varicoses definition - Discussion of Varicose Veins and FAQ's about treatment options
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Discussion of Varicose Veins and FAQ's about treatment options

What are varicose veins, spider veins, and reticular veins? Varicose+Veins' target=_blank>Varicose veins are ropy, swollen veins that are close to the surface of the skin. Reticular veins are the smaller, fine blue veins that are under the skin. Spider veins are smaller, red or blue veins that are in the skin layer.


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Who is at risk for varicose veins? There are numerous risk factors for varicose veins. These risks include a family history of varicose veins, obesity, pregnancy, hormonal changes at menopause, work that requires prolonged standing or sitting, and past vein diseases such as phlebitis (inflammation of a superficial vein) or deep venous thrombosis (blood clot in the deeper veins). Women also tend to suffer from varicose veins more than men. In addition, varicose veins can appear after trauma to the area.

Rosewood: Antiseptic, sedative Sandalwood: Antiseptic, anti-inflammatory, antidepressant, sedative. Helpful for cystitis during pregnancy. Tangerine: Antispasmodic, lymphatic stimulant, calming, sedative. Helps to prevent stretch marks.

What Are The Complications Of Vein Management? Sclerotherapy and EVLT have rarely been associated with any serious complications. Minor complications of these procedures include bruising, mild itching, tingling, tenderness and tightness in the treated leg for up to two weeks after the treatment. Allergic reactions to the sclerosant have been reported, but are extremely rare. Ulceration of the skin after sclerotherapy can rarely occur. If they occur, the usually heal in 2-3 months and leave a small scar. Deep Vein Thrombosis is a very rare complication following sclerotherapy of larger varicose veins or EVLT. Other potential complications include: 1. Staining or brown pigmentation at the site of treatment. This occurs in about 30% of patients. In most cases the staining resolves but it may take many months. 2. Clots under the skin. These clots may affect the treated veins. These are not dangerous and can be removed through a small incision if necessary. Most of these clots dissolve by themselves. 3. Bruising at the injection sites usually resolves within one to two weeks. 4. Capillary matting is an increase in the number of fine red vessels around the injection site. This problem may disappear on its own, or can be treated by further injections.

How Does Endovenous Therapy Work? Endovenous Laser Therapy (EVLT) treats the incompetent greater saphenous vein (GSV). The GSV vein courses along the inside part of the leg from the groin to the ankle, and is frequently the underlying cause of varicose veins. The procedure is done in the office under local anesthesia using ultrasound guidance. A laser fiber is passed through a small sheath inserted into the GSV. As the laser is activated, the resulting heat treats the inner lining of the vein causing it to seal. The whole procedure is performed through a tiny skin incision, so there is no post-operative scarring. Pressure is applied to the treated veins using compression hose or other compressive dressings. The recovery time from EVLT is rapid as there are no large surgical incisions or side effects of general anesthesia. Normal activities can be resumed the net day. Vigorous physical activity such as weight lifting and aerobics are not advised during this time, and we advice that patients do not take plane flights for at least one week after the procedure. Why Endovenous Laser Therapy Instead of Other Treatment of Varicose Veins? The benefits of EVLT are the following: 1. A simple procedure 2. Performed under local anesthetic 3. Minimally invasive, so minimal risk of scarring and postoperative infection 4. The procedure takes about one hour and avoids surgery in the operating room with its associated costs 5. Rapid recovery with reduced postoperative pain 6. Normal activities can be resumed almost immediately 7. Excellent clinical and aesthetic results 8. Covered by most insurance companies including Medicare after failure of conservative medical management

Patchouli: Antiseptic, antidepressant, anti-inflammatory, nerve sedative. Eases confusion, indecision and apathy. Petitgrain: Antiseptic, antidepressant, sedative, refreshing, tonic. Helpful in dealing with pre or postpartum depression.

The veins do not have this property, and collapse when not filled with blood. They have thinner walls than the arteries and are not so well supplied with muscular fiber. Hence they are far more liable to distention at any part where stagnation is liable to occur. All of the larger veins are provided with valves. These valves serve to prevent the flowing back of the blood. They are attached by their convex edges to the walls of the veins. Their concave margins are free and directed in the course of the venous current. They lie in close apposition with the wall of the vein as long as the current of blood takes its natural course.

