Varicose veins are a disorder of the veins in the form of enlargement. Varicose veins develop when the tone of the veins is reduced, and insufficiency of the venous valves occurs. All these factors lead to disruption of blood flow, and venous congestion begins to appear.
Leads to venous expansion of veins, for example, the work of a salesperson behind the counter. Incorrectly chosen shoes cause dilation of the veins of the lower extremities; if the shoes are tight, you need to walk for a long time and quickly in them. Such factors complicate the outflow, as a result, stagnation occurs in the veins. As a rule, enlarged veins are often hereditary.
When the functioning of the vascular wall is disrupted, the deep vessels of the lower extremities dilate unevenly. This factor contributes to the development of a large load on the legs. The lower limbs are equipped with many valves so that the blood that goes up does not go back down. The dilated valves are not closed tightly, the blood does not completely leave, it drops again, and stagnation occurs. Blood circulation continues constantly, new blood flows to the site of stagnation, and as a result, blood circulation is disrupted. When blood stagnates, clots or blood clots form. The thrombus body is a collection of red blood cells and erythrocytes. If a blood clot is attached to the wall of a vessel, it can remain there for a long time.
If symptoms increase, a chronic type of disease occurs:
More often, these ulcers form in the area of the end of the lower leg, at the upper level. The type of ulcer has a round structure around the circumference in the form of an uneven groove. Ulcers with purulent contents may form in the bottom area, acquiring a sharp, unpleasant odor. The bottom of the formations is covered with granules. The ulcers are reddish in color, the surface around the wound is flaky and itchy.
The lower part of the ulcer surface is lined with bluish granules with a gray coating, the discharge smells foul. Sometimes the skin in the area of the ulcer turns red. Ulcers show a long process of progression with repeated exacerbations. Among a number of complicating factors are inflammations that can form swelling of the lower extremities.
When an ulcerative surface has formed, a serious complication is evident. Often ulcers form when varicose veins are very advanced. The main location of the lesion is the area of the lower extremities. Rarely, trophic changes are noticeable on the knee joint; the typical place of formation is the internal surfaces of the leg. The process of formation of the pathological process is long, develops and increases gradually, and often causes changes in the color of the skin on the legs.
Trophic ulcers are a dense formation in the form of an oval with a whitish tint, causing pain and discomfort. With any contact with the affected surface, the integrity is disrupted and the contents flow out. If dirt gets into the wound area, infection progresses quickly.
Complicating factors of formations are all kinds of formations with purulent contents, the addition of a gangrenous process.
Trophic ulcers associated with varicose veins are difficult to treat. These ulcerative processes are among the complicated factors of the disease when varicose veins are present. Treatment is carried out in a complex. The use of topical medications is required. Treatment is prescribed depending on the phase and severity of the disease.
For purulent wounds already with the presence of tissue necrosis, use sterile dressings with a solution of hypertonic sodium chloride. It is possible to treat trophic ulcers with varicose veins by applying it to the problem area for the process of cleansing from tissues that have undergone necrosis using sea salt in the form of small bath procedures. Sea salt, by its action, dissolves tissues that are no longer functioning. If the wounds are quickly cleared of contents, scarring will go away much faster.
To stimulate immune forces, interferon can be added to treatment. If the ulcer is in the lower parts of the leg, it is possible to apply an ointment pad with interferon to the wound site.
When the wounds are moistened and wet, trophic wounds can be treated by treatment with hydrogen peroxide, 3% of the composition. Treatment begins with drying the wound and lubricating the edges, then you need to generously soak a sterile napkin with a solution of antibacterial agents.
The next phase of treatment is when the skin changes in the wound area have a dry process. At the same time, ointments are prescribed to accelerate scarring.
General strengthening agents are added to the treatment and improve blood circulation in the pathological focus. It is necessary to examine the blood coagulation system and restore normal factors.
When varicose ulcers are present on the legs during the treatment process, elastic bandages are used to quickly scar the pathological lesion on the legs. In the area of the affected legs, it is necessary to improve blood flow by creating conditions that reduce negative effects. It is supposed to reduce the pressure in the lower extremities. The position of the lower leg is assumed to be elevated. The bandage on the lower leg area must be applied to the level of the knee joint from the fingertips. A bandage is applied to the diseased areas after swelling has subsided. First, a thin, even layer of medicinal paste is applied to the sore spots of the skin, then a bandage is tied well without unnecessary compaction, then the paste is reapplied, followed by wrapping the bandage. Repeat 3 times.
