Modern treatment of varicose veins in the legs

Modern treatment of varicose veins of the lower extremities provides high efficiency with minimal interference with the body's systems. Specialists use several methods, including conservative therapy, minimally invasive procedures and complex treatment. The treatment regimen for varicose veins is selected by a phlebologist. Assess the condition of the vessels, determine the stage of the disease and take into account the presence of co-morbidities.

Drug treatment

In the early stages, varicose veins respond well to conservative treatment, but only in the absence of complications and serious external manifestations. In the next stages, drugs are prescribed for complex and postoperative therapy. Drug treatment involves the use of forms for external and internal use. Modern anti-varicose drugs are divided into several groups.

Venotonics and phleboprotectors

These are drugs that affect the tone of the vascular wall and normalize blood circulation.

Preparations are based on different active ingredients, but have the same therapeutic effect. Venotonics penetrates rapidly into the venous wall and accumulates in sufficient therapeutic doses.

It is a tool to reduce blood viscosity

Treatment of varicose veins with modern methods is not possible without the use of anticoagulants. They thin the blood, prevent clogging of blood vessels and normalize microcirculation.

It is important!

Antithrombotic drugs have many contraindications and side effects. Consult your doctor before use.

Non-steroidal anti-inflammatory drugs

These drugs are used for thrombophlebitis, pain syndrome and swelling. They quickly eliminate inflammation and reduce the external manifestations of chronic vascular insufficiency.

It is important!

Nonsteroidal drugs often cause side effects in digestion. Tablet forms should be taken after meals or during meals.

Minimally invasive procedures

Non-surgical methods of treatment of varicose veins of the legs

Non-surgical treatment of varicose veins of the legs includes not only drug treatment, but also mechanical ways to eliminate the pathology. These are called minimally invasive interventions. It is a type of mini-surgery that does not require hospitalization and is performed without deep incisions and anesthesia.

Such techniques are popular with patients due to the lack of long-term rehabilitation and the ability to keep working. It is shown at any stage of varicose veins. However, the effect of treatment lasts longer with early intervention. Phlebology clinics offer four main methods of non-surgical treatment:

  • laser therapy;
  • sclerotherapy with closure of the vascular lumen;
  • radiofrequency ablation;
  • miniflebectomy.

All methods are based on stopping blood flow by closing or removing a pathological vessel.

Laser therapy

Laser light treatment of varicose veins in the legs allows you to remove dilated veins in the legs without cuts and rough scars. The method is suitable for all age categories and is used at all stages of treatment, unless otherwise indicated.

The essence of the method

Laser blood clotting hardens the diseased blood vessels and completely stops the blood flow inside them. The principle of action is the effect of heat on the venous wall.

A special laser light moving along the ship causes the guide shells to stick. As a result, the affected area is turned off from the general circulation. The length of the laser beam is carefully calculated. This prevents the adjacent tissue from burning.

The course of the procedure

The course of the laser coagulation procedure for varicose veins in the legs

The intervention is performed in an outpatient setting under the guidance of ultrasound. The patient is treated with antiseptic of the leg, local anesthesia and a small puncture in the pre-marked part of the affected vessel. A thin probe with a light guide is applied from the hole. It progresses to the end of the pathological area, then the laser is closed and the catheter is pulled back. At the same time, vascular tissue has a thermal effect and sticks to each other.

The operation takes about half an hour. Upon completion, compression stockings are placed on the legs. It is recommended to stay in the clinic for another 30 minutes with continuous exercise. This ensures the normalization of blood circulation and the identification of possible complications.

Key benefits and effectiveness

Laser treatment of varicose veins is well tolerated. Patients report rapid and long-term effects of therapy. Benefits include:

  • minimally invasive;
  • lack of sewing;
  • painlessness;
  • local anesthesia;
  • short recovery time.

Laser therapy prevents the development of varicose veins with early application and greater adherence to medical recommendations.

Contraindications

Laser coagulation for varicose veins of the legs has a number of limitations. When planning an operation, the doctor collects a comprehensive history to determine possible contraindications. These include:

  • general and local inflammatory processes in the acute stage;
  • purulent lesions at the site of the procedure;
  • thrombosis and thrombophlebitis;
  • pregnancy and breastfeeding;
  • arterial disease;
  • The dilation of the vessels in the legs is more than 1 cm in diameter and their complex structure.