What causes varicose veins? The normal function of leg veins is to carry blood back to the heart. During walking activity, the calf muscle acts as a pump, compressing the leg veins and forcing blood back towards the heart.To prevent blood from going in the wrong direction, veins have one-way valves valves that prevent blood from flowing backwards down the leg. If the valves are faulty (a condition known as valvular incompetence), blood flows back into superficial veins and down the leg. This process is known as reflux. Reflux results in veins enlarging and becoming varicose. Once veins become varicose, they lose their ability to snap back into their correct shape, and become more plastic rather than elastic. Varicose+Veins' target=_blank>Varicose veins unfortunately cannot heal themselves, and this condition is either stabilized with compression hose, or managed with one of the vein treatment plans. The greater saphenous vein is one of the most frequently damaged veins that leads to varicose veins in the leg.

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Prevention: Unfortunately there are no medically proven ways to completely prevent varicose veins - which means there is no miracle cream or pill you can use that will make them disappear. However, vein specialists say relieving pressure on the veins, as well as promoting muscle strength, helps to keep the blood flowing in the right direction. Exercising, losing weight, elevating your legs when resting, and not crossing them when sitting all have potential benefits. Wearing loose clothing and avoiding long periods of sitting or standing are also thought to be helpful. High-heeled shoes are a no-no as they don't allow the calf muscles to fully contract.

Tea Tree: Antibiotic, antiseptic, antifungal, antiviral, disinfectant. Can be used to treat thrush during pregnancy. Ylang Ylang: Antiseptic, antidepressant, aphrodisiac, sedative, lowers blood Pressure. Restorative when overworked or tense.

Surgical operation can cure and relieve the pain. However, aside from being an expensive process, it might cause you your job when you can't go to work due to healing time. Using an elastic stocking can provide relief but cannot cure.

Varicose Vein Causes: They form when valves in the veins that are supposed to direct blood flow towards your heart stop working correctly and, as a result, blood pools in the veins - causing them to enlarge.

Cypress (ok after 5 mos.) Antiseptic, antispasmodic, astringent and diuretic. Helpful for Varicose veins, hemorrhoids and swollen ankles. Eucalyptus: Antiseptic, antibiotic, analgesic, anti-inflammatory, antiviral. Helpful with respiratory congestion.

Will My Health Insurance Cover My Care For Vein Problems? Most insurance companies will cover treatments for varicose veins that are causing problems despite conservative management. Conservative management means a trial of compression hose for 3-6 months. If you continue to have pain or swelling despite wearing compression hose, then most insurance carriers will cover EVLT or microphlebectomy. Insurance does not usually cover the treatment of spider veins, and these treatments are paid for by the patient.

Normally these one-way valves work against gravity to direct blood towards the heart. When they become weakened or damaged and don't close properly the blood may start to flow backward - this is known as Venous Insufficiency or Venous Reflux. When veins near the surface of your skin can't handle the excess blood and pressure they engorge and turn into varicose veins. Heredity, obesity, pregnancy, age trauma and standing or sitting for long periods of time all have the potential to cause damage to the one-way valves (and therefore cause varicose veins)

There are many fast, virtually pain-free varicose vein treatment options - most of them non-surgical. Other than treatment, wearing medical compression hosiery is the most helpful method of decreasing the appearance and symptoms of varicose veins.

Lemon: Antiseptic, antibacterial, antifungal, astringent, stimulant, Tonic. Useful as an inhalant for morning sickness and in Massage for varicose veins.

The trouble will most probably appear upon the inside of the, leg below the knee, running along the calf of the leg, but it may extend sev??eral inches above the knee and along the inside of the thigh. With increased years, the conges??tion of the superficial veins will extend lower down, immediately above and around the ankle. This may become discolored and assume a deep bluish hue because of the stagnant blood.

It is not unusual to notice distention of portions of the large veins in the legs as people age. This is more common to those people whose jobs require them to stand at a longer time. This quiescent, upright position produces stagnation of the blood in the legs. Hence pressure and a steady strain upon the walls of the venous system at that point results to permanent distention, or "varicose veins."

Frankincense: Antiseptic, astringent, sedative, warming Geranium (ok after 3 mos.) Antiseptic, antidepressant, astringent, refreshing, uplifting. Eases aching legs and is good for poor circulation.