After applying a bandage in the area of the affected skin, after 20-30 minutes the bandage is moistened with formaldehyde. The patient begins to walk after 5-6 hours. Treatment with bandages creates good conditions for dilated veins: the bandage compresses the vessels and gives positive results for the healing of ulcers and skin with varicose veins. After 2 months, the inflammatory reactions disappear under the bandage.
If patients do not comply with the regimen, bloating of the veins occurs with frequent relapses.
To reduce the number of relapses, surgical treatment can be used to restore and improve venous blood flow.
The cause of varicose veins is the formation of congestion. The veins do not cope well with their main function; more often than not, stagnation occurs where the valves are not functioning well. Strong pressure on the vein causes the walls to rupture, resulting in changes that lead to the formation of ulcers.
Varicose veins occur after the formation of vein thrombosis or after dilatation due to varicose veins.
Such phenomena are often encountered by people who move little and older citizens. If lifestyle does not change, there are no preventive procedures, trophic ulcers recur.
If deterioration occurs, you should immediately consult a doctor. Doctors will tell you first aid methods for varicose ulcers. Frequent relapses of the disease are a reason to use surgical treatment.
A number of variants of varicose veins have been described:
If the requirements are met, the prognosis is favorable.
A trophic ulcer is a disease that is characterized by non-healing skin defects, the appearance of weeping wounds and suppuration. The inflammatory process penetrates deep into the tissues and spreads to healthy areas of the body. Ulcers never form for nothing, and in most cases they are a complication of varicose veins, less often diabetes and other ailments. What are the features of this disease, and how can it be treated?
Photo: trophic ulcer
Trophic ulcers are a complication of varicose veins or thrombophlebitis. The cause is the destruction of blood vessels due to the cessation of oxygen and nutrients entering the tissues. Occurs in the absence of treatment of the underlying disease or its inadequacy. It is very important to notice changes in the skin in time and take action as early as possible.
You can determine the occurrence of a complication yourself using photos and descriptions of the main symptoms. The surface becomes purple, becomes inflamed, open wounds appear, which are accompanied by pain, itching and discomfort. In the photo you can see the external manifestation of the disease. Harbingers of a trophic ulcer are age spots, lumps on the legs, contusions, and bruises.
Advice: with varicose veins, it is important to pay attention to any changes in the skin. Scratches, abrasions, pimples and other damage should always be treated with an antiseptic. The ingress of dust, germs, and dirt can cause serious inflammation.
Photo: advanced stage of trophic ulcer
The danger of ulcers on the legs is that they affect not only the skin. All tissues, tendons, and bones are damaged. The inflammation is difficult to relieve, and in most cases hospitalization is required. According to statistics, of all complications of varicose veins, this occurs in every fifth patient. Therefore, it is very important to start treatment on time and not wait for sad consequences. You can try to cure isolated formations at home, but it is better to consult a doctor.
Modern medicine never ceases to develop, and new medications and methods of treating diseases are invented every year. But dealing with trophic ulcers is not so easy. Treatment of varicose veins, as well as its complications, is a long and complex process. Therefore, you need to be patient and choose adequate therapy.
What does ulcer treatment include:
Trophic formations on the legs can also be treated using laser or ultraviolet irradiation. It is important to know that with this complication you should not wear compression stockings or tighten the veins. Therapeutic underwear can only be worn after the tissue has scarred.
Advice: if trophic formations are accompanied by itching and cause discomfort, then you can take antihistamines, for example, Suprastin, Zodak, Fenistil. They will also contribute to proper rest.
It just so happened from ancient times that people believe in the miraculous power of folk recipes. They are easy to use and do not require large amounts of time and money. There are also many good time-tested recipes for treating trophic ulcers. They help heal any wounds, but you should not expect quick results. It is advisable to use them in combination with the main therapy and be sure to consult a doctor. Most often, ointments, compresses, and lotions are prepared for external use. Less commonly used are decoctions for oral administration.
What ingredients are most often used:
Blue clay helps a lot with varicose veins. It can also be used for disease prevention and skin care. When using any product, you must not forget about sterility. All ingredients must be carefully processed and cooked in clean containers. Before applying medications, you need to treat the skin with an antiseptic. All bandages and fabrics for compresses must also be sterile.
Tip: Many plants and products are allergenic, so it is advisable to check the body's reaction before using them. You need to be especially careful when using honey, citrus fruits, and inflorescences of herbs and trees.
As they say, it is easier to prevent a disease than to treat it later. If a person suffers from varicose veins, then he must be aware of possible complications, as well as ways to prevent them.
How to prevent complications:
But the best prevention of complications is regular visits and observation by a doctor. This could be a vascular surgeon or phlebologist. Only a specialist can notice changes in tissues in time and predict complications. No photos, videos, or online consultants will help to adequately assess the patient’s condition or select the appropriate treatment.
