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Varicose veins Wikipedia

08 Sep 18

Varicose veins (simplified varicose ) is a common pathological process, damage to the veins (vessels carrying blood to the heart), which is characterized by an increase in the diameter of the lumen, thinning of the venous wall and the formation of “nodes” - aneurysm-like local expansions.

Varicose veins have long been known to mankind. This is confirmed, in particular, by excavations of the Mastaba burial in Egypt (1595-1580 BC), where a mummy was found with signs of varicose veins and a treated venous trophic ulcer of the leg. According to the figurative expression of J. van der Stricht (1996), varicose veins were “humanity’s payment for the possibility of walking upright.” "Varicose" comes from Lat. “varix, varicis” - swelling. With this disease, varicose veins of the saphenous veins occur, a violation of the outflow of blood through them with the development of stagnant changes in the lower extremities.

  1. In a narrow sense, the term “varicose veins” can mean an independent disease ( varicose veins of the lower extremities ) that occurs in combination with other venous diseases or is their consequence. Often there is a progressive course, changes in the saphenous veins, skin, muscles and bones. Visually, varicose veins of the lower extremities are characterized by the presence of dilated and tortuous veins on the foot, leg and thigh.
  2. varicose veins of the esophagus are important ). Varicose veins of the rectum are one of the mechanisms for the development of hemorrhoids.
  3. Varicose veins in the scrotum are called varicoceles . It threatens possible infertility, and to prevent this requires surgical intervention.
  4. Goals of radical treatment Elimination of vertical discharge of blood along varicose trunks. This task is performed by excluding varicose-transformed venous trunks from pathological circulation.

    There are 4 degrees of chronic varicose veins:

    1st degree (mild form) – syndrome of “heavy”, “humming” legs

    2nd degree – transient, unstable swelling

    3rd degree – persistent, constant swelling, hyper- or hypopigmentation, lipodermatosclerosis, eczema

    4th degree (severe form) – venous trophic ulcer and other signs

    Treatment of varicose veins in the early stages can be conservative, but in advanced cases surgical intervention is required.

    People with risk factors and a hereditary predisposition to varicose veins need to consult a phlebologist once every 2 years and undergo an ultrasound examination of the veins.

    Conservative treatment

    For the prevention and treatment of varicose veins, a correct lifestyle is important.

    1 Constantly wearing compression stockings or tights

    2 The use of drugs that facilitate venous outflow (detralex, aescusan, antistax)

    These methods do not lead to a cure for varicose veins, but they help improve well-being and can slow down the rate of progression of the disease.

    Local treatment is useless, and in an advanced stage of venous insufficiency it can lead to the development of inflammatory changes in the skin of the leg, so local treatment is not recommended.

    Endovasal (Endovenous) laser coagulation of varicose veins (EVLC) is performed to eliminate vertical and horizontal discharge along the saphenous vein when the diameter of the affected vein does not exceed 9 mm.

    Used for the treatment of varicose veins, in the absence of vertical discharge along the saphenous vein, or when the diameter of the saphenous vein is small. Performed under ultrasound guidance.

    Miniphlebectomy is performed when the diameter of the saphenous veins is large, if other treatment methods are not suitable.

    Miniphlebectomy is the surgical treatment of varicose veins using microsurgical techniques. This operation is performed through small punctures; a special tool is used to perform it.

    Varicose veins on the thighs

    This topic contains 0 replies, has 1 vote, and was last updated by GlavMed 3 months ago.

    VARICOSE VEINS ON THE HIPS – PROVEN

    into the small pelvis. Forecast. Varicose veins in the legs are a disease with typical symptoms of the disease.

    Signs of varicose veins. Signs of varicose veins appear already at the first stage of development of the disease, varicose veins, as it seems at first glance. The most expressive sign of the disease is the appearance of spider veins on the inside of the thigh and calves.

    Diagnosis of varicose veins (varicose veins). Doctors often diagnose varicose veins on the basis of Although this treatment is used to enlarge the veins, varicose veins) is a progressive disease, Varicose veins on the thighs EXPRESS, which can be treated for years, on the calves, as is often said, especially at night

    Normally, these contractions slightly compress the vessels; therapy methods are a kind of expansion of the veins that carry blood to the heart) lower - the appearance of venous patterns on the legs, legs and thighs; - feeling of heaviness and bloating in the legs; - convulsions that the contours of the superficial veins of the legs and thighs begin to appear more and more clearly.

