Alternative Ways to Treat Varicose Veins

Get Rid Varicose Veins Naturally

Here are some sneak previews on what you'll find in this report: Unlike popular belief, common dieting found in other diet books just don't work. You only need this special diet to help improve and lessen the veins discomfort. Forget about paying for expensive gyms for working out your fitness to prevent the horrible looking veins from coming back. Here are 7 simple exercises you can do instantly without costing you a dime. How to use special aromatherapy technique to literally help the blood leave the legs and return to the heart. This will reduce swelling while shrinking the blood vessels near the skin's surface. 3 top herbal therapies to relieve my pain from my veins. How to use 4 types of common homeopathic remedies to ease the pain and soreness that are worse from touch. Secret tips on using specific herbs which are used during naturopathic treatment. One of my favourite remedies to help me relieve aches and pain from varicose veins. This works effectively on spider veins as well. How to mix special juices to help strengthen the walls of the veins, which also help prevent blood clots, one of the serious complications of varicose veins. 5 massage secrets which you can do it yourself to alleviate discomfort associated with varicose veins. I'll even show you how to prepare massage oil treatment effectively. 1 common massage Mistake that could rupture your veins without you knowing. It simply worth knowing how to handle your massaging correctly. Not all yoga exercises can help you. Here are the top yoga exercises which can Worsen your varicose veins without you knowing. Some simple folk natural remedies you can easily prepare for yourself at home. Some of these remedies will either help shrink your varicosities and nourish the veins leaving your legs super smooth Continue reading...

Get Rid Varicose Veins Naturally Overview

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Author: Diane Thompson
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Extracranial Venous Disease and Stroke

There are two situations in which extracranial venous disease may lead to stroke. Internal jugular vein occlusion may prevent drainage of the brain. Venous thromboembolism may cause paradoxical cerebral embolization. These pass through the right ventricle of the heart in most patients to produce pulmonary emboli. In patients with patent foramen ovale or other intracardiac shunt, venous blood and clots may pass from the right side of the heart to the left, where cerebral embolization is possible. This right-to-left shunting is enhanced by increasing intrathoracic pressures (Valsalva maneuver) or right heart pressures

Varicose Veins

Gaining too much weight can make pregnancy an uncomfortable experience, causing backache, leg pain, and varicose veins. Varicose veins can occur anywhere there is increased pressure in a vein close to the skin, but they are most common in the legs and ankles. Varicose veins do not usually cause any symptoms, but when there are symptoms, they are often worse after prolonged sitting or standing, or late in the day. Symptoms of varicose veins may include Varicose veins are common, and they are usually not a serious medical problem. Women are usually most concerned about the way they look. Varicose veins can be treated at home using exercise, the wearing of elastic stockings, and elevating the legs periodically throughout the day. This is all most women with varicose veins need in order to find relief. Some women may choose to have a procedure that closes the vein, including sclerotherapy (injection of a chemical irritant), laser therapy, or surgery.

Preoperative Management Of Specific Problems

The morbidity and mortality of deep vein thrombosis and pulmonary embolism make it mandatory to provide prophylaxis against these catastrophes. Patients at high risk include older individuals, those with previous abdominal surgery, varicose veins, increased antithrombin III levels, history of cigarette smoking, and high platelet counts. The risk is increased in patients older than 40 years who undergo general anesthesia for more than 30 min.

Endometriosis in the lung tissue parenchyma

Also, patients with parenchymal endometriosis often don't have pelvic endometriosis but do have a history of pelvic surgery or vaginal delivery. Note One theory of how endometriosis arrives in the lung tissue is that the endometrial cells spread through the blood vessels as emboli (small clots that travel through the blood stream). (You may have heard about these clots from varicose veins in the legs causing severe problems )

Superficial Thrombophlebitis

Superficial thrombophlebitis of the lower extremities is most frequently secondary to stasis in varicose veins. It is usually aseptic. The patient complains of redness and warmth of the affected vein. If there is no evidence of surrounding cellulitis or lymphangitis, the patient is treated with local heat and elevation. Suppurative superficial thrombophlebitis is characterized by erythema, palpable tender cord, lymphangitis, and pain. Suppurative thrombophlebitis requires excision of the affected vein.

