Symptoms of varicose veins in the legs - Causes, Symptoms and Treatment .MF .
Perhaps leg vein disease - is the most common vascular disease occurring in humans.More common in women.With progressing age, venous diseases and may eventually lead to complications.The most frequent causes of venous disease are the two following: varicose disease and the consequences of suffering a thrombosis.Occasionally there are congenital malformations of the vascular system (usually located on one limb), the manifestations of which we can see already in the newborn baby, fortunately, this is quite a rare situation.
varicose veins in the lower leg
first signs of varicose veins when
be suspected venous disease and when to seek medical attention?
Varicose veins leg veins most often is hereditary in nature, that is, in a family there are mentions of varicose veins and swelling with relatives.Factors that contribute to the manifestation of a genetic predisposition to the disease varicose veins in the legs: overweight, sedentary lifestyle (long stay standing and sitting), hormones (eg, pregna
Whereas transferred vein thrombosis of the legs - an acute condition, which could cause injury, prolonged bed rest (due to illness), fluid loss (eg, diarrhea), as well as congenital or acquired predisposition to increased blood clotting.
Both of these reasons (varicose disease and the consequences of suffering a thrombosis) causes swelling of legs, appearance of visible under the skin of the legs varicose veins or small network of "spider veins" in the progression of the disease appearing skin defects (ulcers), which for a long time will not heal.
Vascular asterisks (left pathology, the right rate)
leg veins carry blood to the heart, it is promoted by several factors, the main of which - the work of the lower leg muscles, ie walking.In healthy people, there are two leg vein systems associated with each other: the superficial veins (extension which we have seen with varicose veins) and "deep vein" (located along with the arteries deep tissue).When varicose disease suffer just the superficial veins in the first place.
Deep (blue) and superficial leg veins (blue)
consequences of suffering a thrombosis associated with the formation of a blood clot in the 'deep veins' and have followed a compensatory expansion of the superficial veins, ie the visible veins under adjourned thrombosis "deep vein "is secondary.This is important for understanding the approach to surgical treatment: surgery or a combination with other methods (laser, injection sclerotherapy of veins) can often be offered with varicose veins.On the contrary, when the transferred thrombosis indications for surgery are rare, and the possibility of surgery in this case is very limited.But, the conservative approach (ie, without surgery) treatment for all diseases of the leg veins similar.
initial symptoms of varicose veins
If you notice the appearance of "spider veins" (a network of small blood vessels under the skin in the legs), concerned about the feeling of heaviness in the legs in the evening, swelling of lower legs or visible dilated saphenous veins - it is an occasionseek medical attention.
Recommendations for lifestyle with the first symptoms of varicose
veins with varicose veins should be made general recommendations for all patients with diseases of the leg veins:
• Changes in lifestyle and diet, namely, daily walking, reduction of excess body weight,welcomes the regular swimming pool, adequate drinking regime and prevention of a delay chair
• Wearing elastic compression stockings (bandage or medical knitwear - tights, socks or stockings), the compression ratio (the force with which knitwear presses per square centimeter of skin limbs) prescribed by a doctor.The size of the product is different and is selected from a pharmacy with the direct participation of the patient.
compression elastic stockings
• Treatment of opportunistic diseases that affect the dynamics of the outflow through the veins: the treatment of flat feet, joint diseases
• Acceptance of medications that affect the venous wall, the most commonly used foreign exchange reception (for 2months with interruptions)
If swelling of the tissues of the upper and lower extremities caused by chronic diseases of veins, apply the following measures:
• Elastic compression of the limb (knitted or compression bandage is worn in the morning for 20-30 minutes after waking up, wearing jersey all day untilnight's sleep, including weekends), Lymphatic massage, medication drugs (prescribed by a doctor and in conjunction with wearing elastic hosiery)
• Sufficient physical activity
• elevated position swollen limbs during sleep and rest
• Hygienic careskin
Incorrect operations a patient can lead to venous thrombosis, and blood clot separation (with the possible death or disability), accelerate the formation of ulcers, enhancing edema, an increase in the area of "spider veins". When symptoms of varicose veins PROHIBITED:
• Acceptance of diuretic drugs without a prescription.
• Limit fluid intake.
• Local and general overheating, thermal procedures.
• The use of leeches (leads to the formation of ulcers and infected wounds, rough scars can cause blood clots in the deep veins, there is a risk of infection with hepatitis B, C and HIV).
Symptoms of varicose veins
Edema in chronic diseases of the lower extremities (varicose veins, deep vein thrombosis, myocardial) are common.The swelling is almost completely disappears after a night's rest and gradually intensified in the evening, if venous disease is more pronounced on one limb, the swelling is asymmetrical in nature.
common varicose veins
bursting with pain and feeling of heaviness in the legs with venous disease may be accompanied by edema or occur in isolation, so-called "symptom of heavy legs."The origin of this symptom is not yet fully understood, but it is assumed that it is associated with slowing of blood flow through the veins extended, which in turn leads to the formation of substances in the vein wall, causing pain.Venous pain the patient is usually difficult to describe in words, and clearly indicate the source of the pain.Such pain can occur in the early stages of the disease and not directly related to the severity of the disease.Venous pain in women may increase due to the menstrual cycle.According to various studies can serve as a source of pain and small veins, in a process similar to inflammation.
may also occur cramps in the legs at night, as a symptom of chronic diseases of the veins.
In the later stages of the disease may cause inflammatory changes in the skin in the lower third of the tibia (dermatitis), as well as the emergence of the network of the ankle joint area of the small-diameter veins may darkening of the skin shins.With further progression of varicose veins appear nonhealing wounds - "venous ulcers," is also usually located at the bottom of the lower leg on the inner surface of the ankle joint.
