Disease

Varicose Veins

More about Varicose Veins

From a clinical point of view, varicose veins are a disease, all stages of the disease can and should be treated. The aesthetic aspect is more complex to treat, as modern patients are demanding. Fortunately today, aesthetic phlebology can 100% satisfy a patients’ desire to have beautiful legs. International treatment protocols are used by professional phlebologist’s in Kyiv, as in Paris or Berlin. A large array of technologies provides for perfect cosmetic results, even for those patients who despaired for years looking for ways to make their legs beautiful and healthy.

Varicose disease for some patients is just an aesthetic problem, while for another it is a question of health. For me as for a doctor it is a combination of both, as a doctor who practices in state hospitals with complicated clinical cases and in a private clinic where beauty is main focus. Because of this I do appreciate the importance of both aspects of disease.

Varicose vein disease are associated with seniors citizens. However the first signs of this disease can appear in teenagers. The disease can affect people of any age and gender. Although people with a strong family predisposition and a sedentary lifestyle are more likely to have varicose veins. In most patients, varix occur between the ages of 34 and 64 years or during the pregnancy.

Additional information for patients
Signs of varicose veins

The classic signs of varicose veins were always considered to be their tortuosity [NOT SURE THIS IS A WORD], an increase in size and a change in shape. Varicose veins may become discolored usually brownish or blue in color or the skin may become shiny. Modern phlebology has a wide range of innovative diagnostic methods, which has expanded the list of symptoms associated with varicose veins.
 

Signs of varicose veins

  • Pain, burning, or tired legs;

  • Spider veins;

  • The presence of enlarged dark blue veins under the skin;

  • Swollen legs, especially in the evening;

  • Leg cramps;

  • Change in skin colour in varicose veins, its cyanosis or darkening;

  • Redness, dry skin, a tendency to dermatitis or eczema;

  • The presence of wounds that do not heal for a long time or bleed with the slightest injury;

  • Ulcers.

Risk factors for developing varicose veins

  • Age

  • Genetic predisposition

  • Sedentary job

  • Sitting or standing for long periods

  • Hormones (contraceptive pill, menopause hormones, pregnancy)

  • Being a woman

  • Being overweight

  • Frequent flights

  • Constipation

  • High growth

Causes of varicose veins

Arteries carry blood from the heart to all body tissue, and veins return blood depleted of oxygen from these parts of the body back to the heart. To return blood from the legs to the heart, the veins must work against gravity. Contraction of the leg muscles works like a pump, which together with the elastic wall of the vein helps return blood to the heart. Small valves in the veins open when the blood moves in the direction towards the heart, and when closed, they stop the return of blood down due to gravity. If the valves are weak or broken, the blood can come back down and stagnate in the vein, causing it to expand.

Unfortunately, our modern sedentary lifestyle leads to insufficient work of the muscles surrounding the tibia, causing stagnation of blood in the vessels of the legs. At the same time, the veins expand causing the valves to stop completely closing, this leads to further expansion of the veins, with swelling and a feeling of heaviness in the legs.

A common cause of varicose veins is a malfunction of the valves. When the patient is constantly standing, the valves do not allow blood to "fall" down under the action of gravity. When the valves do not work, it is called venous reflux disease or venous insufficiency. At the same time, the valves do not close and the blood in a vertical position drops down, spreads to the superficial venous tributaries, which later expand and show themselves.

Treatment of varicose veins

To treat varicose veins, a number of methods are used such as sclerotherapy (foam, controlled by duplex ultrasound or microsclerotherapy), EVLA, miniflebectomy or treatment with bioglue. Using a personalized approach, after a comprehensive examination, the doctor selects the most effective treatment method. The good news is that the vast majority of treatment methods do not require hospitalization or general anesthesia. The procedure itself is absolutely painless and lasts less than an hour.

Complications of varicose veins

  • Trophic ulcer

  • These can be both painful or painless wounds on the skin that do not heal for extended periods of time. They are formed as a result of the destruction of the skin barrier around a varicose vein (mainly around the bone), which leads to open contact of tissues with air and bacteria. Without treatment, the size of the ulcer may increase and is accompanied by pain. Local skin treatment often has an insufficient or temporary effect. Solving the problem requires a more comprehensive and radical treatment.