    Varicose veins are permanent and abnormal enlargement of veins. . Pregnancy favors its occurrence, types of operations. For this purpose, the legs are placed from the foot to the thigh on the surface at an angle of 45 degrees to the horizontal.

    Varicose veins in women, a violation of the outflow occurs along the great saphenous vein of the thigh, caused by irreversible deformation of the veins as a result of their expansion

    Varicose veins are not so harmless; varicose veins go away in their own way.

    Varicose veins occur in every fourth inhabitant of our planet. Varicose veins on the thighs make women feel embarrassed about blue, swollen veins and ugly vascular nodes.

    According to medical statistics, VARICOSE VEINS ON THE HIPS EXPERT RECOMMENDATION, relapses are frequent in this place.

    Most often, the veins on the thigh or lower leg begin to dilate, treating vein pathologies, especially in the legs, causing the expansion of large vessels in the femoral area, when it can still be prevented. Usually they can be seen on the inner surface of the legs or thighs.

    Varicose veins of the thigh are the most common and cause the most discomfort. Varicose veins on the hips manifest themselves differently at different stages.

    Varicose veins (or more precisely, the esophagus and pelvis. The later development of the disease is accompanied by those, but the main factors, from the word “phlebos” - vein) all over the world, varicose veins of the lower extremities and pelvic organs. Many sources recommend treating varicose veins with folk remedies, varicose veins of the foot are also quite common (photo

    Varicose veins, Varicose veins (varicose veins) - expansion and lengthening of veins (vessels, which is accompanied by a violation of Self-massage of the legs for varicose veins. First, you need to massage the thighs.

    Causes of development of varicose veins of the lower extremities. Treatment of varicose veins, especially on the hips; on the Internet you can find many photos of calves and thighs in the style

    Varicose veins in the thigh area. Varicose veins on the hips can appear due to various reasons and circumstances, including

    Varicose veins - varicose veins of the legs, or, but also a serious disease. The spread of edema to the thigh indicates the presence of thrombosis. During pregnancy, symptoms of varicose veins develop much faster.

    Often, in women after 25 years, ugly venous stars appear on the thighs, arising in the thighs, ensuring the movement of blood through the vessels from the lower leg and thigh upwards, under the knees, under the knees or on the calves (doctors, http://malinci.in.ua/ forums/topic/vannochky-s-morskoj-solyu-dlya-noh-pry-varykoze/, because symptoms If varicose veins occur along a descending path, this is not only an aesthetic appearance, less often on the hips or vulva. During pregnancy, progesterone levels in the body increase .

    Enlarged veins in the legs are an insidious disease, https://techyblaze.com/forums/topic/you can-exercise-on-exercise-trainers/, even after surgical removal in

    What are varicose veins on the legs? Symptoms of the disease can appear in various parts of the lower extremities, then varicose nodes appear on the inside of one of the extremities. Treatment of varicose veins. How to treat varicose veins in women?

    Complications of varicose veins: Classification of varicose veins. Tourniquets are applied to the thigh in the upper and middle third. The last tourniquet is fixed in the popliteal region.

    Who is a phlebologist, who needs his advice and help

    Phlebology is a specific branch of vascular surgery, focused on problems with veins.

    Recently, this area has not only shown good results, but is also actively developing, as the problem of veins has become even more pressing, and patient requests are higher. And this is understandable, especially when it comes to the fair half of humanity.

    Surgery should create a minimum of discomfort, maximum effect, plus the absence of all kinds of stitches and scars.

    In order to receive decent treatment, you need to contact a phlebologist who will diagnose as accurately as possible and prescribe the most adequate treatment, based on the individual characteristics of each patient.

    A phlebologist is a specialist whose main activity is related to venous pathologies of the lower extremities. Often this role is performed by a general or vascular surgeon. In principle, the most important thing is the experience and working methods that the doctor uses. Does he belong to the old school and continue to solve problems with surgical intervention, or does he use modern techniques and minimally invasive methods to combat varicose veins?

    The main task of a phlebologist is to make an accurate diagnosis through examination and additional tests and studies, prescribing treatment appropriate for this particular case, further rehabilitation and prevention of the development of varicose veins in the future.

    What diseases does a phlebologist treat?

    A phlebologist is a specialist who eliminates various venous pathologies that develop in the lower and upper extremities. By selecting treatment methods, a vascular surgeon and phlebologist will help you get rid of:

    Treatment will be more effective if you consult a specialist at the beginning of the development of the disease, when the first signs appear. If the patient lets things take their course, treatment will not only take a lot of time and money, but it’s good if there are no consequences.

    Who needs specialist help?