Varicose trophic ulcer is a long-term non-healing skin defect that develops against the background of venous stasis in varicose veins. Trophic ulcers on the legs develop in 15% of patients with varicose veins. The main trigger for the development of severe venous insufficiency is the destruction of the valves of the saphenous and deep veins due to their varicose veins.
A trophic ulcer is not a disease, it is a consequence of venous insufficiency. Therefore, treating a trophic ulcer without eliminating varicose veins is pointless. The basis of treatment for trophic ulcers is eliminating the causes! A unique technology for laser treatment of varicose trophic ulcers was developed at the Innovative Vascular Center.
A trophic ulcer heals in 2 weeks and forever!
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Any trophic ulcer on the leg can be radically healed at the Innovative Vascular Center. This confidence is based on our knowledge about the causes of trophic ulcers, the possession of unique laser technologies and methods of plastic microsurgery to perform skin plastic surgery of any complexity. Photos of treatment results.
The advent of laser treatment of varicose veins (EVLT) has made it possible to treat venous trophic ulcers of any size and at any stage of the wound process.
Since a trophic ulcer on the leg appears due to venous stagnation associated with varicose veins, the elimination of varicose veins will lead to stable healing of such a trophic ulcer. Varicose ulcers with an area of less than 10 cm2 heal on their own within 10 days, and defects of a larger area will require skin grafting.
Previously, surgeons noticed rapid healing of a trophic ulcer after removal of a varicose vein, but were afraid of the development of suppuration in the incisions due to a pathogenic infection from the ulcerative surface. Therefore, open surgery for trophic ulcers is dangerous.
Laser coagulation of varicose trunks and perforators allows you to completely eliminate venous congestion without any incisions, but no less effective than removing a vein, and the temperature of the laser beam kills any possible infection. No cuts - no suppuration! Therefore, the laser treatment method can be used at any phase of the wound process in a trophic ulcer. Read more.
Modern technology of foam sclerotherapy under ultrasound control makes it possible to accurately “seal” varicose nodes and perforating veins responsible for the formation of trophic ulcers. The sclerotherapy procedure is completely painless and very safe. Its meaning is to introduce a special medicinal foam through a puncture in a vein. Foam has a damaging effect on the walls of the affected veins and causes them to stick together. Venous congestion is eliminated, blood flows through the deep veins, and the trophic ulcer heals. Sclerotherapy is usually used as an adjunct to laser treatment, but in older patients, treatment of trophic ulcers can only be performed using sclerotherapy. Read more.
Postthrombotic disease (PTSD) is a serious complication in many patients after deep vein thrombosis. The main problem with PTFS is the formation of trophic ulcers, which are practically untreatable.
With ordinary varicose veins, the mechanisms of disruption of venous outflow are simple and understandable. The disease affects only the superficial venous network, and the elimination of these pathological veins leads to persistent healing of the trophic ulcer, with venous outflow occurring through healthy deep veins.
In postthrombotic disease, the superficial venous network expands in response to blockage of the deep veins and is compensatory in nature. Removal of the saphenous veins can worsen the condition of the venous outflow and the course of the trophic ulcer.
Treatment of trophic ulcers in postthrombophlebitic syndrome should be carried out with the aim of actually improving venous outflow through the deep veins.
At the Innovative Vascular Center, “big” phlebology methods are used for this – stenting or deep vein bypass. These interventions significantly improve the patency of deep veins and promote rapid healing of trophic ulcers.
Start. The trigger point for the development of a trophic ulcer is a microtrauma, scratch, abrasion or leech bite in the area above the ankle joint. It is there that the most poorly drained skin area, which with varicose veins turns into a stagnant “venous swamp”.
Progress. A trophic ulcer of the leg usually develops against the background of changed and pigmented skin. The wound does not heal for a long time, becomes inflamed and begins to grow. Attempts to irrationally smear it, make compresses and lotions lead to the addition of a secondary infection and a rapid increase in the area of the ulcer.
Complications. When trophic ulcers on the legs reach the subcutaneous fascia, severe pain appears. Sometimes the depth of the ulcer can reach bones and joints. Skin cancer sometimes develops in the tissues where the trophic ulcer is located; treatment of a chronic ulcer prevents malignancy.
Self-healing of the ulcer is possible with strict bed rest and the use of elastic compression, however, after such healing, the trophic ulcer necessarily recurs.
