Varicose Veins – Treatment, Prevention and Remedies of Varicose Veins
There are several non-surgical methods of treatment including elevation techniques, wearing elastic stockings, sclerotherapy and exercise. The traditional surgical method of treatment deals with removing the affected veins. Newer methods which are less invasive are replacing the traditional methods gradually. The newer methods of treatment include -endovenous laser treatment, radiofrequency ablation and ultrasound-guided foam sclerotherapy.
Most of the blood which is returned to the heart is through the deep veins while only about 10% of the total blood in the legs is returned through the superficial veins. So any affected superficial vein can be ablated or removed without causing any serious injury or harm. A physician expert in distinguishing and treating venous disorder is called a phlebologist.
Conservative Treatment of Varicose Veins
It is useful in a few cases to control the symptoms of varicose vein to a certain extent. This can be done using –
- Elevating the legs to provide a temporary symptomatic relief
- Regular exercises is helpful in a few cases while is not advisable in others (no proper evidence is available)
- Wearing elastic stocking with graduated compression is helpful in correcting swelling, improving microcirculation in the leg, exchange of nutrients, reducing discomfort
- But caution should be made while using the elastic stocking for patients with concurrent arterial disease.
- Using Diosmin/Hesperidine or other flavonoids
- Using anti-inflammatory medication like ibuprofen or aspirin (this is used in case of superficial thrombophlebitis along with graduated compression hosiery)
- But while using the above, there is an associated risk of intestinal bleeding.
- And in patients with extensive superficial thrombophlebitis, anti-coagulation, sclerotherapy or thrombectomy of the involved vein must be considered
Several surgical techniques have been performed starting from the more invasive ‘saphenous stripping’ to less invasive ‘ambulatory phlebectomy’ and ‘CHIVA’. These techniques have been in use since centuries to treat different venous disorders.
- Stripping –
In stripping, wither whole or part of the saphenous vein main trunk. But this method leads to the following complications –
- deep vein thrombosis
- pulmonary embolism
- infection (a common wound complication)
- recurrence rates ranges from 5-60%
- removal of saphenous main trunks leaves no chance of venous bypass in the future in case of a coronary artery or a leg artery vital disease
- CHIVA –
This method aims at removing the various deformities in the venous system. Only valvular incompetence cannot be the cause of varicose veins, whereas a venous block (thombosis) or an arterio-venous fistulae may be involved. So the treatment has been tailored according the various hemodynamic features involved.
In general, about 1-4 small incisions are made using local anesthesia. This will disconnect the varicose veins from the abnormal flow. But this method is performed when the veins are dilated due to valvular incompetence. And following the surgery, the patient is discharged.
The prime advantage of the method is the improvement of the venous function along with preserving more superficial veins for future use in bypass of coronary or leg artery.
- Besides these, other surgical methods include –
- Ambulatory phlebectomy
- Vein ligation
Home Remedy for Varicose Veins
The condition of varicose veins can be extremely painful. It can hamper your daily life to a great extent. The main aim of home remedies is not only to relief your pain and other signs but also to strengthen your body for an efficient life. And the major advantage of home remedies is its zero side effects and zero complication. There are a number of home remedies to cure varicose veins. The following are the most common:
- Fresh Vegetable Juices –
Raw vegetable juices are one of the most simple natural remedy for varicose veins. The combination of spinach and carrot can work wonders.
- Nutrients –
Always include Vitamin E and Vitamin C to your diet. These will help in reducing the pain and discomfort along with the leg cramps. You may also apply Vitamin E oil to the affected area.
- Vinegar –
Apply apple cidar vinegar on your skin surrounding the affected area. This is also a good method of relieving pain and inflammation.
- Chlorophyll –
Chlorophyll is an excellent rejuvenating factor for the weakened vascular system. Chlorophyll is rich in Vitamin K which is an anti-hemorrhagic. Vitamin K can boost the circulation of blood, in return reviving he veins.
- Elevation and Support –
Resting your leg above your hip level is good. You can use a pillow to rest your legs. You may also wear supportive stockings. This will limit the gathering and clotting of the blood in the small blood vessels. The stockings will push the the blood towards larger veins which can then pump the blood to the heart.
- Marigold –
Marigold extract is one of the most popular home remedies. You can apply the extract externally over the affected skin as well as the skin ulcers.
- Diet –
The patient is mostly advised to stay on raw juices for 4-5 days following a all-fruit diet for the next 7-10 days. Then the patient may shift to the regular but balanced diet according to physician’s advise. A balanced diet consist of –
- raw vegetables
- fresh fruits
Foods one should avoid during Varicose Veins –
- alcoholic drinks
- strong tea
- white flour products
- white sugar
- sugary products
- Other methods of Varicose Veins Treatment
- Enema –
Warm-water enema can be given to the patients during their initial juice fast and all-fruits diet. This will help in cleansing their bowels and controlling signs of constipation.
- Water –
Water already exists in our diet. Consuming plenty of water is always advisable. But alternate hot and cold baths is very effective in treating varicose veins. An alternate hot and cold hip bath must be taken daily. Addition of Epsom salts to the bath water also helps in triggering the circulation of blood and strengthening the veins. You can use Epsom salts twice in a week.
- Cold packs –
The part that is affected must be sprayed with cold water. If discomfort is seen with this, even cold packs can be applied in place of using cold water to them.
- Mudpack –
You can wear a mudpack at night and remain till morning.
- Sunbathing, Breathing exercises and Yoga postures –
Deep breathing exercises and sunbathing is always helpful for people suffering from Varicose veins. Certain yoga postures like
are very beneficial. These posture are extremely helpful in draining the blood from the legs. Draining can reduce the pressure on the veins. Thus, these can help in relaxing the muscles and allowing free-flow of the blood to and out of lower extremities. You may also prefer doing –
- Enema –