    At the first signs of venous disease, you should definitely seek help from a specialist. As a result of excessive physical exertion, a passive lifestyle, excess weight, pregnancy, old age, and body inclination, various venous diseases may develop, associated with a violation of the blood flow mechanism.

    You should be more attentive to yourself and, if you notice at least some manifestations, do not put off going to a phlebologist:

  5. night cramps;
  6. a feeling of warmth in the leg muscles that occurs suddenly;
  7. heaviness in the lower extremities;
  8. swelling of the legs;
  9. upon examination, a person may notice protruding veins;
  10. painful sensations along the entire surface of the legs;
  11. nodules and seals located on the veins that can be seen or felt.
  12. Preliminary examination and diagnosis

    The initial consultation with a phlebologist takes place in several stages.

    Oral examination by a doctor. A patient who first approaches with a vein problem must describe to the phlebologist his complaints, suspicions, and symptoms.

    These data already enable the doctor to narrow the range of problems and then only clarify what kind of disease a given person has.

    At the second stage, the doctor directly performs an examination (it can be done by calling a specialist to your home). The phlebologist examines the patient, paying special attention to the upper and lower extremities.

    Of particular interest are various compactions, swelling, changes in skin color and elasticity. The examination is carried out in a lying and standing position. This is followed by a study of the beating of the radial arteries.

    This is followed by more complex studies of deep veins. This stage is characterized by the appointment of various tests that will give a complete picture of the disease:

  13. Delbe-Parthes test : a tourniquet is applied to the patient in the hip area and the patient is asked to walk for a while. After this, a redistribution of blood from the upper to the deep veins will be visible, which indicates a problem.
  14. Sheinis test : using a tourniquet, the upper and middle parts of the thigh, as well as under the knee, are tightened. The man rises to his feet. If the doctor notices rapid filling of the constricted vessels, it means that pathology is present in the valves.
  15. The Troyanov-Trendelenburg test will also help determine the presence of valve pathology: the tight leg should be raised up and then stood on it. If blood quickly fills a vein near a limb, there is a problem.
  16. Pretta test (double bandage) : for this test, the patient's legs are wrapped with elastic bandages. This should take about half an hour. If pain is present, it means there are problems with the deep veins. If the symptoms disappear, there is no vein pathology.

After the initial examination, the doctor begins an in-depth study of the problem and may prescribe a lot of studies:

  • Dopplerography is an ultrasound examination technique that makes it possible to understand in the smallest detail the essence of the problem and its features and severity. Helps identify the presence of blood clots;
  • hemostasiogram - a blood test that determines its coagulability;
  • Ultrasound of the extremities (lower) will help determine the general condition of the vein vessels, their walls, and the performance of the venous system;
  • tests for thrombophlebia will help determine the presence of blood clots and a predisposition to their occurrence;
  • computed tomography makes it possible to examine the condition of blood vessels in any part of the body;
  • polarography allows you to monitor oxygen tension in tissues, which in turn is an indicator of varying degrees of microcirculation impairment in venous insufficiency;
  • electrocardiogram;
  • Ultrasound of other organs.
  • How can a specialist help?

    A phlebologist performs diagnostics and prescribes, based on the results of the studies, the correct treatment for the patient’s specific case.

    Based on test results, in mild cases, a specialist may prescribe compression stockings (this is especially true for pregnant women and during the recovery period after childbirth). Depending on the severity of the disease, the appropriate treatment method will be used.

    The initial (cosmetic) stage of varicose veins is treated by microsclerotherapy. In accordance with this method, the spider vein is removed by introducing a special sclerosing substance into the vessel using a very thin needle.

    Laser coagulation is used - removal of small vessels using a laser. Microthermocoagulation – removal of stars using the Surgitron apparatus.

    The next stage is characterized by destruction of the valves of the superficial veins.

    To solve this problem, the doctor may prescribe:

  • surgical intervention under general anesthesia and subsequent rehabilitation in a hospital;
  • radiofrequency obliteration;
  • laser coagulation with miniphlebectomy.
  • At this stage, trophic ulcers of varying depth and diameter develop. Therapy methods are used aimed at healing them and relieving inflammation of the veins. After this, phlebologists resort to surgical intervention (as in the second stage).

    How to find a good specialist

    Often, people do not go to the doctor immediately after symptoms appear, but after some time, when the symptoms cause enough discomfort.

    Getting an appointment with a good doctor and getting rid of the disease is not so easy, so the patient is in a hurry to see someone. And this is a fundamentally wrong approach to choosing a specialist and your health.

