The typical symptoms and methods of treatment of varicose veins in the legs in women

Treatment of legs veins of men and women there is no difference, however, the frequency of postoperative recurrence in women above in connection with add under of hormones (estrogen effect).

varicose veins

Venous disease of the legs is to deal with the doctor-phlebologist, who is involved in this pathology. A variety of treatments for varicose veins are not radical, because they are not aimed at addressing the main pathogenetic causes of the failure of the valve apparatus veins. Surgical and conservative treatment to slow down disease progression a long line. The percentage of recurrence is high, ranging from 10 to 50% 5 years after surgery.

Treatment of varicose veins should be comprehensive. There are three groups of methods to remove varicose veins:

  • surgical,
  • conservative.

Each treatment has its advantages and disadvantages, a certain frequency of recurrence. The choice of method is arbitrary, so taking into account how to achieve the most advantageous outcome often combine all three methods.

Typical symptoms of varicose veins in women

General manifestations typical of women

Symptoms of varicose veins in the early occurrence of functional disorders such as feeling of heaviness in the legs, swelling of the ankle joints to the end of the day. The skin on the legs is first formed in the spider veins.

The main signs of the disease – the Association of varicose veins of the saphenous veins for a few years after the onset.

If untreated at this stage, causes such symptoms as cramps in the calf muscles, itchy skin in the legs.

Signs of venous disorders: pigmentation of the skin of the lower third of the leg, cyanosis, sclerotic changes in the subcutaneous tissue, eczema, trophic ulcers has been formed.

Typical symptoms of varicose veins in women

  • Painful symptoms appear cyclical, worse before menstruation, due to changes in sex hormones;
  • during pregnancy, when symptoms of varicose veins after the birth can be lost;
  • in the second half of the menstrual cycle, because the action of progesterone, the diameter of the varicose veins increases, so the symptoms are swelling and heaviness in the legs, more pronounced;
  • symptoms of varicose veins worsen during hormone therapy.

Now let's talk about therapy methods.

The best treatment methods

Radiofrequency ablation and laser photocoagulation

Radiofrequency ablation of veins

The method is based on the use of ultrasound under the supervision of a special disposable catheter into the lumen of the expanded veins.

foot

The catheter is equipped with a special electrode, the work, which under the action of RF radiation heats up to 120 degrees. The progression of the catheter through the veins leads to bonding the vascular wall. Off the affected vein cardio-vascular system of the foot.

Venous laser photocoagulation

The surgical technique consists of puncture of the affected vein and introduction into the lumen under ultrasound guidance a laser fiber. Under the influence of the laser radiation occurs, the coagulation of proteins in the vessel wall, causing Vienna to subside and after some time the overgrown connective tissue.

Radiofrequency ablation and venous laser ablation are relatively new methods of treatment of varicose veins in the legs. Despite the differences in technique, have common features.

Advantages and disadvantages of radiofrequency ablation and laser venous ablation

Advantages:

  • Do not require hospital care;
  • Speed of execution (30 min-1 hour);
  • Painless;
  • Bloodless;
  • Is performed under local anesthesia;
  • The lack of postoperative scar (female desired cosmetic effect);
  • Short-term rehabilitation.

Disadvantages:

  • High price;
  • The frequency of recurrence of 10%;
  • The inability of the procedure and some of the anatomical peculiarities of the veins (severe tortuosity vessels).

Radiofrequency ablation and venous laser ablation to choose a woman who want to treat varicose veins in an outpatient setting with minimal restriction of physical activity after surgery and to maintain the aesthetic appearance of the foot.

Fleboskleroterapija

The lumen of the affected segment of the vein injected a special drug, which has a special impact on the vascular wall. A sclerosing agent can be used in liquid form or in the form of foam. Preference should be given foam sclerotherapy due to a larger area of contact of the substance with the wall of the vein.

Advantages and disadvantages of Fleboskleroterapija:

  • The lack of postoperative scar;
  • Performed on an outpatient basis;
  • The operation is performed without anesthesia;
  • Manipulation is almost painless (slight stinging at the injection site);
  • The potential long-term pigmentation of the skin at the injection site (up to 2 years);
  • In rare cases, after surgery the inflammation of a vein (phlebitis);
  • Swelling and redness of the tissues within 2 days after the procedure;
  • Allergic reactions are hypersensitive to the drug;
  • 20% of cases there is a spider veins on the legs (telangiectasia);
  • The frequency of recurrence of 50%.

Recurrence of varicose veins after sclerotherapy depending on the lumen of the affected vessel: the wider the space, the higher the risk of recanalization. Select this the treatment of recurrent varicose veins after surgical phlebectomy.

Surgical phlebectomy

Surgery is a more radical way to remove varicose veins. Principles of surgical treatment is to remove abnormal discharge of blood from the deep to the superficial veins of the legs and removal of the blood vessels themselves. The steps combined with phlebectomy:

vein disease
  • The border and the ligation of the mouth of the great saphenous vein (incision in the groin) or small saphenous vein (incision in the popliteal fossa);
  • Remove the stems of varicose veins. Using a special metal probe which draws the vein into the skin incision.

Advantages:

  • Radical;
  • The ability to perform functions from any stage of the disease.

Disadvantages:

  • Hospitalization 5. 7 days;
  • The scar in the legs;
  • Spinal anesthesia or General;
  • Damage to the surrounding tissue, when to pull out the vein;
  • Possible complications: bleeding, wound infection;
  • Recurrence rate is 20%.

Can be treated surgically, preferably with a certain type of damage occurs when the varicose veins deformity of the great or small saphenous veins to a considerable extent. And also, when there are indications of trophic disorders of soft tissues and symptoms insufficiency venous insufficiency.

Miniflebjektomija

Miniflebjektomija – separate option for surgery that can treat varicose veins in the legs in the early stages. Often used in the presence of a single varicose nodes in the shins. Makes the skin puncture is a pathological education and a hook in the sky, and crossed the Vienna. Use does not require general anesthesia and skin suturing.

Conservative treatment

Began treatment varicose veins disease in the legs is necessary to use the drug and compression therapy. The purpose of the preparations improving blood circulation and wearing medical support socks – the main conditions which determine the outcome of any surgery on the veins of the legs.

Drug treatment

Medications these medicines stop symptoms of venous insufficiency, are used for preoperative preparation and postoperative rehabilitation.

To deal with the special preparations for varicose veins on the legs takes a long time continuous mode or in repeat courses.

Compression therapy

Elastic compression leg – a leading method of treatment in cases where surgery is contraindicated. As the compression means that you can use elastic bandages and special medical socks: long socks, stockings, tights. Medical products feature high strength, long time to maintain the original compression level, comfortable to wear, which is important for women.

treatment

There are 4 classes of elastic knitwear depending on the degree of compression. Recommended to treat the varicose veins to the use of goods in class 2 without disease progression up to 6 months, and continued use during exercise or during prolonged stay on their feet. If there are signs of damage to the valves in the deep veins or severe symptoms of impaired lymphatic drainage, shall be in jerseys category 3 to stop the progression of varicose veins.

The therapeutic effect of compression stockings due to:

  • count the veins, which reduces the discharge of blood from the varicose vessels;
  • increased intake of tissue fluid to the bloodstream, so signs of swelling and symptoms of heavy legs disappear;
  • improving the fluidity of the blood, which prevents blood clots.