Formation of a necrotic wound, inflammation and cleansing of a trophic ulcer. Due to venous stasis, thinned skin is damaged and a non-healing wound is formed. After infection attaches, the wound grows and turns into a purulent trophic ulcer. Redness of the surrounding skin, dermatitis, and eczema develop.
The main goal of treatment is to fight infection in the wound, accelerate cleansing processes, and reduce inflammatory reactions. A culture of the trophic ulcer is required to test for microbes and sensitivity to antibiotics. It is necessary to wash the trophic ulcer with foam from laundry soap before each dressing. The main thing in the treatment of such a trophic ulcer is proper dressing. Modern atraumatic absorbent dressings are used to promote ulcer healing in a moist environment (Hydrosorb, Suprasorb, Coloplast). Very comfortable and protects the wound well. In the presence of a general reaction and fever, antibacterial therapy is used, taking into account the sensitivity of the microflora in the wound. A trophic ulcer produces abundant purulent discharge, the appearance of which reflects the nature of the infectious process. Gradually, under the influence of local treatment, the trophic ulcer clears up and moves into the next stage.
Granulation stage. The process of slow healing of a trophic ulcer. Granulation tissue appears at the bottom of the ulcer, and the discharge decreases. If the conditions of venous outflow are not normalized, then the trophic ulcer can remain in this phase for years. With the improvement of blood outflow, the entire trophic ulcer is gradually filled with granulations and begins to heal along the edges. If the area of such an ulcer is small, there is a chance that it will close on its own. If it exceeds 10 sq.cm, then skin grafting with a split flap will be required. To maintain this process, it is necessary to carefully carry out dressings, using materials that do not allow wound discharge to accumulate. For these purposes, before each dressing, the ulcer is washed with laundry soap and a soft sponge and must be covered with a wax mesh (branolind, parapran, atrauman), which does not allow the dressing to stick to the granulations. We usually use iodopirone as an antiseptic. Large ulcers require mandatory skin grafting.
Epithelization stage. A crust appears on the granulations, under which a young skin gradually forms and the trophic ulcer heals with the formation of a scar. We must protect this crust until it is completely and independently rejected. For this phase, the main task of local treatment is to accelerate epithelization and protect the wound from trauma.
In this case, bandages are used to protect the wound from injury. You can glue a breathable sticker to the crust (eg Cosmopore). It is advisable not to tear off this crust by force, because then the healing process of the trophic ulcer will be delayed.
Shave therapy is the most effective method of treating trophic ulcers. Using this method of plastic surgery, it is possible to close complex trophic ulcers in 2-3 weeks with the formation of a gentle scar.
The principle of the method is to excise the trophic ulcer with a special instrument down to healthy tissue, followed by closing the clean wound with a split skin flap.
The process of excision of an ulcer is reminiscent of shaving (Shave in English - shaving). Using a special instrument under general anesthesia, all layers of the trophic ulcer are removed, which ensures its rapid cleansing. There is no need to wait several months, everything happens right away.
After this, the doctor takes a thin (0.3 mm) skin flap from another area with a special tool and transplants it onto the prepared wound. If the wound surface is large, then perforation of this skin flap and suturing it to the edges of the wound is used.
On the 3rd day after skin grafting, the flap takes root to the wound. At this time, correct dressings, careful treatment of the wound and compliance with all doctor’s recommendations are required.
After 7-14 days, the skin flap is completely integrated into the local tissue, and after 1-2 months it does not differ in appearance from normal skin.
Extensive trophic ulcers in a 40-year-old patient developed after thrombosis of the inferior vena cava in the area where the vena cava filter was installed. The ulcers existed for more than 8 years without healing, causing severe pain. She was repeatedly treated in various hospitals, but without effect. The photograph shows the appearance of a trophic ulcer after Shave. The patient underwent laser treatment of venous insufficiency and skin grafting with a split skin flap.
Treatment result one month after surgery. There is complete healing of the skin flap, organization of the skin into a normal scar with a good cosmetic effect. The pain syndrome is completely relieved - clinical recovery.
The cause of venous trophic ulcers is venous stagnation, which is formed by pathological discharge of blood from the deep venous system into the superficial veins. Blood with harmful waste products stagnates in the skin, causing it to darken and form ulcers. Venous congestion is most often associated with varicose veins or the consequences of deep vein thrombosis. Venous ulcers are typically localized in the ankles and lower third of the leg.
A venous trophic ulcer on the leg often develops against the background of varicose veins, especially in old age. This ulcer forms in the lower third of the leg just above the ankle on the inside. Such a trophic ulcer can heal for a short time, but without serious treatment it will inevitably recur.