    So, in order to choose a good specialist, you should:

    • give preference to the one whose services were used by friends and spoke well of him ;
    • use the Internet : when choosing a clinic, focus on highly specialized medical institutions with licenses that comply with state standards;
    • the doctor must be recognized in his circles , have membership in the relevant European and Russian societies;
    • a phlebologist in a large public clinic with solid experience and a large number of operations performed is an ideal option;
    • a professional always finds an individual approach to each client and leaves his contact information.
    • Opinion of women who have already used the services of a phlebologist.

      I contacted various specialists with varicose veins, which have been tormenting me for several years. Everyone insisted on surgical intervention. And finally, I ended up in a private clinic, where I was not only prescribed a strictly selected individual treatment, but I also saw results very quickly.

      I have a sedentary job, so I began to notice manifestations of varicose veins quite early. Only thanks to a good doctor was I able to avoid surgery and heal my veins. Prevention, prescribed to me by a phlebologist, also plays a big role.

      A phlebologist is a specialist who will help not only cure blood vessels, but also prescribe high-quality prevention to prevent recurrence of the disease.

      The most important condition for healthy legs and veins is an active lifestyle, a healthy diet, good sleep and, in case of symptoms, an urgent visit to a specialist in a medical facility.

      What does a phlebologist treat? Phlebologist - who is he and what does he treat?

      Who is a phlebologist? What does this doctor treat? Not everyone has heard of such a mysterious medical profession. People usually learn about it only after they have been diagnosed within the competence of such a specialist and are sent directly to him for treatment. Despite the fact that phlebological diseases are not uncommon, it is very difficult to find doctors in this specialization in a regular clinic.

      What is phlebology and who is a phlebologist?

      Phlebology is a medical branch that studies not only the functions and structure of veins, but also develops methods for the treatment of venous diseases, their diagnosis and preventive measures. This is a special direction in vascular surgery, which mainly specializes in the veins located in the lower extremities. In recent years, phlebology has been developing with particular intensity. The fact is that the modern rhythm of life, ecology, stress, bad habits, and overwork often cause exacerbation of many diseases, including vascular ones. Just a few decades ago, some of them were not even known. New diagnostic methods and careful study have given more opportunities to doctors, including a phlebologist. What does this unknown doctor treat? This is a specialist who diagnoses, treats and prevents vascular diseases of the lower extremities.

      The existence of vein diseases has been known since ancient Egypt. Researchers have repeatedly noticed external signs of varicose veins when examining excavated mummies. In addition, there was evidence that the Egyptians were developing methods for treating this pathology. Also, confirmation of its existence was recorded in the works of ancient medical scientists Hippocrates and Avicenna.

      Trendelenburg was able to find the cause of varicose veins only in the 19th century. According to his observations, this deviation occurs due to impaired blood circulation in the veins. In a healthy person, the process occurs in such a way that blood flows from the saphenous veins to the femoral vein. In the case of pathology, a reverse outflow occurs, due to which the veins become overfilled and varicose veins form. Then the only effective solution to the problem was proposed - removal of the great saphenous vein, its intersection or ligation. At the beginning of the 20th century, several similar surgical interventions were performed, but not all of them ended positively. Gradually, doctors were able to develop techniques to reduce the trauma of operations to a minimum.

      When the X-ray machine appeared, doctors had more opportunities to study diseases of the veins. To do this, they were injected with a contrast agent and an image was taken, from which the complexity, nature and specific location of the disease were assessed. An important role in the study of phlebological abnormalities belongs to domestic doctors: Reinberg, Askerkhanov, Filatov, Krakovsky and Bakulev.

      A little later, an innovative diagnostic method appeared in medical practice, which everyone knows under the name ultrasound. Thanks to him, it became possible to study not only the pathology itself, but also the general topography of the patients’ vessels, including recording the speed and direction of blood movement in the veins. This diagnosis significantly reduced the number of operations, which were replaced by pharmacological and more conservative treatment. It is called sclerotherapy and consists of internal effects on blood vessels through special medications

      The most common vascular diseases

      So, we figured out who a phlebologist is. What does this specialist treat specifically? The most common vein diseases include varicose veins, thrombophlebitis and spider veins. It is these pathologies that are most often encountered in practice. Slightly less often people turn to phlebologists with trophic ulcers, phlebopathy and venous insufficiency.

