In this article you will learn: whether there are differences in the way in which, how to treat varicose veins on the legs of men and women, what should be the proper treatment of a dangerous slowdown with the treatment.
According to vascular surgeons, who deal with varicose veins on the legs, the differences in symptoms, complications, methods, and results of treatment between women and men no. There is only a difference of access to care: the representatives of the stronger sex are recorded to the physician only in advanced cases, in order to have enough physicians often must resort to surgical treatment.
Unfortunately, treating varicose veins and women, and men is only possible with the help of surgical interventions. However, even after the recurrence rate of the disease is quite high.
Then, we talk about the treatment methods that apply to men (and also women).
Conservative therapy of varicose veins
Varicose veins on the legs of men does not always needs treatment. If this disease does not cause the patient has symptoms, the physician does not need help.
The treatment usually pass:
- to relieve the symptoms – if varicose veins cause pain or discomfort;
- to resolve complications – for example, trophic ulcers or swelling in the legs;
- for aesthetic reasons.
If treatment is required, doctors may first recommend pharmacological techniques:
|The name of the method||Description|
|Wear elastic stockings||This special stockings, which by tightening the leg and improve venous blood flow. They can help relieve the pain, discomfort and swelling in the legs caused by varicose veins. There is a lot of classes and sizes of compression stockings. The majority of patients the doctors prescribe wearing 1 (light compression) or 2 (moderate compression) of the class. Wear compression stockings must morning and shoot – before I go to sleep.|
|Regular physical exercise||The main pump that pushes the blood in the veins of the legs, the muscles of the calf. Regular physical exercise include walking for 30 minutes per day (preferably in a gradient towards the top), uplifting, toe-to-toe extension and flexion of the foot. Perform their need of a couple of times a day.|
|The normalization of the weight||The normalization of body weight in males obesity contributes to a reduction in venous congestion and prevention of the deterioration of varicose veins in the legs. With this purpose, it is necessary to respect the rules of a healthy diet and exercise.|
|Avoid prolonged standing or sitting||Long standing or sitting contribute to violations of the outflow of venous blood of the legs, and if varicose veins need to avoid it|
|Stop smoking||Smoking contributes venous insufficiency of the lower limbs, in which the blood accumulates in the legs|
|The increase of the position of the foot during rest||Raise the legs to a level above the heart in supine position, need at least 15 minutes 4 times a day, helps to relieve the symptoms|
The pharmacological treatment of varicose veins on the legs of the men is auxiliary. None of the drugs used has not shown its high efficiency. Often the doctors prescribe diosmin and hesperidin. This semisynthetic flavonoids, which improve the tone of venous walls, reducing the stagnation of blood in the lower limbs.
With the development of complications is to apply anti-inflammatory and pain medication, local germicidal medications, antibiotics, ointments, or gels with glucocorticosteroids.
Pros and cons of treatment with their lifestyle changes:
|Prevents the degradation of existing symptoms of varicose veins||It does not eliminate the disease|
Pros and cons of elastic stockings:
|Improve the blood circulation||There is a need to wear it all day|
|Feet can be hot, they can sweat|
|Need to change it again every 3-6 months|
Minimally invasive methods of treatment of varicose veins
When mild varicose veins on the legs, the doctors can recommend to men, minimally invasive operations (with minimal intervention). These methods are performed under local anesthesia.
This is one of the main methods of operation, processing is carried out with varicose veins on the legs. Its essence is to use radio frequency or laser energy for coagulation the affected veins. When the endothermic ablation in the lumen of the vein, you start a thin catheter and a special tool, which conveys the waves, radiofrequency or laser radiation, which heat the vessel wall and cause coagulation.
|The advantages of radio-frequency ablation||Disadvantages|
|The minimum of discomfort||Rarely available in health facilities|
|It takes place through small incisions.|
|Not much it alters the appearance of the feet|
|Relieves the symptoms|
|The formation of small scars|
|It takes place through small incisions.||Can cause a feeling of tension in the legs, pain and the formation of hemorrhages|
|Relieves the symptoms|
If the patient is not suitable endothermic ablation, can pass sclerotherapy. This method of treatment consists in the injection into the lumen of the vein special chemical substance that causes scarring and "stay together". Currently, there are more modern method of sclerotherapy, in which the blood vessels under ultrasound guidance introduced special "foam". This allows you to "paste" the largest of vienna, compared to the traditional method.
|The advantages of sclerotherapy||Disadvantages|
|Varicose veins begin to fade after a couple of weeks||It may be necessary to repeat the treatment till the disappearance of varicose veins|
|Relieves the symptoms||Can develop a relapse|
|It can cause a change of color of the skin|
|Can cause the formation of blood clots, headaches, convulsions, irritation around the site of administration|
|In rare cases, it can lead to stroke|
The surgical treatment of varicose veins
When expressed varicose veins application of minimally invasive techniques is not justified, then, doctors recommend to hold the surgical treatment.
Often a vascular surgeon perform the operation of stripping (removing the saphenous vein with the help of a special probe). With this operation, the proximal end of the vein, the surgeon makes an incision through which excites in its lumen a special probe. Placing it in the direction of the foot, the doctor above the distal end of the probe again makes an incision, after which it engages a vein to his head wire. Then pulls out slowly the probe through the proximal cutting, eliminating, together with him, a vein. In the course of the operation of this procedure is usually need to do a couple of times, as well as remove the whole of the city of vienna to a stage very often is impossible. Small varicose veins are sewn with a special thread – tying.
|Immediate removal of varicose veins||The recovery takes 1-3 weeks|
|Relieves the symptoms||The need for hospital treatment|
Another common operation, such as for the treatment of varicose veins to the men in the foot – is, where surgeons remove varicose veins through small incisions of the size of 1-2 mm. Then with the help of a special hook through this incision arise affected section of vienna, tied up and cross. Part of vienna remove slowly twirling her on the clip.
One of the most recent surgical techniques for the treatment of varicose veins on the legs, which is applicable for women and men, is the flebectomia. During this operation, the surgeon makes one or two small cutting, that under the skin it excites a special tool with a light source. This allows you to see which vienna you want to delete.
These operations usually take place under regional or general anesthesia.
Regardless of the type of minimally invasive medical treatment or surgery, after the course mandatory the use of compression stockings.
The long-term effectiveness of the treatment
Minimally-invasive and surgical methods of termination of varicose veins on the legs of the men are high-efficiency in the short term. However, along the prognosis in the treatment of this disease is not so rainbow – according to the statistics, the rate of recurrence after 5 years is 20-60%. Re-development of varicose veins is more frequent in patients in which it was carried out endothermic ablation or sclerotherapy. Also, a good long the result of the treatment depends on the constant use of compression therapy after surgery.