Trophic ulcers of the lower extremities also develop in postthrombotic disease (PTD), after deep venous thrombosis. Severe circulatory failure leads to the formation of trophic ulcers in different locations. They can be on the ankles, occupy the entire lower leg, or occur on the foot. Sometimes giant trophic ulcers (photo) are observed, circularly covering the entire lower leg. Very rarely, conservative treatment of a trophic ulcer in PTB leads to stable healing. Often a whole range of treatment measures is required, including surgical or endovascular treatment.
An arterial trophic ulcer is a defect in the skin and underlying tissues that has developed as a result of their necrosis in the absence or presence of weakly expressed healing processes. The occurrence of trophic ulcers on the feet and legs indicates a poor state of blood circulation in the limb.
Arterial ulcers are usually found on the toes, in the heel area, and on the inner surface of the toes. Ulcers most often have uneven edges, a bottom without granulations, and tend to spread.
Usually the cause of damage to the main arteries of the lower extremities is obliterating atherosclerosis. Thromboangiitis obliterans (Buerger's disease) is the cause of arterial ulcers in 15% of patients, due to blockage of the arteries of the leg and foot. Trophic ulcers also occur with aortic aneurysm. Arterial trophic ulcer is a sign of critical ischemia and, without eliminating circulatory failure, is a harbinger of gangrene and amputation.
Neurotrophic ulcers occur when the innervation of a limb is lost due to nerve damage, which can be caused by spinal disease, trauma, or demyelinating diseases. They are characterized by a persistent course and difficulty in healing.
A neurotrophic ulcer forms over bony prominences (for example, in the heel bone). Such ulcers are deep, painless and often covered with thick horny layers. Although relatively small in size, neurotrophic ulcers are distinguished by significant depth. They have a characteristic shape in the form of a crater, the bottom of which can be muscles, tendons and even bones. The discharge of neurotrophic ulcers is scanty, serous-purulent with an unpleasant odor.
Treatment of neurotrophic ulcers is a complex task. This ulcer cannot heal on its own. Plastic microsurgery methods come to the rescue. Microsurgical skin grafting is performed using island and free skin flaps on a vascular pedicle. The top photo shows a case of a long-term (39 years) trophic ulcer of the heel area, which was healed with island skin grafting (a displaced skin island on a vascular pedicle from a non-load-bearing part of the sole). Result 1 month after surgery.
A rare type of trophic ulcer that forms against the background of malignant arterial hypertension. Hyalinosis of the walls of small vessels develops, which causes the death of the surface layer of the skin. More often in women of the older age group (after 40 years). The onset of the disease is characterized by the appearance of a red-bluish spot, with slight pain. As the disease progresses, they turn into manifestations. Trophic ulcers are superficial and appear on both legs at once, localized along the outer surface. Ulcers are accompanied by excruciating pain that does not subside day or night. For treatment in our clinic, ligation of arteriovenous anastomosis is used, which leads to healing of the ulcer by secondary healing.
The price for treating a trophic ulcer consists of the cost of surgery to correct venous or arterial insufficiency. For varicose ulcers, this is the cost of laser ablation or sclerotherapy of varicose veins; for post-thrombotic disease, this is the cost of stenting or vein bypass surgery. For arterial ulcers - the cost of surgery to restore blood circulation.
After the recovery stage, many trophic ulcers close on their own, but in some cases it is necessary to perform skin grafting of varying complexity, which increases the cost of treatment.
A trophic ulcer on the lower extremity is a defect in the skin and underlying tissues that does not heal for more than one month.
The cause of the development of a trophic ulcer on the leg is a violation of tissue nutrition due to pathological changes in the vessels of the lower extremities with varicose veins.
The favorite localization of ulcerative defects is the lower extremities. This is due to the fact that the vascular system of the legs experiences increased exposure to gravitational forces, which complicate blood circulation.
The development of a trophic ulcer with varicose veins is caused by a violation of the integrity of the skin. With the normal functioning of all human organs and systems, defense mechanisms come to the rescue, and the process of reparation (restoration) of the skin begins; with impaired trophism, any trauma to the skin leads to the development of a trophic ulcer.
Before reading further, I will ask you one question. Are you still looking for a varicose vein treatment that will help you?
I hasten to disappoint you , there is NOT A SINGLE CREAM that will help get rid of varicose veins.
And all the “drugs” that are sold in pharmacies and advertised on the Internet are a complete scam. Marketers are simply making huge money off your naivety.
The only drug that can somehow help you is Venorem . This drug is not sold in pharmacies and is practically not advertised on the Internet, and it costs only 1 ruble as a promotion .