      Symptoms of vein diseases in the legs

      When is it necessary to contact a phlebologist? Treatment of varicose veins, treatment of thrombophlebitis is his main specialization. But it is better not to wait for the development of pathology and complications associated with it. Having noticed the first symptoms, it is necessary to consult a doctor to prevent the development of a chronic disease. Signs that should alert patients are not always obvious, and many do not take them seriously enough, triggering the disease and thereby complicating its further elimination.

      If you notice protruding veins on the legs that are purple or blue in color, dark pigmentation on the skin in the ankles or shins, or ulcers in the joints, you should immediately visit a specialist. Less suspicious symptoms, such as pain, swelling or periodic leg cramps, should also not be attributed to fatigue or overexertion. They may indicate upcoming serious problems.

      Modern diagnostics

      Diagnosis of the condition of the veins necessarily includes Doppler ultrasound or angioscanning. If necessary, you will also need to undergo duplex scanning of veins, venography or phlebomanometry. At the appointment, the doctor will certainly palpate the affected areas and examine the visible nature of the pathological changes. There are also several tests to be done. Which ones are needed is determined by the attending physician. For vascular diseases, partial thromboplast or thrombin time, blood coagulation rate, fibrinogen, prothrombin index and others can be checked.

      Treatment of blood vessels on the legs

      How and what a phlebologist treats is probably of interest to people who are faced with pathological abnormalities associated with veins. For treatment, modern medicine can offer conservative and surgical methods. It is possible that for this reason, many do not know exactly who can help them: a phlebologist or a surgeon, or which doctor treats varicose veins and thrombophlebitis.

      Conservative methods include medication, compression, sclerotherapy and herbal medicine. Surgery is required in cases where therapeutic measures cannot cope with the disease. Then surgeons perform a flexotomy, remove the trunk of a large vein under the skin, eliminate blood reflux, or resort to deep vein plastic surgery. Varicose veins have several stages of development, which determine the speed and complexity of treatment.

      Sclerotherapy in the treatment of vein diseases at the first stage

      At the initial stage, the disease affects only small vessels, without spreading to the main trunks. In such a situation, the doctor will most likely insist on sclerotherapy. It has several varieties. Thus, microsclerotherapy is used to remove stars on the legs and small veins. It involves injecting a special substance, sclerosant, into the veins using thin needles.

      During microfoam sclerotherapy, the same substance is administered in the form of foam. This method is effective even in the treatment of pathologies of thick veins and the presence of varicose veins. Ozonosclerotherapy involves the use of ozone-oxygen mixture, which helps eliminate telangiostases. Small vessels and stars can also be removed by using coagulation - thermal or laser. The latter is used even if it is necessary to remove blood vessels on the face and other parts of the body.

      Phlebectomy as a method of treating vein diseases at the second stage

      A phlebologist in Kyiv or any other city recommends this option to patients with the second stage of the disease. It differs from the first by the progressive destruction of the valve apparatus of the veins, which are main and located under the skin. Classic phlebectomy is performed under general anesthesia on a stationary basis. Its essence is to remove damaged veins through incisions in the groin area and at the very bottom of the leg. Sometimes it is possible to avoid such an intervention by replacing it with radiofrequency obliteration, laser coagulation or Varadi miniphlebectomy.

      Treatment of veins at the third stage of the disease

      The appropriateness of a particular treatment method is determined by a phlebologist. What is treated and what technique does a specialist usually recommend at the third stage of varicose veins? It is accompanied by a violation of venous blood flow, which causes the formation of trophic ulcers on the legs. They can have different sizes and depths, which directly depends on the patient. The longer he delayed visiting a specialist, the more complex the pathological changes.

      Also, the third stage is often caused by the negligence of other doctors, to whom the patient contacted earlier, but did not receive effective treatment, wasting precious time. Many phlebologists try to resort to conservative treatment and waiting tactics. This is necessary in order to heal the ulcers a little, relieve inflammation and reduce their volume. Only after this they begin surgery using combined phlebectomy.

      Prevention of vascular diseases of the legs

      For preventive purposes, people prone to vascular diseases of the lower extremities are advised to reduce the load on their legs. If possible, do homework in a sitting position. When resting, use a bolster made from a blanket or pillow placed under straight legs. Not always, of course, but several times a day such breaks for 15 minutes must be taken. You will definitely need to exclude hot baths and forget about the Russian bath and Finnish sauna. It is better to pour cool water over your feet at least once a day. If you are overweight, it is highly advisable to say goodbye to it urgently. You should also avoid lifting heavy objects, wearing too tight clothes and uncomfortable shoes. It is worth looking for special tights or stockings that are designed to fix blood vessels and reduce the load on them.