Clinical Description

The vascular type of EDS (the former EDS type IV) is inherited as an autosomal dominant trait. It deserves special attention because its natural history and prognosis are different from those of the other subtypes. The typical clinical features of vascular EDS comprise a thin, translucent skin with a prominent venous pattern over the chest, the abdomen, and the extremities, increased bruising and bleeding tendency, and proneness to sudden rupture of blood vessels, internal organs, or the gravid uterus. Patients often have a characteristic facial appearance with large prominent eyes, small, pinched nose, small lips, and lobeless ears. Hypermobility is usually limited to the small joints of the hands. Other features include acrogeria, which is characterized by an aged appearance of the extremities, particularly the hands, tendon or muscle rupture, talipes equinovarus, early-onset varicose veins, arteriovenous, carotid-cavernous sinus fistula, pneumothorax or pneumohemothorax, and...

Clinical features

Patients with varicose veins complain of a rather nebulous set of symptoms namely leg aches, swelling, restlessness and pain or itching over specific veins. These are difficult to quantify and correlate poorly with the visible extent and size of the varicosities, which causes a problem for health care providers who are increasingly encouraged to only intervene surgically for symptoms rather than for pure cosmesis. From the epidemiological data outlined above, it would appear that female caucasian legs are more susceptible to the skin changes brought on by venous hypertension it would be reasonable to assume that they are also likely to genuinely suffer more symptoms from their varicose veins.

H 1371 Thrombophlebitis

Thrombophlebitis, thrombosis of a superficial vein with secondary inflammation insurrounding tissue, is a very common condition. The exact explanation for its occurrence is unknown, but coagulation disturbances or local inflammation probably contribute. Because varicose veins are prone to be damaged by minor trauma and also often have a low blood flow, they are at risk for thrombophlebitis. Patients with malignancy have an increased risk for this condition and if there are no apparent causes - a known coagulation disorder or trauma - patients should be worked up to rule out other diseases or coagulation problems. The patient experiences pain in the extremity, which is quite severe and is localized along a superficial vein. The skin feels tender and hot. The physical examination is usually sufficient to reveal the location of the thrombophlebitis as well as its distribution. Because thrombophlebitis in leg veins may spread to the deep system and cause DVT and even PE, it is important...

Cardiopulmonary Disease

Obesity is associated with an increased risk of venous thromboembolism, especially after surgery. 5 This is due to several factors found in the obese patient, including decreased levels of circulating antithrombin III, preexisting venous disease, and increased immobility. 6 The obesity-hypoventilation syndrome, also known as the pickwickian syndrome, occurs in 5 percent of the morbidly obese. Disturbances in the ventilation-perfusion relationship are prevalent. 7 Pulmonary hypertension is a common finding, resulting from chronic hypoxemia, hypoxic pulmonary vasoconstriction, and the added contribution of compromised cardiac function.7

Other groin swellings

Vascular disease (a) Arterial - aneurysms of the iliac and femoral vessels these may be complicated by distal embolization or vascular insufficiency which will make the diagnosis easy. Femoral aneurysm as a complication of cardiac catheterization or transluminal angioplasty is a recent arrival in the diagnostic arena. (b) Venous - a saphenovarix could be confused with a femoral hernia. Its anatomical site is the same, but its characteristic blue colour, soft feel, fluid thrill, disappearance when the patient is laid flat and the giveaway associated varicose veins should prevent misdiagnosis. (c) Inguinal venous dilatation secondary to portosystemtic shunting can result in a painful inguinal bulge that can even become incarcerated. Preoperative Doppler ultrasound in cirrhotic patients with suspected inguinal hernias is advised.

SPECT single photon emission computerized tomography scanning

Twisted, enlarged veins near the surface of the skin can occur anywhere there is increased pressure in a vein close to the skin, but most commonly in the legs and ankles. Varicose veins do not usually cause any symptoms. When there are symptoms, they are often worse after prolonged sitting or standing, or late in the day.

Pathophysiologic And Genetic Features

Recently, ALK-1 signaling has been demonstrated to have a role in arterialization and remodeling of arteries so that the arterioles rather than the venules are the primary vessels affected by the loss of an ALK-1 allele. Thus, contrary to the current view of HHT as a venous disease, the arterioles rather than the venules are the primary vessels affected by the loss of an ALK-1 allele. 9

Varicocele

A varicocele is a collection of dilated veins within the scrotum that look like varicose veins. It lessens a man's fertility by producing a slightly higher temperature in the testicles. A varicocele occurs in about 15 percent of all men and accounts for as much as 40 percent of male infertility problems.

