatment of varicose veins without surgery(Conservative treatment) is to watch for symptoms and prevent them from getting worse. This therapy is suitable for patients with very small varicose veins or leg capillaries, about 1 mm in diameter or less, by wearing compression stocking all the time. Working or doing activities such as standing, walking, sitting, except while lying unattended (This stockings has special features that are different from general stockings. It has a pressure of about 20-25 mm Hg at the ankle area, the calf and below the knee will have less pressure respectively. This helps blood flow in the legs better) and while lying down, raise your toes about 30 degrees above your chest level (maybe using a pillow or cloth to support your toes) to help increase flow. Circulation of blood and help blood flow back to the heart better. You should also follow the self-care instructions in Section 8.

Stockings for varicose veins are helpful for early varicose veins or in combination after other treatments, but they will not prevent or reverse existing varicose veins.
The most common problem with using stockings for varicose veins is forgetting to use them or because of the inconvenience of wearing them in hot weather. especially patients with arterial disease Because there were reports of leg ischemia, the leg had to be amputated. Therefore, it should always be checked by checking the pulse of the ankle before use.

2. Intravenous injection to narrow the veins (Sclerotherapy) can treat both varicose veins and capillaries in the legs. which will be an injection (which is a chemical that has the ability to destroy walls (Endothelium of varicose veins) into the varicose veins to cause the vein walls to swell and stick together until the blood can’t flow through it and eventually clotting until it narrows. Inflated, it will collapse and fade. There are many types of drugs or chemicals that doctors use to inject. But the type that is often used is called “ Aethoxysklerol inj,” which has a concentration ranging from 1-3%.

After the injection, the patient should walk continuously for approximately 30 minutes immediately following the injection to help the drug distribute better. And should wear stockings for varicose veins to help increase the effectiveness of the injectable drug to be effective. It should be worn continuously for at least 5-7 days (except in the case of a removable shower).
This therapy is suitable for varicose veins smaller than 3 mm in the dermal branch without abnormality of the tongue in the superficial veins. or are the tiny varicose veins that remain after varicose veins surgery.
Indications for treatment with intravenous injections are: 1. Varicose veins with a size between 1-3 mm. 2. Varicose veins that are very small, about 0.5 mm. 3. Single varicose veins. and 4. Varicose veins under the knee
Contraindications for intravenous injection therapy are history of hypersensitivity to the injected material, venous inflammation, large varicose veins and deep vein thrombosis.
With this therapy, the patient must be treated by a dermatologist. (Dermatologist) and continued treatment. The average is about 3-4 injections per side, each time approximately 1.5-2 months apart, except in severe patients may require more injections. (But in the case of varicose veins, it needs to be treated with surgery) and after each injection the patient can go home without the need for hospitalization.
This is an inexhaustible cure. In the long term, varicose veins may recur.
Side effects from this therapy are uncommon. But it can be very dangerous. Depending on the type and intensity of the drug, for example, the injection site may present with pain, redness, swelling, bleeding, or green blotches from subcutaneous bleeding. Which will disappear on its own, there may be dark circles along the injected veins which will gradually fade away on their own, may cause allergic reactions to injected drugs In very few cases, there may be only itching or a rash. But if it is severe it can cause shock to death, in case of intravenous injection it may cause the skin to darken or may cause skin lesions. In addition, high-dose injections can inflame the veins. The incidence of deep vein thrombosis is very rare.
At present, injection techniques have been developed to make the treatment more effective called “ Microsclerotherapy ”.

3. Varicose vein stripping is a traditional surgery and remains the standard treatment in varicose veins. This involves pulling out the varicose veins throughout the vein to prevent recurrence. This method is suitable for the treatment of very large and long varicose veins that cannot be treated by intravenous injection.

With this therapy, the patient must be hospitalized in preparation for surgery. The anesthesiologist will use a method to relieve pain during surgery by injecting anesthesia into the spinal cord or providing general anesthesia.
After the surgery for the first 3-4 days, you should rest a lot, keep your feet elevated, and wear stockings for varicose veins for about 4-6 weeks.
The indications for surgery are 1. Varicose veins are approximately 4-6 mm in diameter, 2. Patient has leg pain and abnormal valve in veins, and 3. Varicose veins with complications such as: Bleeding with chronic wounds or have inflammation of varicose veins
Possible side effects include anesthesia side effects (eg nausea, vomiting, allergic reactions to anesthesia, etc.), bleeding from surgery. During surgery, there may be damage to nearby tissues (eg arteries, nerves), surgical wound infection, subcutaneous bruising. (but the bruise will go away on its own within 1-2 weeks), uncommon venous thrombosis, visible scarring after surgery
In general, surgical treatment of varicose veins can often be cured and can help prevent further complications of the disease. Except in cases where varicose veins remain, it may cause recurrence of symptoms.
In the case of a branch of a small vein, the doctor can inject local anesthesia and then cut off that particular branch (stab avulsion). This can be done at a clinic or general hospital. and patients do not need to be hospitalized

