However, unfortunately, there is no real cure that is able to definitively solve the problem of varicose veins. Despite this, the treatments available today can alleviate most of the symptoms caused by varicose disease
, or endovascular procedures with laser or radiofrequency.These treatments can be carried out individually or in combination.
In any case, in the case of varicose veins, in most cases, the treatment involves the integration of different therapeutic approaches, which is associated with the adoption of particular hygiene and behavioral rules.
Unfortunately, there is no possibility of conducting primary prevention capable of preventing the onset of varicose veins, since the factors responsible for the disease are not yet known precisely. On the other hand, it is possible to exercise a valid preventive action on the factors that may favor the appearance or aggravate varicose manifestations: these are the environmental and working conditions that imply an upright position (venous hypertension), practically immobile (muscle pump deficit), prolonged, in hot environments (vasodilation).
Therefore, it can be very useful:
- Avoid standing or sitting for too long periods of time;
- Avoid directly exposing the legs to heat sources;
- Walk for at least 20-30 minutes every day;
- Engage in regular physical activity;
- Sleep with the lower limbs raised relative to the rest of the body.
Other times, in the appearance of varicose veins, overweight (obesity, pregnancy) is decisive, hence the importance of following a healthy diet rich in fruit and vegetables.
However, the role of other factors such as the constant intake of oral contraceptives is very doubtful.
Pharmacological therapy is based on the "use of" phlebotonic "substances (ie substances that increase the tone of the venous wall in order to reduce its exhaustion), anti-edema (which reduce edema), profibrinolytics (which prevent the formation of thrombi due to blood stasis) and anti-inflammatory. However, there is no serious documentation that drugs are capable of intervening on the causes of the appearance of varicose veins. Nevertheless, they are not completely useless because they perform a valid action on the symptoms, reduce the sense of heaviness and the evening edema.
which exert a decreasing compression from the foot towards the thigh (the decreasing trend causes the greater compression at the ankle to push the blood upwards, encountering less and less resistance as it rises).Alternatively, elastic bandages can be used, with different types of mesh and with different levels of elastic force. The level of compression to be exercised is in relation to the severity of the varicose disease and must be able to bring venous hypertension back within the normal limits.
In any case, elastic restraint, at any level of compression, cannot make varicose manifestations regress, but it certainly eliminates their disorders and prevents their complications; if these already exist to some extent they are eliminated. It should be borne in mind that there are some situations of intolerance to compression, as in the case of arthrosis, for example, for which such supports are unacceptable.
and their purpose is to eliminate the varicose vein through the heat generated by the laser or radiofrequency.
Compared to classic surgical interventions, endovascular procedures allow you to resume normal daily activities in a very short time, leave no scars and cause less pain in the post-operative phase.
, hence the fibrous transformation of the venous wall. It finds its main application in the field of smaller varices, such as reticular varicose veins and telangiectasias, but in the presence of truncular varices affecting the Large and Small Saphena veins, sclerotherapy is doomed to failure and surgery represents the elective treatment. and with the best remote clinical result.