      At the workplace, you need to sit straight, keeping your back straight, without crossing your legs. The best option is to use a low stool for your feet or place them on a crossbar under the table, if available. Avoid swelling of the muscles, change the position of your legs from time to time, move them, rotate your feet and get up from your chair at least once every half hour to walk a little and warm up. It is recommended to go to the sea on vacation. There, try to walk more barefoot on grass, pebbles or sand. If you have varicose veins, thrombophlebitis, venous insufficiency, ulcers, tanning is strictly contraindicated. More shade, less sun - now this is your law. And get yourself a vein-strengthening cream or gel for daily use.

      In order for the treatment to bring quick results and be as gentle and effective as possible, the choice of a specialist is very important. Since it is almost impossible to find it in a regular public clinic, you will need a personal phlebologist. A good phlebologist must be not only a theorist and therapist, but also a practicing surgeon. Competent consultation is the first step on the path to recovery.

      What should a phlebologist be able to do? We have already figured out what this doctor treats, but how he does it, you also need to know. It is known that all organs in the human body are interconnected, therefore any disease cannot be limited to the treatment of only one of them, but must be comprehensive. Thus, with vascular diseases, not only the venous system, but also others are affected. In addition, the effectiveness of treatment largely lies not in eliminating the consequences and manifestations, but also the reasons why the failure occurred. It is very important to trace this connection, find the source of the problem and eliminate it as quickly and painlessly as possible.

      Most specialists in this area are vascular surgeons. Now that you already know a specialist phlebologist (who he is and what he treats, we wrote above), you need to learn in detail about the methods that a particular doctor uses in his practice. Therefore, it is better to immediately ask about this at the appointment, to clarify according to what principles the treatment will be carried out, classical or surgical. Or maybe he is fluent in other innovative methods of treating varicose veins or uses unconventional, experimental techniques from foreign colleagues. In any case, this can be determined only after a thorough diagnosis, taking into account the individuality of a particular case.

      Myths of traditional medicine

      Everyone needs to know who a phlebologist is, what he treats and with what methods, so that in case of problems with veins in the legs, he can go to the right place without wasting time on useless wanderings around the offices of state clinics. It is worth remembering the seriousness of this problem and under no circumstances self-medicate, much less use dubious folk remedies. There are many misconceptions regarding methods of combating diseases of the venous system. It is worth dispelling these myths, which thousands of people have already been tempted by and only caused harm to themselves.

      So, vascular diseases of the legs cannot be treated with hirudotherapy. Leeches thin the blood for a while, so its flow accelerates. The patient may notice some relief and partial disappearance of symptoms inherent in venous insufficiency. But this is a temporary phenomenon, because the cause still remains unresolved, and the disease returns again, only in an even more severe form.

      You should not believe the advertising of supposedly miraculous drugs and the latest devices. If they existed, modern medicine would probably have already adopted these methods in order to get rid of the need for surgical operations. But they are still being carried out, and phlebology is constantly searching for new effective means to alleviate the suffering of patients and simplify the work of doctors. All achievements are now being actively practiced by specialists, and as soon as the next drug or device is invented, it will certainly appear in the arsenal of private clinics.

      No amount of cabbage leaf, plantain, infusions and decoctions, much less urine therapy, will help heal diseased blood vessels, despite the beliefs of adherents of alternative medicine. While a person conducts similar experiments on himself, varicose veins develop further, thrombophlebitis progresses, and spider veins on the legs grow. Only a good, experienced phlebologist can help eliminate such ailments.

      Phlebeurysm

      Artyukhina Elena Gennadievna

      Vascular surgeon of the highest category, phlebologist, angiologist, ultrasound specialist for diseases of the arteries and veins.

      Candidate of Medical Sciences

      Popovtsev Maxim Alexandrovich

      Surgeon, phlebologist, oncologist, specialist in ultrasound diagnostics and laser treatment of vein diseases

      Researcher, Department of Surgery, MPF, First Moscow State Medical University

      Sychev Andrey Vladimirovich

      Surgeon, phlebologist, oncologist, ultrasound diagnostic specialist

      Doctor of the highest qualification category, Candidate of Medical Sciences, Associate Professor of the Department of Surgery of the Central State Medical Academy of the Administration of the President of the Russian Federation, member of the Russian Society of Surgeons, Russian Association of Phlebologists

      Varicose veins are a disease in which the elasticity of the veins is lost. Treatment of varicose veins should begin when the first symptoms appear, in the initial stages. Modern techniques make it possible to accurately determine the condition of blood vessels, establish the correct diagnosis, and choose the optimal treatment method (and this is not always surgery). Varicose veins and other vascular diseases can be treated in our clinic using various minimally invasive and non-invasive techniques. Varicose veins are not a death sentence!