Complications of varicose veins - inflammation and thrombosis
For the treatment of such gross changes requires a combination of measures at both local (dressings, physiotherapy, wearing compression hosiery) and generic (medication, lifestyle correction and concomitant diseases).Often, these measures are used to the need for surgery, which eliminates the cause of ulcer formation, but, unfortunately, it is not always possible (eg when transferred deep vein thrombosis or severe concomitant diseases).In these cases, the main treatment is the healing of the ulcer using dressings, wearing elastic hosiery and medical treatment - simultaneously.
What diseases can be mistaken for varicose veins and how to distinguish
most common symptom in diseases of different origin can be swelling.First of all, we must distinguish between local (local, for example located only feet) and general swelling (may be involved face, hands, abdomen front surface and others.)
In chronic venous edema often located on both legs.There are amplified and gradually over time;in the early stages of the disease are swelling completely after a night's rest.When conditions requiring urgent medical measures edema often develop rapidly, thrombosis "deep vein" limb edema can be unilateral, very dense to the touch, accompanied by severe pain.The reasons for the formation of edema on only one limb can be acute purulent inflammation of tissue injury, hematoma, spontaneous ruptures of muscles (eg in sports), diseases of the joints.
also frequent edema at various heart disease and kidney failure.In such cases, they are symmetrically arranged on the lower extremities, if to press a finger on the front of the leg remains fossa from pressure.These swellings can be combined with shortness of breath (feeling of shortage of air), the mention of a patient has heart disease.Also, the swelling may be caused by toxic substances, allergies, infectious diseases, kidney disease, oncological processes, liver diseases.
Most often, patients who go to the doctor with complaints of pain in the legs, suffer joint diseases, or their combination with venous diseases.Pain in the affected joint are different from venous pain.Whereas, venous pain is most often exacerbated in the evening and after the load, is localized in the leg muscles, pain and discomfort in the joints most often occur at the beginning of motion (walking).The patient said that he had to "break" and then the discomfort in the legs is reduced.Sharp pains, often in one of the lower limbs, extending along the back of the thigh and lower leg to the buttock or combined with low back pain - can be a symptom of degenerative disc disease of the lumbar spine with damage nerves coming from the spinal cord to the feet.Cramps in the leg muscles may also be associated with diseases of the nervous system, violation of the liquid portion of the blood (when taking certain diuretics)
Inflammation of the skin in the legs, followed by the formation of long non-healing wounds can also be caused by various reasons.
In any case - with all possible causes of the patient's complaints should understand the attending doctor, if necessary involving other specialists and using all available and appropriate methods of examination.It is not recommended to try to explain their complaints on their own or randomly appoint a different survey methods.Time for the treatment and prevention of complications may be missed!Therefore, in case of any complaints, the most rational immediately consult your doctor, you can start with a competent therapist.
What tests need to pass?
main method of examination in diseases of veins - a vascular ultrasound.It is appointed in all cases.When the need or doubt in the diagnosis (suspected congenital anomaly of vessels), a narrow specialist (vascular surgeon, phlebologist) may prescribe X-rays vessels (ie introduction of contrast medium directly into the vessel and to obtain an X-ray image), it is performed only in a hospital andvenous diseases are now rarely used.
When adjourned thrombosis "deep vein" if it is not triggered by trauma or other aggressive external factors can be assigned to consulting hematologist doctor.which, in turn, appoint the examination of the blood coagulation system, if necessary, possible genetic tests.For the patient who has had a thrombosis, "deep vein" you need to know about the presence or absence of the genetic or acquired condition predisposing to thrombosis.Upon confirmation of the diagnosis of the doctor hematologist, is often recommended to survey the next of kin, and that is very important - the relatives of the patient of childbearing age.This is necessary because the predisposition to thrombosis in these women may occur only during pregnancy and the result is fatal.Whereas, if the woman is aware of her condition, predisposing to thrombosis, it will be assigned to specific prevention, which will make the pregnancy and give birth to a healthy baby.
If necessary, surgery examination standard and does not require large material costs.
treatment plan is determined by the stage of varicose veins, the presence of its complications (eg, nonhealing ulcers), the nature and severity of comorbidities, willingness and commitment to patient care.
The success of the treatment is the doctor-patient interaction, which leads to the understanding, acceptance and sequence of the doctor's recommendations.The possibilities of treatment of varicose disease in its various forms is huge.Often using a combination treatment: compression elastic feet (wearing compression stockings), medical support, correct lifestyle, surgical treatment if necessary.If the patient is not shown and an operation is presented only varices "spider veins", they can be removed successfully by injection for aesthetic reasons.It is important to understand that this procedure is cosmetic and does not carry a medical nature, does not prevent the re-formation of the "spider veins", combined with the whole complex of treatment of varicose veins.But it can significantly improve the quality of life of patients, especially women.By this procedure, there are a number of contraindications.Sometimes removal of "spider veins" combined with surgical treatment, using laser or radiofrequency obliteration.
At this stage of development of medicine, surgical treatment of varicose veins seeks to maximize aesthetics, combined with the effect on the cause of edema (removal of varicose veins with insolvent valves).
Malfunction vein valves in their expansion
In the early stages of the disease can be cured without open surgery: namely, by laser or radiofrequency exposure.Tactics of treatment determined by the physician, the patient can select from several options proposed.In any case, it is best not to run a disease, and feel free to contact your doctor.
Physician of Cardiovascular Surgery Kuklin MA