To avoid long-term damage and complications, sufferers should begin treatment for varicose veins at an early stage. The treatment method depends firstly on whether a primary or secondary varicose veins present. Secondly, the form and characteristics of the varices is decisive. In addition, the doctor must take into account any comorbidities present.
Physical exercise is very important in the treatment of varicose veins Physical exercise stimulates the calf muscles and thus promotes the return of blood from the veins. In older or immobile patients targeted exercise therapy may be necessary. Similar benefits have been the Elevating the legs and cold water applications act on the veins. Even if these measures do not eliminate varicose veins can, they still have a soothing effect on the discomfort.
Supporting or stronger-acting compression stockings squeeze the leg veins and so support their natural backflow function. Even so edema can be prevented and existing edema can be reduced. Professionally applied compression bandages serve the same purpose. Compression stockings are available in different voltage levels and must be made individually in a specialist shop if necessary. They should, inter alia, not be used in patients with skin disorders, rheumatoid arthritis, arterial disease of the legs or severe hypertension.
In mild varices wearing compression stockings may be sufficient. For pronounced varicose veins, they support the effects of other methods.
Zinc paste bandages support the healing process of thrombosis, leg ulcers and phlebitis. They are less extensible than compression bandages and act in this way better in the depth.
In sclerotherapy an agent is injected into the affected veins, which leads to inflammation of the inner walls and so closes or glued the affected vessels. After sclerotherapy compression stockings and exercise are helpful to stimulate the blood transport in the other veins. Sclerotherapy is successfully applied to spider veins, reticular veins and in some cases at spider veins. Prior to treatment must be clarified whether the saphenous veins and the deep venous system are continuous and healthy.
Drugs used to treat spider veins are a number of medications, many also freely salable, which can alleviate the symptoms of varicose veins. However, an agent which can cure varicose veins is not yet known.
The drug, which consist predominantly of plant extracts, have 2 different modes of action: venotonic agents have an activating effect on the vein and to increase their resilience. Edema protectives reduce the permeability of the vein walls and to prevent fluid retention and relieve. As plant extracts, for example, horse chestnut, vine leaves or Rutoside be (vegetable dyes) used. The remedies are available as tablets, capsules or for external use in cream or ointment form available.
Ointments and gels from heparin or hirudin counteract blood clotting and prevent thrombosis in this way.
With strong fluid retention, special water pills (diuretics) can in some cases be used.
When varicose veins of the trunk, the Seitenastvenen and the Perforansvarikose promises a surgery is usually the most successful. The diseased vein completely or partially removed and the venous system is restored. Before surgery, the doctor must check the patency of the deep venous system by means of a duplex sonography. After surgery, the patient must wear compression garments for a long period.
There are a number of different methods of operation:
The stripping is currently the most common method practiced surgery. The varicose vein of the affected vein is separated and removed by means of a probe. In severe cases, the entire altered vein is pulled out of the leg from the ankle to the groin.
Endoluminal laser or radio wave therapy
In the affected veins sections a probe with a laser or radio wave source is introduced, the deserted the vein from the inside.
This sick vein segments are detected by ultrasound and tied specifically through a skin incision. The Chiva-friendly method is considered, however, there are currently no long-term results before.
Transillumination assisted vein removal
The affected areas are illuminated from one side with a light source, from the other side a device is introduced, which destroys the damaged vein segments and sucks.