Varicose Veins

Homeopathic_doctor_chandigarh_varicose veinsVaricose veins is a common condition marked by presence of dilated, twisted and elongated veins that have been filled with an abnormal collection of blood. They occur especially on the legs.

In normal veins, valve like mechanism keeps blood moving upwards towards the heart. The valves consist of leaflets. When these leaflets loose their elasticity, the valves loose their capacity to push blood upwards leading to a back pressure.  Pooling of blood in a vein causes it to enlarge. As a result of diminished elasticity, the veins get twisted; as well as hardened.

Basics –
Veins are blood vessels which return deoxygenated blood from the outer parts of the body back to the heart and lungs. Varicose veins are tortuous enlargement of the veins of the lower limbs under the surface of skin affecting both the legs .

Varicose veins are more common in women; valves prevent the backward flow of blood within the vein. They keep blood in the vein moving toward the heart.
Spider veins are veins which are similar to varicose veins but they are smaller in size and reddish in color appears like a spider web.
Races affected by varicose veins

Individuals of any race and community can be affected by varicose veins.

Age/sex prevalance of varicose veins

Elderly women above the age of 69 are on higher side to develop varicose veins.Men of younger age group are very less affected only 1% are seen.

Causes of varicose veins

• Valves perform the function of preventing the backward flow of blood within the vein. They keep blood in the vein moving toward the heart.

• valve abnormality or having inherited problems in valves functioning are few of major factors.

• When a person with poorly functioning valves stands up, the blood flow actually reverses and flows down the superficial veins, when it should be flowing up, toward the heart.
menopause

People at risk of varicose veins –
• prolong standing.
• Obesity
• aging
• Chronic cough and constipation due to more straining
• Pregnancy which increases the pressure on the veins in the legs cause of increased weight of the growing uterus.
• any leg injury

Varicose veins Signs and Symptoms

• Varicose veins can be more prominent or first appear during menstruation or pregnancy.
• pain in the veins after prolonged standing
• twisted and enlarged veins on the legs
• Mild swelling of legs and ankle , itching, redness
• Fatigue
• Fullness and heaviness in legs
• Bleeding due to minor injury
• ulceration of the skin overlying the veins
• Venous eczema
• skin discolouration

Investigations of varicose veins

•  Diagnosis is done by appearance on physical examination.
• Tourniquet tests to identify points of reverse blood flow.
• Doppler ultrasound.
• Duplex scanning, a similar but more detailed test, can also be done to rule out the presence of clots in the deeper veins.
• Magnetic resonance venography

Treatment of varicose veins

Correct posture forms an important part of treatment for varicose veins.

• Always try to elevate your legs on a pillow while sleeping (in case of varicosity of leg veins)
• Wearing of Compression stockings
• Sclerotherapy ((injection of a liquid into the vein making veins shrink )
• Laser therapy
• Surgey ( either removal of the varicose veins or vein stripping)

Complications of varicose veins

•Bleeding

•Thrombophlebitis

•Chronic venous insufficiency lead to following complications

Varicose eczema

Lipodermatosclerosis

Venous ulcers

Prognosis of varicose veins

Individuals suffering from varicose are at higher risk for progression to chronic venous ulcers that can be very difficult to treat effectively.

With proper treatment and care and management the vast majority of patients have a very good prognosis.

Differential diagnosis of varicose veins

•Stasis dermatitis

•Osler-weber-rendu syndrome

•Cellulitis

Diet / management of varicose veins

Consuming foods containing vitamin C such as citrus , lemon , orange and amla. Consuming lot of green leafy vegetables. Consuming foods rich in zinc such as red meat , fish, sea food. Food rich in Vitamin E as soyabean and cereals.

Increasing the intake of fluids Consuming ginger, garlic and onion Eating food having high fibre content Everyday needs to elevate the legs which promotes the circulation. Doing daily physical exercise as cycling, swimming , walking Not to wear tight clothing

Homeopathic treatment for varicose veins

Arnica montana:
The legs look bruised, /black blue, and the swollen veins are very sore to touch.
The legs feel deeply sore all over and are also worse from motion , patient gets relief from lying down.

Calcarea carbonica: 
• Poor circulation, with clammy hands and feet, and a general feeling of chilliness. They may have weak or flabby muscles, and be easily tired by exertion. Weight problems, cravings for sweets and eggs, and a tendency to feel anxious or overwhelmed when overworked are other indications for this remedy.

Carbo vegetabilis:
Weakness and heaviness in legs , and often itch and burn.Digestion poor , a feeling of faintness, and a craving for fresh or moving air
• For older people, or those who are slow to recover from an illness with distended veins

Hamamelis:
• Varicose veins are large,bruised  and sore, and very weak with  tendency to bleed due to venous congestion
A stinging feeling may be felt in the irritated veins. The muscles of the legs feel tired , chills in back and hips .

Lycopodium:
• Drawing or tearing pains in the legs,  with a numb sensation.
• Symptoms are worse when the person is keeping still, and the legs may cramp at night in bed.
• Emaciation , debility in morning , lack of vital heat

Pulsatilla:
• Swollen veins in the legs, and sometimes even in the arms and hands
• People with mild disposition. Varicose veins in the legs feel hot and painful at night, with heaviness and weariness. Symptoms are worse when the legs are hanging down without support and worse from warmth. Cold applications, motion, and cool fresh air gives releif .

Vipera :
Indicated in patients in varicose veins and phlebitis Pain in lower extremeties Inflammation of veins with burning

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