So that you don’t think that they are selling you another “cream for varicose veins,” I will not describe what an effective drug it is. If interested, read all the information about Venorem yourself. Here is a link to the official Venorem website .
Injuries lead to damage to the skin:
For patients suffering from varicose veins, it is especially important to protect the skin from traumatic effects.
There are several factors contributing to the occurrence of trophic ulcers:
A trophic ulcer on the lower limb with varicose veins does not occur “suddenly”; it is preceded by years of illness with varicose veins. In the absence of proper therapy, bad habits, especially alcohol and nicotine abuse, rejection of preventive measures and lack of desire to take care of oneself, the stage of circulatory decompensation begins.
Irreversible disorders occur in the venous system, which lead to congestion in the legs and swelling. The pathological process is aggravated by the addition of lymphostasis (stagnation of lymph), the mass of the limb increases, and local skin immunity suffers. When bacteria attach, secondary infection develops, which is a factor that aggravates the prognosis.
Lymphostasis is swelling and swelling of the limbs.
With complications of varicose veins, progressive venous insufficiency, thrombophlebitis and post-thrombotic pathology, venous trophic ulcers develop.
With careful attention to your health, the development of this pathology against the background of varicose veins can be prevented.
A trophic ulcer is a serious complication of varicose veins; its appearance is preceded by a number of signs characteristic of varicose veins:
Depending on the cause that led to pathological changes in the skin, trophic ulcerations are classified into:
Stage of initial manifestations. It begins with the appearance of a slight area of hyperemia (redness) on the skin; later, one or more tissue defects appear. Ulcerative wounds begin to merge with each other, or active progression (deepening, growth) of one defect is observed.
The cleansing stage is characterized by the acquisition of clear rounded contours by the ulcerative defect, and an increase in pain syndrome is noted. During this period, purification and growth of granulations occurs.
In the normal course of events, discharge from a varicose ulcer is transparent and odorless. A change in discharge may indicate the addition of a purulent infection.
Stage of healing (scarring). During this period, a decrease in the size of the pathological ulcerative formation is noted, the edges tighten, redness and swelling decrease. The nutrition of the affected skin area is gradually restored.
At the final stage of scarring, the skin is completely cleared.
The addition of complications to varicose ulcerative defects sharply worsens the prognosis and can lead to amputation of the limb.
The course of a trophic ulcer can be complicated by:
To prevent the development of complications, treatment should be carried out only in accordance with the recommendations of a highly specialized specialist!
When treating ulcers, you should pay attention to important points.
Bandage using Varolast zinc bandage and elastic bandage in the treatment of venous trophic ulcers.
The affected skin is treated with various antiseptic solutions ( Dioxidine, Miramistin, Chlogexidine ).
Make sure that the opened bottle is stored properly in a cool, dark place, otherwise you will add pathogenic bacteria to the ulcerative wound yourself!
Treatment with disinfectant solutions prevents the penetration of infectious agents into the tissue and fights existing microbes.
To stimulate the processes of regeneration and reparation (restoration), ointments for varicose veins are used, which improve nutrition, moisturize, eliminate skin itching and strengthen the vascular wall. Levomekol, Panthenol ointment, Solcoseryl ointment, Baneocin are often prescribed .
Hormonal corticoid ointments are used with caution and only as prescribed by a doctor.
To improve microcirculation and eliminate lymphostasis, Reopoliglucin . Phlebotonics (venotonics) are taken for a long time. Detralex is the most commonly prescribed effective diosmin-based drug for varicose ulcers.
To thin the blood and prevent thrombus formation, medications such as Thrombo ACC, Acetylsalicylic acid, Cardiomagnyl . Preparations from the antihistamine group fight skin itching: Suprastin, Tavegil, Clarotadine, Claritin .
If the doctor believes that there is a high risk of secondary infection, then the treatment regimen includes antibacterial drugs: Suprax, Z-factor and others. To simulate immunity, it is recommended to take vitamin complexes with minerals, for example, Complivit .
Lasix, Furosemide combat congestion in the lower extremities with varicose ulcers , but it must be remembered that drugs from this group are taken no more than 3 times a week under the cover of potassium supplements ( Panangin ).
Physiotherapy is good for scarring a trophic ulcer; phlebologists speak especially well of laser therapy and ultraviolet irradiation as methods that promote tissue granulation.
Before using traditional medicine recipes, be sure to consult your doctor!
Lotions with cool decoctions of herbs and natural ingredients ( horse chestnut, walnut ) at home help restore the skin and have a disinfectant and cooling effect.
Herbal medicine for varicose skin lesions is aimed at combating edema ( Fytonephrol, Brusniver, dill seeds ), strengthening the immune system ( rose hips, ginseng root ), and vitaminization.