Grapefruit: Astringent, digestive aid, lymphatic stimulant. Helps with Water retention. Lavender: Antiseptic, antibiotic, analgesic, antidepressant, healing, Relaxing. Helps soothe aches and pains of pregnancy, encourages cell renewal and helps with fluid retention.

 

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What are the symptoms of varicose veins? Varicose veins may cause aching of the legs. The ankles, calf and feet may swell towards day's end, especially in hot weather. Varicose veins can become sore and inflamed, causing redness of the skin around them. Skin changes from long standing vein problems include thickening of the skin, a brown discoloration, red rashes, and skin infections. Some patients with severe vein problems can develop sores on the ankles, known as venous ulceration. These are often difficult to heal, and can be helped by treating the underlying vein problem to prevent the reflux that led to the ulceration.

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The first indication of a varicose vein is a dull, aching pain. The vein becomes larger, knotted and distended. In extreme cases a rupture of the wall sometimes follows. This is infrequent but always possible.

How can varicose veins be treated? There are several ways to treat varicose veins, depending on the symptoms and types of veins present: 1. Compression stockings: The conservative management of varicose veins is to wear compression hose, exercise, control your weight, and elevate your legs above your waist as much as possible in order to drain the vein blood out of your legs. Compression hose will assist the vein in pumping blood up the leg and back to the heart. However, this technique will not make the varicose veins go away. Nevertheless, the use of compression hose is very important in not just preventing worsening of Varicose+Veins' target=_blank>varicose veins, but also in preventing recurrent problems after treatment. 2. Sclerotherapy: This technique is used for the treatment of smaller varicose veins, as well as reticular veins and spider veins. A small amount of a medication (sclerosant) is injected directly into the diseased vein. The medication irritates the inner lining of the vein and causes it to seal shut. The newer types of sclerosants are not painful when injected using a very tiny needle, and multiple sites of injection are typically needed. In addition, one usually needs anywhere from 2-6 treatments to obtain 70-80% clearance of the spider veins. The procedure is performed quickly and easily without the need for anesthesia. Sometimes, we use ultrasound guidance for sclerotherapy. The number of treatments required will vary with each individual, depending on the extent of visible varicosities and spider veins. A range of 2-6 treatments can be expected in order to achieve a 70-80% clearance of the spider veins. We also use a Lyra 1064 nm YAG laser to treat stubborn spider veins. 3. Surgical Stripping: In the past, surgical removal or "stripping" of the diseased vein out of the leg was the best treatment we could offer patients with vein problems. This procedure required an operating room, general or spinal anesthesia, and recovery times that varied from 2-6 weeks. Vein stripping is an antiquated procedure and should be very rarely used in the management of varicose veins with the newer techniques that are currently available. 4. Microphlebectomy: This procedure involves the use of several, 1 mm, tiny incisions along the course of the leg veins in order to remove the diseased vein in segments. These tiny incisions heal well with minimal discomfort. Microphlebectomy can be performed by itself or in combination with another type of vein treatment. 5. Endovenous Laser Therapy: The use of lasers in the management of vein problems is replacing the standard surgical approach to treating large varicose veins. With Endovenous Laser Therapy (EVLT) a very thin fiber or catheter is inserted into the diseased vein through a small needle puncture in the leg, requiring only local anesthesia. The laser delivers energy directly to the inner lining of the vein, causing the vein to close. The procedure can be performed in the physician's office in approximately one hour. Patients are usually able to resume their routine activities immediately after the procedure.

Mandarin: Antiseptic, refreshing, tonic, mild relaxant. Can ease fluid retention in leg and ankle massages. Neroli: Antiseptic, antidepressant, antispasmodic, anti-inflammatory, Relaxing. Useful in pregnancy to promote healthy skin cell Regeneration and for easing nervous tension.

Bergamot: Analgesic, antiseptic, antidepressant, uplifting, and refreshing. Helpful for cystitis during pregnancy. Chamomile: Antiseptic, analgesic, anti-inflammatory and antispasmodic. Soothes pain from muscular aches, headaches, toothaches and Indigestion.

As the primal cause of the trouble is stagnation of the blood at that point, acceleration of the circulation there would relieve that congestion; and the only way this can be possible is by friction. The most effective method for accomplishing this is with the dry palm of the hand, and the most convenient time- in bed and in the early morning. The conditions are then favorable, as the body is relaxed and will readily respond to intelligently directed efforts towards its rejuvena??tion or improvement.