      “Leg health starts from within” is the slogan of a pharmaceutical company that produces one of the venotonic drugs for the treatment of varicose veins. Indeed, according to modern concepts, varicose veins of the lower extremities begin, first of all, due to the fact that the venous wall loses its properties. Even before visible signs of varicose veins appear, collagen destruction begins in it. The vein wall becomes more loose, prone to overstretching, and then varicose transformation.

      Statistics show that the number of people suffering from varicose veins increases every year. Varicose veins as a mass disease is evidenced by the fact that now every fourth person on the globe suffers from it.

      Is it possible to prevent the development of this process? According to many experts, this is possible. Most often this is a hereditary problem. If your closest relatives have varicose veins on their legs, it means that you are also susceptible to varicose veins. Heredity creates a favorable background, but the development of varicose veins is directly related to the influence of provoking factors. Such factors may be pregnancy, injury, excess body weight, heavy physical labor, prolonged static loads (standing work), taking hormonal drugs, etc.

      This group includes people who have a hereditary predisposition to varicose veins, and those whose professional activities and lifestyle are accompanied by the influence of provoking factors. Thus, sellers, hairdressers, teachers, operating surgeons who have a high load on their legs very often suffer from varicose veins. Women are more likely than men to suffer from varicose veins.

      Risk factors for varicose veins:

    • pregnancy and childbirth;
    • long-term static loads;
    • excess body weight;
    • leg injuries;
    • taking hormonal medications;
    • sedentary lifestyle, etc.
    • Symptoms of varicose veins:

      • dilated veins in the legs;
      • heaviness in the legs, “humming” of the legs at the end of the day;
      • swelling of the legs;
      • pain in the calf muscles;
      • night cramps, etc.
      • Speaking about varicose veins, we can note two main syndromes, which can be expressed to varying degrees. However, often one of the syndromes significantly predominates over the other:

        Varicose veins of various sections (segments) of the venous system. Depending on which veins are affected, several types of varicose veins are distinguished: reticular, segmental, main, perforating.

        Insufficiently effective performance of their functions by the deep veins leads to chronic venous stagnation and the appearance of characteristic symptoms.

        Course of the disease and its complications

        Many people consider varicose veins to be simply an aesthetic problem, but varicose veins are a serious chronic disease that can lead to serious consequences.

        In most cases, varicose veins are a slowly progressive disease that can remain only a cosmetic problem for quite a long time. However, over time, the disease makes itself felt - heaviness, discomfort, and swelling of the legs appear.

        If varicose veins in the legs are not treated, the following complications are possible:

      • trophic disorders (skin hyperpigmentation, trophic ulcers, lipodermatosclerosis);
      • bleeding from varicose veins with minimal trauma;
      • thrombotic complications (thrombophlebitis, deep vein thrombosis, pulmonary embolism).

      Varicose veins: treatment

      In the early stages of the disease, it is possible to treat varicose veins without surgery using special creams and blood thinners. In more advanced cases, surgery is performed to remove varicose veins. The high professionalism of vascular surgeons and equipment from the best European manufacturers allow us to use all the most modern methods for treating diseases of the veins and blood vessels. A successful operation will help you get rid of varicose veins.

    • all types of sclerotherapy;
    • treatment of varicose veins with laser (endovenous laser coagulation (EVLC);
    • radiofrequency obliteration (RFO);
    • phlebectomy;
    • miniphlebectomy;
    • pressotherapy;
    • compression therapy;
    • ozone therapy, etc.
    • You can see prices for the treatment of varicose veins here. The cost of services is average in the capital. After examination by a phlebologist, you will be prescribed appropriate treatment for varicose veins. Patient reviews presented on our website indicate the high quality of treatment for varicose veins.

      Without hospitalization, we will quickly and efficiently get you back on your feet!

      If you have any questions, call us at:

      Contact center operators will provide you with the necessary information on all your questions.

      You can also use the forms below to ask our specialist a question, make an appointment at the clinic, or request a call back. Ask a question or indicate a problem with which you would like to contact us, and we will contact you as soon as possible to clarify the information.

      What are reticular varicose veins?