Treatment of a trophic ulcer on the leg is a long process; it is extremely important to find and eliminate the cause that gave rise to the development of this, from all sides, difficult disease.
We conducted an investigation, studied a bunch of materials and, most importantly, tested most of the creams and medications for varicose veins. The verdict is:
All the remedies, if any, gave only temporary results.
In addition, advertised creams are addictive, and if you stop using one or another drug, the disease will sharply worsen.
Remember! There is NOT ONE CREAM that will help you quickly get rid of varicose veins.
The newfangled means that the entire Internet is replete with also did not produce results. As it turned out, all this is a deception of marketers who earn huge money from the fact that you fall for their advertising.
The only drug that has given significant results is Venorem .
You may ask, why doesn’t everyone use this “magic” remedy? The answer is simple, Venorem is not sold in pharmacies, it is not advertised on TV or on the Internet. And if they advertise, then it’s a FAKE.
There is good news, we have contacted the manufacturers and will share with you a link to the official Venorem website.
By the way, manufacturers are not trying to profit from people suffering from varicose veins; the promotional price of Venorem is only 1 ruble .
Varicose veins on the legs, or varicose veins (from the Latin varicis - “swelling”) is a disease of the blood vessels of the lower extremities, in which the outflow of blood is disrupted due to a malfunction of the venous valves: the veins expand, lengthen, and begin to bulge out from under skin, nodules form. Varicose veins bring great discomfort due to swelling, pain and dangerous formation of blood clots and trophic ulcers. This disease in severe cases, unfortunately, can lead to disability.
Varicose veins on the legs
This disease is extremely common - more than 60% of the population suffers from it worldwide). It has haunted humanity, apparently since its appearance: varicose veins are mentioned in the Old Testament, archaeologists found during excavations in Egypt a mummy with a trophic ulcer on the leg with traces of treatment, signs of varicose veins can be seen on the legs of ancient statues, and according to written evidence , the ancient physicians Avicenna and Hippocrates were looking for ways to treat varicose veins. Scientists suggest that this is the price humanity pays for upright walking, since in other species this disease is much less common.
Although women suffer from varicose veins more often than men - due to bearing children and hormonal problems during menopause - varicose veins in men's legs often progress faster and have much more severe consequences. This is due to the fact that so-called “male” jobs often involve regular heavy lifting, and traditional stereotypes encourage men to ignore minor pain.
Frequent lifting of weights can trigger the development of varicose veins
Since varicose veins in the legs are caused by excessive blood pressure in the vessels, the reasons for its development, along with congenital weakness of connective tissue, may be the following factors:
The disease is usually divided into the following stages:
0 - asymptomatic, when disorders begin to occur at the cellular level, but do not yet manifest themselves in the form of formed symptoms;
1 - the appearance of noticeable symptoms, which, however, still have little effect on ability to work;
2 - at this stage, severe swelling becomes permanent, nodes and trophic ulcers appear. A sick person cannot do without special support products during the day;
3 - serious complications, loss of ability to work.
Manifestation of varicose veins on the leg
As you can see, varicose veins in the legs is a fairly serious disease, the treatment of which should be started when the first signs appear in order to prevent terrible consequences.
Despite the variability of symptoms in each specific case, recognizing varicose veins of the legs will not be difficult. Its main manifestation, from which the disease got its name, is the dilation of the veins of the legs. “Cobwebs” or “stars” may appear from the subcutaneous vessels - by the way, they will be more noticeable on women’s legs. This is due to the fact that men have more “vegetation” on their legs, so thin threads of blood vessels may go unnoticed.
The progression of the disease occurs slowly, over many years or even decades. In the first stages of the disease, the symptoms are few and generally nonspecific: there is a feeling of heaviness, fullness, pain in the legs, sometimes a burning sensation and night cramps. Swelling of the feet and ankles and painful veins are particularly common symptoms of varicose veins in the legs. At first, edema appears infrequently, is mild and disappears after resting in a horizontal position, but if therapeutic and preventive measures are not taken, venous insufficiency becomes chronic, and edema appears regularly for no particular reason. These manifestations usually intensify in the evening, after a working day, and also in hot weather.
Often, the first signs of varicose veins of the legs remain unattended, the disease gains momentum and irreversible processes begin that lead to extremely unpleasant consequences: trophic ulcers and thrombophlebitis.
Trophic ulcers are a painful non-healing wound on the foot or lower leg, formed as a result of poor blood supply to the tissue. This rather painful disease manifests itself more often in older age, and its treatment can drag on for the rest of your life.