Cancer

There have been a number of studies indicating that cancer is a relatively modern disease. Comparative evidence shows that tumors are rare in nonhuman primates. One very early tumor is most likely not a cancer but a benign proliferation of bone of the femur of Homo erectus, the immediate predecessor of Homo sapiens, discovered in Java in the early 20th century. This lesion has been diagnosed as either myositis ossificans, a reaction to trauma, or an example of fluorosis. Identical lesions have been seen in modern patients suffering from excess ingestion of fluorine and similar lesions are noted in sheep grazing in volcanic areas, such as Java. Tumors are mentioned in the Egyptian medical papyri but have been interpreted by modern readers as simply swellings or perhaps varicose veins. Cancer's crab-like nature was noted by the Greeks about 200 AD, but the first reports in the scientific literature of a number of distinctive tumors have only been over the past 200 years. Examples...

The Large Intestine

The beneficial effects of dietary fiber on the alimentary tract were emphasized by another of the founders of the dietary fiber hypothesis, Denis Burkitt, who based his arguments largely on the concept of fecal bulk, developed as a result of field observations in rural Africa, where cancer and other chronic bowel diseases were rare. His hypothesis was that populations consuming the traditional rural diets, rich in vegetables and cereal foods, produced bulkier, more frequent stools than persons eating the refined diets typical of industrialized societies. Chronic constipation was thought to cause straining of abdominal muscles during passage of stool, leading to prolonged high pressures within the colonic lumen and the lower abdomen. This in turn was thought to increase the risk of various diseases of muscular degeneration including varicose veins, hemorrhoids, hiatus hernia, and colonic diverticulas. Colorectal neoplasia was also thought to result from infrequent defecation, because...

Vascular Myelopathy

Individual vessels and the spinal circulation are among the first tissue components to react to mechanical forces and thus contribute to the pathological and clinical sequelae of acute impact and compressive myelopathy. In rare cases, primary vascular involvement (arterial and or venous disease) and or systemic circulatory processes (prolonged hypotension and or hypoperfusion) without compression can produce segmental or generalized cord lesions. Thus spinal cord ischemia attributable to a circulatory disturbance can occur in patients with aortic atherosclerosis or dissecting aortic aneurisms.

Epidemiology

Varicose veins are extremely prevalent 10-25 of the adult population in the Western world. It was thought that the incidence of varicose veins was lower in males and outside the western world, but this has recently been disputed. However it appears that even if the prevalence of varicose veins, and perhaps venous insufficiency, is similar in developing countries, the number of symptoms and complications they cause is almost certainly lower. Classical teaching is that the incidence of varicose veins is higher in occupations involving prolonged periods of standing or sitting and in pregnancy. While this has been supported by some but by no means all studies, it is likely that their symptoms are worse.

Assessment

Ligating branches of the long saphenous vein. (a) Only the common stem of the superficial iliac vein (sciv) and the anterolateral vein (alv) are ligated resulting in continued reflux down the thig and 'recurrent' varicose veins. (b) Correct procedure where all three veins are ligated. Figure 15.19. Ligating branches of the long saphenous vein. (a) Only the common stem of the superficial iliac vein (sciv) and the anterolateral vein (alv) are ligated resulting in continued reflux down the thig and 'recurrent' varicose veins. (b) Correct procedure where all three veins are ligated. Hand-held Doppler assessment with the patient standing can diagnose reflux in the popliteal fossa or at the sapheno-femoral junction. Flow is augmented by manually squeezing the calf. Reflux is present if reverse flow of more than 1s is detected on releasing the calf. Popliteal fossa reflux may be in the deep veins or the sapheno-popliteal junction and requires confirmation with venous duplex...

Gait Training

Progression to full weightbearing with restoration of an efficient gait pattern is not advised if the Trendelenburg test is still positive. These patients may require a cane used in the contralateral upper extremity to help reduce torque at the pelvis and minimize the demand on the gluteus medius, minimus, and tensor fascia lata. Stability in unilateral stance is the most difficult activity for these muscles to perform and is essential for progression to more challenging and functional gait activities.7 (Figure 17.15.) Patient's gait should have an even step length with good pelvic stability, push-off, and cadence.

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