Diseases of the lower limbs : the facts about post-thrombotic and varicose disease

Diseases of the lower limbs : the facts about post-thrombotic and varicose disease
About varicose disease known since the ancient Egyptians, it is mentioned in the Old Testament and the writings of Byzantine scholars.This problem is studied and tried to fight it, Avicenna, Galen and Hippocrates, but so far it remains the most common vascular pathology in bodied people.

cause of varicose veins is a violation of the valves, flow of blood through the vessels and do not give it to flow in the opposite direction.

Weakened and damaged valves provoke irregular blood flow and its accumulation in the veins, that eventually leads to their increase and swelling.It is noteworthy that suffers from this disease once a person: due to the inherent people walk upright most of the circulating blood volume is below the level of the heart almost all the time, waking and activity.

disease of the lower extremities: Statistics

  • suffers from varicose veins up to 40% of the adult population of Russia.
  • Symptoms of varicose veins observed in 66% of men and 89% of women in developed countries.
  • Caucasian suffer from varicose veins often Negroid and Mongoloid.From
  • postthrombotic disease worldwide suffer from 1.5 to 5% of people.
  • post-thrombotic disease more often affects women, it usually occurs in people 20-50 years of age.
  • About 40% of patients with post-thrombotic disease become disabled, and the third of the second group.

Varicose disease: symptoms

enlarged and swollen veins usually well distinguishable.They acquire a blue or dark purple, bulging look, bumpy and winding.The following symptoms of varicose veins can be observed also in the early stages:

  • swelling of the feet and ankles;
  • heavy, unpleasant burning sensation, fullness in the legs;
  • muscle cramps and aching pain in the legs;
  • increased leg fatigue;
  • spider veins.

At this initial stage of varicose veins can do without visible changes of vessels.Timely noticed the symptoms and treatment of your doctor will help prevent the development of disease.

accepted that varicose disease is a pathology of adults, but doctors are increasingly fixed with the disease in school children of both sexes.It is important to inform the child about the possible problems and together they monitor the state of health.

risk factors for varicose veins

varicose leg veins can be caused by an extensive list of reasons:

  • wrong organization of the labor process, a long presence in the "standing" and "sitting" heavy lifting;
  • long journeys and flights, promote stagnation of blood in the legs;
  • overweight and a sedentary lifestyle;
  • lack of vegetable fiber foods, necessary for the strengthening of vascular walls;
  • chronic constipation, increase intra-abdominal pressure;
  • tight underwear and corsets, shoes with high heels;
  • repeated pregnancy;
  • age and the associated loss of elasticity of blood vessels;
  • changes in hormonal status and related diseases.

Here it is worth noting that the development of varicose veins is directly related with the degree of severity of obesity.Furthermore, a sufficient ingestion of vegetable fibers promotes intestinal normal operation.

In addition, there is a genetic theory of varicose veins.In support of this view says a high percentage of cases of varicose patients, whose parents also suffer from this disease.

Diagnosis and treatment of varicose veins

To diagnose varicose disease in addition to examination the doctor may need:

  • complete blood count;
  • ultrasound vascular feet;
  • rheovasography;
  • venography.

Varicose veins is a surgical disease, for its radical treatment requires surgical techniques:

  • phlebectomy;
  • laser coagulation of varicose veins;
  • radiofrequency coagulation of varicose veins;
  • sclerotherapy.

Surgery is also complemented by conservative treatment, including a compression and pharmacological therapy.

Conservative treatment does not eliminate the disease, but it may slow down the development of varicose veins and help to improve patient well-being.Conservative treatment is the main method of struggle with varicose veins only in the case of failure to perform the surgery.


Regular prevention of varicose veins significantly reduces the risk of developing the disease:

  • sedentary life, including walking and jogging, swimming and cycling;
  • gymnastics in the workplace;
  • as often as possible to keep the legs above the heart level;
  • control of its own weight and a healthy diet;
  • comfortable shoes and leisure underwear;
  • ultrasonography of the lower extremities in hereditary indications, pregnancy and use of drugs that affect the hormones;
  • consultation phlebologist every 1-2 years in the presence of risk factors.

Photo: shutterstock.com

complications of the disease of the lower extremities

danger of varicose veins is the complications caused by the disease.Varicose veins can cause cellulitis, bleeding, dermatitis, venous ulcers, and thrombosis.

left without proper attention to the disease often leads not only to long-term loss of working capacity, but also becomes a cause of disability.Moreover, the lack of adequate treatment can cause the development of chronic venous insufficiency.

appear in the background of varicose veins inflammation of the vein wall - thrombophlebitis - leads to the formation of blood clots that can block the lumen of the blood vessel.Also, blood clots may come off the inferior vena cava reach the lungs and cause a pulmonary embolism.This disease refers to serious complications and may end in death.

In addition, 90-96% of patients with thrombosis and deep vein thrombophlebitis develops postthrombotic disease.

Postthrombotic disease

Launched varicose veins and chronic venous insufficiency can cause a dangerous disease, which manifests itself in violation of the venous outflow from the affected areas of the legs, lymph flow disturbances and changes of blood microcirculation.

Postthrombotic disease is a consequence of acute thrombosis of the deep veins of the trunk of the inferior vena cava.Patients are observed:

  • limb edema;
  • night cramps;
  • heaviness and pain in the legs;
  • cyanosis of the skin;
  • varicose veins - until the external genitals, pubic area and abdomen;
  • trophic ulcers on the lower leg;
  • Lipodermatosclerosis, hyperpigmentation, venous eczema.

Treatment of post-thrombotic disease is mainly aimed at preventing the recurrence of thrombosis, trophic disorders, local treatment and relief of symptoms of chronic venous insufficiency.Surgery is not an effective measure of the high frequency rethrombosis and complexity of operations.

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