Thrombophlebitis is an inflammation of the vein wall, in which blood clots form a thrombus that blocks the lumen of the vein.
Signs of thrombophlebitis that has developed against the background of varicose veins are as follows:
What does a blood clot look like in varicose veins?
Thrombophlebitis can occur chronically with periodic exacerbations, possibly the so-called purulent melting of the formed blood clot (septic thrombophlebitis) - then the infection quickly spreads throughout the body along with the blood.
Important! A detached thrombus or part of it can enter the pulmonary artery, which entails pulmonary embolism and, often, death. Do not let the disease take its course and do not neglect the supervision of a specialist!
The diagnosis and treatment of varicose veins is carried out by a phlebologist, who should be contacted if you have symptoms of this disease. Modern diagnostic methods (ultrasound angioscanning, Dopplerography, etc.) will allow you to determine how affected the veins are and prescribe the correct treatment.
A phlebologist examines veins and can make a diagnosis
When treating varicose veins, a combination of drug treatment and compression therapy is used, as well as surgical methods, which are considered the most effective.
There are many medications that increase the tone of the venous walls, reduce their permeability, improve microcirculation and lymphatic drainage. These can be ointments, gels, tablets with various active ingredients - natural or synthetic origin.
Gels, ointments and creams are used for home therapy, applied to the affected areas of the vascular network. These drugs are divided into groups:
Together with local drugs, to achieve a better effect, venotonics, phlebotonics, blood thinners, and, if necessary, anti-inflammatory drugs are prescribed - orally or by injection.
Compression therapy has been used for varicose veins in the legs since ancient times: Roman legionnaires tied strips of skin over their calves to prevent swelling and pain during long military marches, and Egyptian pharaohs were sometimes depicted with elastic bandages in their hands. This simple method works by reducing the diameter of the superficial veins, which provokes an acceleration of blood flow and a decrease in the amount of “ballast” blood in the legs.
Nowadays, not only an elastic bandage is used, but also more comfortable compression knitwear. The bandage is applied from the toes to the middle of the thigh. Both the bandage and the compression stockings are put on in the morning in a horizontal position and worn all day, and taken off at night.
Treatment with folk remedies can be used in combination with these drugs. Popular and to some extent effective remedies are horse chestnut flower tincture, garlic and lemon infusion, and green tomato compresses.
Green tomato compresses are good for treating varicose veins on the legs
However, when treating with folk remedies, you should be careful and approach this process with healthy criticism. If you go to any forum devoted to this topic, then, in addition to really good, tried and tested recipes, you can find a lot of amazing ideas - from horse manure compresses to ingesting a decoction of poisonous plants, which can be equally useless and harmless, or can lead to causing serious harm to the body, since not only a specialist, but also an ordinary “Internet troll” or simply a person with an unhealthy psyche can write on the forum.
Important! If you find a new recipe on the Internet, be sure to consult your doctor before using the proposed remedy.
It should be noted that conservative treatment, like treatment with folk remedies, cannot cure varicose veins, but will only slow down its development and alleviate symptoms.
Laser treatment or endovasal laser coagulation is used as a minimally invasive and very effective surgical method - with this method there is no need to make incisions and there is no need for hospitalization for inpatient treatment. Under the influence of a laser beam, the diseased vessel “sticks together”, and the load is transferred to healthy vessels. Laser coagulation can be done in the initial stages of the disease. It is performed under local anesthesia.
Also, in addition to laser therapy, coagulation (gluing) of diseased vessels is carried out using radiofrequency waves (radiofrequency coagulation) and using injections of a special substance (sclerotherapy).
Phlebectomy is usually a simple surgical operation that involves removing dilated veins.
For varicose veins, a salt-free diet is prescribed; an appropriate diet is also necessary if the causes of varicose veins are excess weight or diseases of the endocrine system.
Sports for varicose veins are undesirable; therapeutic and preventive physical education, cycling, and swimming are recommended. There are special exercises for varicose veins.
Surgery to remove varicose veins is called phlebectomy
Visiting a bathhouse, sauna, or staying in hot water for a long time is contraindicated.
Massage is not used for varicose veins.
Prevention of varicose veins in the legs is extremely important for every person, since curing varicose veins completely is extremely difficult, fighting it takes a lot of effort and time, and the cost of treatment is quite high.
First of all, you need to try, if possible, to prevent or eliminate the causes influencing its development:
“Inverted” exercises are a good prevention of varicose veins
Advice! A good way of prevention is to raise your legs slightly above head level while resting in a horizontal position, placing a pillow or cushion under them and remain in this position for 3-5 minutes, but no longer.