If these factors are identified, laser treatment is replaced by alternative methods. Then, when the risk factor is eliminated, the invasive intervention option can be reconsidered.

Complications

Complications of the procedure include short-term temperature rises to low numbers, pain and discomfort when bending the knees.

It is important!

Fever above 38 degrees and severe leg pain can be signs of serious complications that require immediate hospitalization.

Sclerotherapy

Another modern method to treat varicose veins without surgery. It is most effective in the first three stages of the disease. However, it is also used for advanced forms with trophic changes.

Working principle

Phlebosclerosis helps to remove a lesion that impedes normal blood flow. The procedure involves artificial sealing of blood vessels. To do this, drugs are injected into the diseased veins of the legs and cause the destruction of the venous walls. The operation involves the use of highly effective and low-toxic substances.

How the procedure is performed

Anesthetics are injected into pre-selected areas of the affected vessels. The doctor then injects drugs that cause sclerosis into the enlarged areas. The duration of the procedure starts from 30 minutes.

In the presence of several centers of varicose veins, sclerotherapy is performed in several stages at intervals of at least a week. At the end of the intervention, compression stockings are applied to the legs and it is recommended that you walk at a comfortable pace for half an hour. Elastic bandages should be worn day and night for up to 1 week. Then you should start daily use for 6 months.

Contraindications and postoperative restrictions

Drug sclerotherapy for varicose veins is contraindicated in pregnant and lactating women. Not used for deep thrombosis and venous ulcers.

It is forbidden to go to the bath and sauna for about 2 months after the operation. Hot baths are also contraindicated. Weight lifting is not recommended for up to six months. After surgery in the later stages of varicose veins, it is recommended to use compression garments for life.

Radiofrequency ablation

This method has recently become popular. Non-surgical treatment of varicose veins of the lower extremities with radiofrequency radiation requires the use of expensive devices. Therefore, the procedure is mainly performed by large vascular centers.

The course of the procedure

After the initial diagnostic and preparatory measures, local anesthesia is performed. After anesthesia, a catheter with a radio frequency device is inserted into the vein. When moving in the veins of the legs, high temperatures cause the vascular lumen to close.

Note!

The only unpleasant sensation for the patient is associated with the injection of an anesthetic. The rest of the operation is painless.

Method flow

Cutting or closing blood vessels using radiofrequency waves stops the flow of blood through the pathological vessel. The veins stick together and gradually dissolve. After the focus is blocked, the blood supply is not disrupted and is carried out through deeper veins.

Pros and cons

This method is one of the most effective methods. Experts note that there is no relapse for a long time after using this method of removing blood vessels in the legs. The advantages of the procedure are:

  • local anesthesia;
  • lack of pain;
  • outpatient behavior;
  • immediate effect.

Disadvantages include high cost and the following contraindications:

  • pregnancy;
  • obesity;
  • lactation;
  • atherosclerosis of the vessels of the lower extremities;
  • Inflammatory processes in the legs.

It is important!

There may be individual contraindications associated with the course of chronic diseases and the structural features of the vessels.

Miniflebectomy

The method has replaced extensive vascular surgery. The essence of the method is to remove the pathological part of the vessel. But if earlier it was done with the help of skin incisions, now only a small piercing is required. Through this, the affected vein is removed with a special fork. It is cut from healthy areas and the ends are sewn. The procedure is minimally invasive. After the intervention, it is recommended:

  • do not go to the bathroom and take a hot bath;
  • do not lift weights;
  • Wear elastic underwear.

Contraindications and consequences

Microflebectomy is not performed during pregnancy, thrombosis and acute somatic diseases.

Benefits

The main advantage of phlebectomy is the complex structure of blood vessels in the legs and the possibility of vasodilatation of more than 10 mm.

It is important!

Minimally invasive methods only eliminate the consequences of the disease, do not affect the causes of varicose veins. Therefore, if the risk factors persist, it may be necessary to intervene again.