  • Lipodermatosclerosis. The thinning of skin in lower part of leg. It is one of the stages of the disease just prior to formation of leg ulcers

  • Hyperpigmentation

  • A typical complication of chronic venous insufficiency. It manifests itself as a darkening of the skin on the lower leg. If blood flows through the damaged vascular wall, hemoglobin is destroyed and spreads inside the skin, darkening the skin.

  • Thrombophlebitis

  • Inflammation and blood clots in the lumen of a varicose vein. This causes leg swelling, redness and pain. The condition requires immediate medical advice.

  • Bleeding

  • Veins that are directly under the skin can burst at the slightest trauma. Usually bleeding is small, but always requires medical treatment. It often occurs when resting in a forest, park or while working in the country as a result of a branch injury, as well as when playing with pets.

  • Dermatitis, eczema

  • This is an inflammation of the skin around the varicose veins, which is manifested by peeling, redness and the release of fluid on the skin. It can spread both locally and throughout the leg. Often people who do not have visible varicose veins have these manifestations. This indicates the presence of hidden venous insufficiency. Treatment with local creams by applied directly to the skin and compression therapy give temporary relief and may require a more aggressive treatment to cure.

  • Swelling

  • Complications of chronic venous insufficiency is swelling of the foot and lower leg.

  • Phlebitis or cellulitis

  • This is a severe infectious lesion of the veins and surrounding tissues.

  • Thromboembolism

  • This complication includes deep vein thrombosis (DVT), in which a blood clot forms in a deep vein, usually in the leg. It may result in a pulmonary embolism (PE), when the clot breaks off and travels from the leg up to the lungs. DVT and PE are serious, life-threatening conditions that require immediate medical attention.

Methods of treatment of varicose veins
Microsclerotherapy

In order to treat reticular veins on the lower limbs (which are also called varicose spider veins, thread veins or telangiectasias) and varicose veins (varices), the best phlebologists of the world use microsclerotherapy method. It is suitable for the most demanding patients seeking to have perfect legs.

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Ultrasound guided Sclerotherapy

Despite the fact that a lot of people still hope for the successful treatment of varicose veins at home with folk remedies, evidence-based medicine (in particular phlebology) is rapidly developing and uses an effective sclerotherapy method controlled by duplex ultrasound. It allows permanently to get rid of varicose veins on the legs.

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Foam sclerotherapy

Foam sclerotherapy is the most popular treatment for varicose veins. It allows effectively get rid of both small spider veins, and large varicosities. It is used as an independent method of treatment, and in combination with other methods of treatment — microsclerotherapy, sclerotherapy controlled by duplex ultrasound, EVLA or treatment with bioglue.

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Treatment of perforator veins

It is important to treat the cause, and not simply eliminate the cosmetic manifestations of varicose veins, following this principle permanently eliminates vein diseases. This is approach is what the premier phlebology clinics worldwide employ, as do I, a practicing phlebologist in Kyiv. Incompetent or dilated perforator veins are one of most prevalent causes of varicose veins

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Endovenous laser ablation - EVLA

EVLA is a modern method of treating varicose veins with a laser. This treatment of varicose veins makes it possible to get rid not only of visual imperfections, but also the symptoms of varicose veins: heaviness in legs, swelling, cramps; as well as such more serious complications such as thrombophlebitis, varicose eczema, lipodermatosclerosis, and trophic ulcers.

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Glue vein treatment

Biological glue is a newly developed and highly effective treatment for varicose disease. The method makes it possible to eliminate the cause of varicose disease painlessly, without anesthesia, all within 20 minutes. This innovative treatment and protocol no longer requires patients to wear compression stockings and does not cause bruising. Patients no longer need to be concerned about exposing their legs to sunshine on the day of the procedure, so bioglue is ideal for treating varicose disease in summer or immediately before their vacations.

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Miniphlebectomy

Are you looking for a way to rid yourself of varicose veins once and for all? Then you should consider miniphlebectomy. This minimally invasive surgical procedure using local anesthesia eliminates varicose veins and spider veins in less than half an hour.

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Sclerotherapy

Sclerotherapy is considered to be the gold standard to eliminate varicose veins (also referred to as spider veins, thread veins, telangiectasis and varices) located on the lower limbs. Leading phlebologists use this method, as the least invasive and most effective treatment to eliminate vascular spiders on a patients legs once and for all.

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