Varicose Vein Treatment

ichhori team

 Varicose Vein Treatment



Varicose veins happen when the valves in the veins do not work properly, and the blood does not flow effectively. It often appears on the legs and feet. Although varicose veins rarely need treatment for health reasons, if swelling, aching, discomfort, and pain become intense it is advisable to see a doctor. There are many treatments available including some home remedies. 

In some cases, the varicose vein may rupture, or it can develop into varicose ulcers on the skin.


Treatment


Home remedies can offer enough relief to most people with varicose veins. However, Sometimes when the symptoms become severe and the situation becomes more painful and discomforting there are medical treatments to reduce the pain and address the complications such as leg ulcers, skin discoloration, or swelling. 


Medical Treatments:


Surgery


Varicose veins need to be removed surgically if they are large. The process is done under a general anesthetic. Most patients can get discharged the same day, however, if surgery is to be done on both legs, they are required to spend a night in the hospital.

  

Laser treatments are also helpful and are often used to close off smaller veins. A strong burst of light is applied to the vein, which gradually fades and disappears.


Ligation and stripping


In the process of ligation and stripping, two incisions are made: one near the person’s groin at top of the target vein, and the other farther down the legs, either at the ankle or knee. The top vein is tied up and sealed. A thin, flexible wire is threaded through the bottom of the vein and then pulled out, taking the affected vein with it. 

Usually, this process doesn't need a hospital style. Sometimes the process can result in bruising, bleeding, and pain though. When a blood clot is formed in the vein, there can be deep vein thrombosis (DVT), but it's extremely rare.

Most people recover within a few days after surgery but they may require a few weeks' rests before going back to a regular lifestyle. 


Sclerotherapy


In the process, the doctor injects a chemical into small- and medium size varicose veins, which scars and closes them. After a few days, they should fade. In some cases, a vein may need to be injected more than once.




Radiofrequency ablation


A small incision is made either above or below the knee with the help of an ultrasound scan. Then the doctor threads a narrow tube, or catheter, into the vein. After that, a probe is inserted into the catheter, which emits radiofrequency energy. The radiofrequency energy heats the vein, which causes its walls to collapse, effectively closing it and sealing it shut. 

Radiofrequency ablation is usually preferred for large varicose veins and done with an anesthetic.


Endovenous laser treatment


A catheter is inserted into the patient's vein, then threaded a small laser through the catheter and positioned at top of the target vein, which delivers short energy bursts that heat the vein, sealing it shut. 

The doctor threads the laser up the vein, gradually burning and sealing all of it, with the help of an ultrasound scan. In the process, there can be some brief nerve injury. 


Transilluminated powered phlebectomy


A special light or endoscopic transilluminator is threaded through an incision under the skin so that the doctor can see the affected veins which are required to be taken out. The target veins are cut and removed with a suction device through the incision.

There are chances of some bleeding or bruising after the process.


Home Remedies:


Home remedies may also help in improving the condition of a [erson with varicose veins. With the aid of some home treatments and certain lifestyle changes, the pain and discomfort caused by varicose veins can be reduced. They can also help in preventing varicose veins from worsening.


Some home remedies for varicose veins are:

Physical activity 

Being active is a great first step in home treatments for varicose veins. More body movement improves blood circulation. Low-impact exercises can help reverse the symptoms of varicose veins. Moderate exercise can also help in regulating high blood pressure, which is one of the risk factors for varicose veins. Some exercises to consider for varicose veins are:

  • Swimming

  • Stretching

  • Cycling

  • Yoga

  • Walking


Dietary changes

Foods can help improve vein health. By making a few changes in diet a varicose vein patient can feel the condition improving. 

High fiber food helps in regulating healthy body; movement. It’s important to reduce the effort used to pass stool which can create a strong internal abdominal pressure, that can aggravate the damaged vein valves. 


Some high-fiber foods to include in patients' diets are: 


  • Whole grain foods

  • Oats

  • Wheat

  • Nuts

  • Flaxseed

  • Peas

  • Plums

  • Figs

  • Tomatoes

  • Avocados

  • Broccoli etc.


Potassium-rich foods can help in reducing water retention. Water retention increases the volume of blood in the body and creates extra pressure on the vein valves. 


Food rich in potassium to include in the diet are:


  • Yogurt

  • Almonds

  • Pistachios

  • Tuna

  • Salmon

  • Chicken

  • White beans

  • Lentils

  • Dates

  • Oranges

  • Potatoes

  • Leafy vegetables etc.


Flavonoid foods help in treating cardiovascular problems. They help in improving blood circulation and reduce arterial blood pressure which relaxes blood vessels.


Foods that are high in flavonoids are:


  • Onions

  • Garlic

  • Bell peppers

  • Citrus fruits etc.


Compression stockings

Compression stockings put pressure on the legs to improve venous blood circulation and reduce swelling. They are easily available in pharmacies or online stores. 


Massage

A gentle massage on the affected area gives relief. To elevate its effect some ointment or essential oil can also be used as suggested by the doctor. Do not put pressure on the veins as it can cause damage and increase pain.

 

Symptoms of varicose veins



Prevention of varicose veins

To decrease the risk of varicose veins:

 

  • Exercise regularly

  • Maintain a moderate body weight

  • Avoid standing for too long

  • Avoid sitting for a long duration

  • Sit or sleep with feet raised on a pillow

  • Minimize the salt consumption, as excessive sodium can lead to swelling

  • Avoid extremely fitted clothes

  • Check the family medical history if it runs in genetics be aware and take measures to prevent it



Conclusion


Unless varicose veins cause some severe medical problem for a person, they can be managed with mild treatments and home remedies under the expert's guidance. Some lifestyle and dietary changes also help in improving the condition.

Patients with severe varicose veins should seek medical treatments to reduce their suffering. 

Always talk to a doctor and discuss your options to make the best and most informed decision about the treatment.

References:
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