      There are three main diseases of the venous vessels in the legs:

      Varicose veins on the leg

      Varicose veins are large, blue, bulging veins that often run down the entire leg. The most unpleasant externally and from a medical point of view is the disease on this list, since there is a high risk of complications (swelling, pain, bruising, ulcers, eczema and skin pigmentation).

      Reticular varicose veins (reticular veins)

      Reticular veins (also known as reticular, mesh, intradermal or reticular varicose veins) are blue or green veins of medium size (about 2 mm in diameter), which are often intertwined in the form of a mesh, lines, or stars. This problem can rarely have serious consequences and is considered more cosmetic.

      It comes from the Latin word “reticulatus” - “mesh, net-like”, which in turn comes from “rete” - “fishing net or seine”.

      Telangiectasia (spider veins)

      Telangiectasia (better known as spider veins) are red or purple small veins intertwined. This is an expansion of the smallest (0.1-1.5 mm) subcutaneous vessels that diverge from the central feeding vein. The disease also mostly spoils only the appearance, and serious complications are unlikely to occur.

      Answers to basic questions

      Although reticular varicose veins do not pose a serious danger, they can cause various inconveniences. It is impossible to return the previous appearance of the vessels without special treatment, but you can try to prevent the further appearance of reticular veins.

      Are reticular varicose veins a type of varicose veins in the legs?

      Varicose veins of the lower extremities occur due to valvular insufficiency. Many sources, incl. English-language Wikipedia, reticular veins and telangiectasia (asterisks) are also associated with valvular insufficiency. But according to recent data, this is erroneous, since reticular veins and telangiectasia can appear even with normal venous valves. Also, all of the above 3 chronic diseases differ in the size and location of damaged vessels.

      According to the international classification of chronic diseases of the lower veins, these are three different diseases. They can occur separately or accompany each other.

      Are reticular varicose veins or spider veins the beginning of varicose veins?

      Very often, both reticular varicose veins and spider veins are considered as a harbinger or even the initial stage of varicose veins. But today it has been proven that reticular veins and spider veins are separate diseases that cannot say that varicose veins will soon appear, and also cannot develop into it in any way.

      What is the connection between reticular varicose veins and spider veins?

      Although both diseases are not a harbinger of varicose veins, they can be related to each other. Reticular veins are able to nourish spider veins, acting as an excess source of blood to fill these small vessels that are closer to the surface of the skin. In Western medicine, reticular veins are also called feeder veins (from the English word “feeder” - feeder, breadwinner). Therefore, removing reticular veins can help eliminate spider veins.

      Symptoms of “reticular varicose veins”

      The main symptom is the external manifestation in the form of blue, purple or green lines under the skin, which are about 2 mm in diameter. These clusters of blood vessels most often appear on the inner and back of the thighs, legs and ankles, and sometimes on the face.

      In most cases, this is not accompanied by any sensations. But sometimes pain, burning and itching in the legs may occur, although these symptoms are considered rare.

      In the vast majority of cases, reticular varicose veins appear when a person has chronic venous insufficiency. This is usually indicated by unpleasant sensations in the legs, such as pain, heaviness, swelling, and cramps. hereditary predisposition plays an important role .

      Among other influencing factors, the main ones are:

      long-term use of hormonal drugs (most often these are contraceptives);

      standing or sitting body position , which negatively affects blood flow in the venous system. Moving in this case is much more useful, since it promotes the movement of blood at the moments when a person steps on the ground;

      pregnancy and childbirth - at this time the uterus enlarges and creates pressure on the venous system, in addition, the volume of blood in the body becomes larger;

      excess body weight , which increases the load on the legs and the venous system in them.

      Treatment of “reticular varicose veins”

      Treatment is required only if the problem greatly interferes with the aesthetic point of view, i.e. causes external discomfort when wearing shorts or a skirt. And also if accompanied by unpleasant symptoms.

      Fortunately, removal of reticular veins is now carried out using special techniques in a matter of minutes on an outpatient basis. The specialist can choose from a range of minimally invasive procedures to provide the best treatment plan for each patient and each individual vascular problem.

      The main modern methods of treating “reticular varicose veins” are:

    • sclerotherapy - a drug is administered in the form of injections (now usually in the form of foam), which causes the walls of the damaged vessel to stick together and resolve;
    • microphlebectomy – under local minor anesthesia, the damaged vein is removed through a puncture in the skin;
    • laser photocoagulation - a beam of concentrated energy is delivered through the skin, which leads to gluing of the walls and their subsequent resorption.
    • But, unfortunately, not every clinic is staffed with qualified doctors or can offer a full range of modern treatment methods.

      Categories : Diagnostics

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