Treatment of chronic venous disease: medication? Movement and lifestyle are a must

Treatment is based on several principles. 

It is a synergy of conservative non-pharmacological and pharmacological forms. Surgery may be required.

It is important to adjust the lifestyle and intervene in influential factors. Lifestyle change is the first step to success. 

The right lifestyle also has a preventive character. Therefore, when risk factors occur, its adjustment may prevent the onset or worsening of a SPA.

Lifestyle adjustments and preventive measures include:

• sufficient physical activity
  • appropriate physical activities
    • walking
    • beh
    • tourism
    • cross-country skiing
    • Cycling
    • dance
    • swimming
  • inappropriate activities
    • tennis
    • football
    • weightlifting
    • lifting heavy loads
    • the box
• limiting a sedentary lifestyle
• when working sitting or standing:
  • more frequent change of position
  • unloading the lower limbs to a higher position
  • do not cross your legs
  • exercise with lower limb muscles
• weight loss in overweight and obesity
• wearing loose clothing and comfortable shoes
• restriction of stay in a hot environment
• showering DK with cold water
• wearing compression aids - elastic stockings
• suitable diet, enough fiber, prevention of constipation

Compressive therapy is important. Here, support for the return of blood from the lower limbs is used using elastic bandages or stockings.

Compressive treatment helps with its mechanisms:

• narrows the dilated veins
• this helps to reduce the extent of valve insufficiency
• supports proper blood flow and blood flow rate
• that is, it regulates the venous return from the DK
• reduces increased venous pressure
• reduces the rate of swelling
• supports the muscle pump of the limbs

In the following procedure, pharmacological treatment is added. The drugs aim to improve the condition of the veins, eliminate the manifestations of CHVO such as pain, swelling. However, they do not remove the varicose veins themselves.

Various drugs are used. Special nutritional supplements can also help.

Venopharmaceuticals contain various active substances. Such as flavonoids, saponins, plant extracts such as ginkgo, ergot derivatives. But also other synthetically produced substances. For example, Diosmin (Detralex), Sulodexide and others.

Sclerosing and surgical treatment is used for direct intervention in the veins.

Minimally invasive approach in the form of venous sclerosis -  sclerotherapy uses the insertion of a substance into a vein to close it. This will remove the dilated vein. 

Laser therapy and radiofrequency ablation  are endovascular methods with the same task.

The surgical approach in the form of classical surgery has the task of removing the damaged section.