For more questions about all things venous, including deep venous thrombosis (DVT) and the latest management techniques such as thrombolysis of DVT's and pulmonary emboli, please visit my vein website at www.my-varicose-veins.com. I am a Vascular Surgeon in Dallas. I have been voted by my colleagues to be one of the best Vascular surgeons in the Dallas Fort-Worth area according to Dallas Magazine for 2006. My expertise is in circulation surgery, especially in vein problems. I am being featured in the cable TV show "Heartbeat of America" hosted by William Shatner and Doug Llewelyn from "The People's Court." I also will be featured in the Dallas Fort-Worth edition of Redbook, Women's day, and Good Housekeeping for the April/May edition for my work on varicose veins. http://www.my-varicose-veins.com

If, however, any stagnation or regurgitation occurs, the valves at that place become dis??torted, their opposed edges are brought into contract. The current then is intercepted, and a distention of the wall of the vein ensues, which distention we know as that very painful afflic??tion, a varicose vein.

Aromatherapy is a natural healing science employing essential oils extracted from aromatic plant sources to treat and balance the body, mind and spirit. During pregnancy, aromatherapy can prove to be extremely beneficial and helpful alternative, while also being very easy to employ and use. In order to use essential oils safely during pregnancy a few extra safety guidelines will need be followed. Though, there are reports of side effects, the user must be cautious enough to report any adverse effects to the physician immediately. Essential oils are extremely concentrated and volatile. They must be diluted before use. A common dilution for aromatherapy blends during pregnancy is 2 %, which would equal approximately 10 drops essential oil to 1 ounce or 2T carrier oil (this is the most preferred oil). For an aromatherapy pregnancy bath, add 6-10 drops of essential oil to the tub and mix well before getting in to the tub. 3-6 drops essential oil in a bowl of warm water wrung out in a washcloth works well for a compress. Use the same dilution in a bowl of steaming hot water for a steam inhalation. An aromatic bath is supposed to provide relaxation to the taut pelvic muscles and aid in avoiding stretch marks. How ever, there are many essential oils that need to be avoided during pregnancy. The following list contains oils that should be avoided during pregnancy and oils that are recommended for use during pregnancy. OILS TO AVOID DURING PREGNANCY Use of essential oils should be extremely limited or avoided during the first trimester of pregnancy, but has many wonderful uses in the last two trimesters and especially during labor. Oils to avoid during pregnancy include: Basil, Cedar Wood, Cinnamon, Clary sage (during labor), Clove, Cypress (after 5 months), Fennel, Hyssop, Jasmine (during labor), Juniper, Lemongrass, Myrrh, Parsley and Pennyroyal OILS RECOMMENDED DURING PREGNANCY The following oils will be comfortable for using during pregnancy. As always, use caution if you have allergies or a family history of allergies. If you feel you may be allergic to oil, do a patch test first. Good oils for pregnancy include: Bergamot, Chamomile, Cypress (after 5 mos.), Eucalyptus, Frankincense, Geranium (avoid in early pregnancy), Grapefruit, Lavender. Lemon, Mandarin, Neroli, Patchouli, Petitgrain, Rosewood, Sandalwood and Tangerine If you are currently pregnant and have been using any of the essential oils that need to be avoided, but are not experiencing any bleeding or cramping, then there most likely is nothing wrong. However, it is strongly encouraged you to consult your doctor or midwife and discontinue use of the "to be avoided" essential oils. Aromatherapy Benefits for Pregnancy Listed below are some of the benefits and therapeutic effects of the essential oils recommended for use during pregnancy:

What Is Involved In The Care After Treatment? We recommended compression hose or some other type of compression dressing after treatments. These dressings are usually worn for one day following sclerotherapy and 1-2 weeks after EVLT. Compression stockings come in different styles, sizes and colors. We advise return to a normal physical activity routine after the procedure, but vigorous aerobic exercise is not recommended for 2 weeks after ELVT. Sclerotherapy patient can resume normal exercise the day after treatment.

Advanced Vein Therapies' Jeffrey Miller specializes in the treatment of spider and varicose veins, as well as facial veins and Rosacea. Visit http://www.avtherapies.com for more information and treatment options.


 
 
     
 
 





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