4. Laser treatment of varicose veinsYAG laser), which is a treatment that is gaining popularity today. This is a non-invasive and scar-free treatment. can safely treat varicose veins Effective and fast, suitable for varicose veins smaller than 3 millimeters and patients who are afraid of injections or surgery. (People with capillaries in the face and legs can also use laser treatment. But the capillaries should be no more than 2 millimeters in diameter because if they are larger than the laser treatment will not be effective or recur quickly) by the laser light has a specific wavelength that can be fired through the upper skin layer into the area of varicose veins precisely The red blood cells are heated by the laser to destroy the walls of blood vessels to decompose and disappear. But during laser shooting, the skin is heated. which is relieved by the cooling system of the laser firing head (Cold gas will be released with the laser to cool the upper layers of the skin. without damaging the surrounding skin)

While doing it, the patient will only feel a little pain. (It’s like having a rubber pounce on the skin), so it doesn’t require local anesthesia. If unbearable, the drug may be applied approximately 1 hour prior to treatment.
Immediately after treatment, the skin at the treated area appears slightly reddened. This usually resolves on its own within 24 hours, or up to a few days, but some patients may develop bruising or blistering skin. especially in patients with dark skin which details can be consulted with the treating doctor
After treatment, redness or bruising may appear on the skin in the treated area. This usually goes away on its own within a week without causing any wounds and scars.
Wearing stockings for varicose veins or using a stretch bandage will improve the results of the treatment.
In general, after the treatment, the patient can resume normal daily activities immediately. But it is recommended that for the first 24 hours, refrain from strenuous exercise and warm baths, wear stockings for varicose veins, or use an elastic bandage for at least 3-6 times. a week because it will help improve the treatment effect, use skin care products And avoid direct sunlight and apply sunscreen when exposed to sunlight on the treated skin during the first 2 weeks.
This therapy cannot be used to treat large or crooked varicose veins. Including the tools used for treatment is still very expensive.
Most of the time, this therapy needs to be done several times (every 6-12 weeks), and it usually takes several years to heal. The number of treatment sessions depends on the size, number and depth of the veins. And each patient may respond differently to treatment. Therefore, the number of repetitions is mainly at the discretion of the treating physician.
It is also used Endovenous laser ablation (EVLA) is used to treat large varicose veins. which was found to have a good result of 94%

5. Low-level laser therapy is a method that helps treat varicose veins by reducing edema from venous congestion. It will send energy into the location of the veins. especially in the area of large veins that are problematic which energy will go into causing the stimulation of blood flow thereby reducing edema from congestion of veins in case of varicose veins reduce muscle contraction The advantages of this therapy are do not need to inject does not cause wound Once done, you can go home and use your daily life as usual. It can treat both the symptoms of aorta and capillaries. But after the procedure, stockings for varicose veins must be worn as well as other treatments.

6. Treatment of varicose veins using radio frequency Radiofrequency Ablation (RFA) is a new treatment that uses the same principles as laser therapy. and does not require open wound surgery But the doctor will use a method to pierce through a small needle hole and insert a stent (Fiberoptic cable) to break up the problematic varicose veins. The machine will convert the energy from the radio waves into heat. (The heat value is about 120 degrees Celsius). This level of heat causes the collagen fibers, an important structure of the vein walls, to atrophy eventually. After treatment, varicose veins will collapse by 50%, and in 6-8 weeks, they will collapse another 90-100%, and from 2-4 years of follow-up treatment, it is found that there is a chance of recurrence. Up to about 5-10% and it is only small capillaries, which can be treated with injections.

This therapy is painless. almost no open wounds little bleeding No anesthesia or spinal anesthesia is required. (using only local anesthesia) and does not take long to do When you’re done, you can go home. without affecting daily life
The limitations of this treatment If a patient with a blood clot If you have an infection, swelling or redness, your doctor will not recommend immediate treatment. but must be treated with antibiotics before
After the treatment, stockings for varicose veins must also be worn. (If it’s capillaries, put it on for about 3 days, but if it’s varicose veins Wear it for at least 7 days, no heavy lifting or standing for 7 days, exercise by walking every day. (to help stimulate the drug to spread effectively This will help the treatment to be more effective) and see the doctor as scheduled so that the doctor can follow up with the treatment.

