How to treat varicose veins in the lower limbs

How to treat varicose veins in the lower limbs

In the early stages of varicose veins in the lower limbs, most people will experience pain, soreness and fatigue in the lower limbs. Moreover, if you stand for a long time, the disease will become more serious, so doctors generally recommend that you lie down or raise your limbs to relieve varicose veins in the lower limbs. Next, let’s learn how to treat varicose veins in the lower limbs? I hope that if you encounter this disease, you will not panic and actively seek treatment.

1. Traditional surgical treatment

(1) The treatment of varicose veins of the great saphenous vein is mainly high ligation and stripping.

(2) If the great saphenous vein is insufficiency but the communicating branches and deep veins are normal, high ligation can be performed to cut off the great saphenous vein and its branches.

(3) For patients with both great saphenous vein valvular insufficiency and anastomotic branch valvular insufficiency, in addition to the above-mentioned surgeries, the abnormal anastomotic branches should be ligated and cut off separately, or great saphenous vein stripping should be performed.

(4) If there is reflux at the point where the small saphenous vein enters the popliteal vein, the entrance segment can be ligated and removed, and the distal segment can be stripped or injected with a sclerosant.

2. Elastic stockings can be worn for treatment in the following situations

(1) Systemic diseases, such as active hepatitis, progressive pulmonary tuberculosis, uncontrolled diabetes, severe heart or kidney disease, etc.

(2) Local diseases, such as deep vein obstruction, pelvic or intra-abdominal tumors, acute phlebitis, and leg ulcers complicated by cellulitis.

(3) Patients who are pregnant, too old, or have secondary arteriovenous fistula.

3. Minimally invasive treatment: Traditional surgical methods are radical, but they have disadvantages such as multiple surgical incisions, trauma, time required for recovery, and poor aesthetics. Therefore, a large number of new methods with less trauma have emerged in the past decade, such as: sclerosing agents, laser closure, radiofrequency ablation, cold light source translucent excision, microwave therapy, and catheter electrocoagulation, all of which have achieved good results and provide patients with more options that meet their individual needs.

Principle of injection sclerotherapy: The sclerotherapy agent comes into contact with the venous endothelium, causing local inflammatory adhesions within the blood vessels and occluding the filled veins. Commonly used hardeners are: 5% sodium morrhuate, 5% sodium oleate-ethanol, and 1% to 3% sodium tetradecyl sulfate.

Applicable to: Small-scale localized varicose veins, or only insufficiency of the perforator valve, or partial varicose veins left after surgery, or local recurrence after surgery, sclerotherapy is suitable.

If you want to know how to treat varicose veins in the lower limbs, you can find out by reading the above article. Because varicose veins in the lower limbs have a genetic tendency, parents are advised to help their children exercise more, strengthen their physical fitness and prevent diseases during their childhood and adolescence. Especially for front desk receptionists who have to stand all the time, women can wear elastic stockings to relieve varicose veins in the lower limbs.

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