7. Oral medication to relieve symptoms of varicose veins because there is research that Taking diosmin and hesperidin can inhibit the inflammatory process and normalize the valves in the veins. Especially in small varicose veins, so if treated early, this drug may help heal. But if it is treated during the severe varicose veins, there must be other treatments besides the use of such drugs that will be given to inhibit the increase as well, such as injections or the use of radio waves to destroy those varicose veins. As for creams or ointments for varicose veins, there is no definitive effect in human studies. It will only help relieve pain and swelling. therefore not recommended

8. Advice on self-care when suffering from varicose veins especially in those who have started or have only mild symptoms It is recommended to do the following:

Avoid standing or sitting for long periods of time, but if necessary move your legs, straighten your legs, or get up and walk often. And while sitting, perform alternating clockwise and counter-clockwise ankle exercises. and stretched their feet and lowered their feet alternately
Do not sit cross-legged or sit with your feet extended for a long time as this will cause more blood to flow back to your legs.
Try to sit or lie with your feet higher than your chest to help your blood flow back to your heart.
Wear compression stockings or an elastic bandage around your legs from the toes up to below the knees during prolonged standing work.
not wearing tight clothing
not wearing high heels Opt for low-heeled shoes, which increase blood flow better than high-heeled shoes.
For obese people have to find a way to lose weight properly and properly. But if you are not obese, you must control your weight well in order to avoid obesity and overweight.
Good control of constipation By eating more fruits and vegetables
Move your body and exercise regularly as it should for your health. To help increase blood flow and increase the efficiency of leg muscles.
For those who started having varicose veins in the early stages Prevention of such complications This can be prevented by wearing stockings for varicose veins or tying your feet with stretchy fabrics while standing at work or during pregnancy.
Keep an eye out for potential complications in order to see a doctor in a timely manner, such as chronic leg ulcers. inflammation of varicose veins Bleeding, swollen legs, leg pain, etc.
See your doctor if you have severe varicose veins, red, hot, and painful skin (indicating inflammation), bleeding from varicose veins, blisters and rashes near your ankles, skin around your ankles, shins, and calves. thick and dark, varicose veins interfere with quality of life, severe calf pain, ugly appearance or when worried about symptoms
If there is blood flowing from varicose veins Sit or lie with your feet elevated above chest level. and use a clean cloth to press hard on the bleeding wound Once the bleeding has stopped, clean the wound with a fresh, general wound.
In those who followed the above instructions and still did not work. The patient should see a doctor at the hospital. The doctor may need to examine by injecting color into the veins that are varicose, then X-ray to look at the appearance of the veins or other special examinations, and may need to be treated by injecting drugs into the veins that cause coagulation and narrowing to cut off the flow. blood circulation or if found to be severe, may need to be treated by surgery to pull out the varicose veins

9. In the case of a wound from varicose veins You should see a doctor at the hospital. If the wound is small, the wound should be washed, wound daily, together with having the patient lift his feet. and wearing stockings for varicose veins (Or you can wrap your foot with a stretchy cloth) it may help the wound heal. But if the wound is large Treatment may require surgical removal of the varicose veins. and may need to treat the wound by skin grafting (Skin graft) is to take the skin from other parts to paste instead

10. To prevent recurrence of varicose veins Should prevent and avoid or reduce the risk factors that provoke varicose veins. Along with following the self-care advice in Section 8, especially wearing stockings for varicose veins in the event of standing or sitting for long periods of time.

Prevention of varicose veins

Although we can’t prevent varicose veins or the capillaries in the legs 100%, it can reduce the incidence of new varicose veins and prevent existing varicose veins from getting bigger. This can be done by avoiding the risk factors that we can avoid as mentioned in the Risk Factors section.

Avoid standing or sitting for long periods of time, change your standing feet frequently (if sitting for long periods of time, get up and walk every 30 minutes, or keep your feet elevated whenever possible). avoid as well
Exercising and moving regularly because it will help make the muscles strong good circulatory system and reduce the incidence of varicose veins
Control your weight to avoid obesity and overweight.
not wearing tight clothing Especially the spread that is fit and tight around the groin and waist.
not wearing high heels for a long time
Avoid exposure to sunlight and wear sun protection. Especially around the face can cause capillaries.
Reduce eating salty foods to prevent swelling. and eat more fruits and vegetables