vulvar varicosities - 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 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.


Hemorrhoids are a very distressing condition that involve the swelling of the veins of the anus and rectum. They are very similar to varicose veins whereby the veins lose their elasticity and swell and this results in the uncomfortable symptoms of hemorrhoids that may include itching, burning pain and bleeding.


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 If you think that the unsightly veins that most commonly pop out of your legs can only be experienced by adults, think again! Varicose veins are one type of condition that is very common and can happen to just about anyone. The appearance of varicose veins particularly on the legs can be attributed to a person's genes, daily activities and wrong ways of taking care of ones body, legs in particular.

Usually, varicose veins appear on the legs most especially if a person frequently exerts much weight on the legs while standing on doing rigorous activities like cycling, running, climbing and several others. Beyond this, varicose veins can also cause pain on the legs and can also be itchy at times.

Will Abnormal Veins Come Back After Treatment? After sclerotherapy for spider veins, a small number of patients who have a natural tendency to form spider veins will need yearly treatments or "touch-ups". Larger varicose veins can also recur, especially if one gains weight, or does not wear compression hose. These recurrences are usually not as severe as the initial episode, and can be treated with sclerotherapy or microphlebectomy.

The fact that no animal other than human beings has ever be known to exhibit hemorrhoids can be seen as a major indication that something is wrong with our diets and improving the diet can help this condition dramatically, however herbal remedies can often provide immediate relief as well as being effective for the long term treatment of this very distressing condition.

Bilberry contains flavonoids called anthocyanosides, which are found largely in dark-skinned fruits, and act as potent antioxidants in the body. These anthocyanosides are thought to be at least part of the reason that Bilberry is effective in treating such eye disorders such as macular degeneration, diabetic retinopathy, and cataracts. In one Italian study, a combination of bilberry extracts and vitamin E stopped the progression of cataracts in 97 percent of the study participants. Bilberries are very rich in natural antioxidants such as flavonoids and phenolic acids. As an anti oxidant Bilberry is great in the defense against cell damaging agents called free radicals. Free radicals occur naturally in the body and are most commonly produced from simple oxygen exposure. An other common cause of free radical formation is exposure to carbon monoxide from such things as pollution and cigarette smoke. Anti oxidants remove free radicals from the body and help keep cells healthy. Too many free radicals can cause mutation of cells, which can lead to such things as cancer. Using Bilberry with other anti oxidants such as vitamin C and E and performing regular exercise can help keep your body purged of free radicals and may drastically help reduce the risk of such mutations.

Pine Bark and Grape Seed - these plant extracts contain proanthocyanins and anthocyanins which are substances that improve the structural integrity of the veins and in fact the entire circulatory system. It is also possible to obtain them through increasing consumption of berries such as blueberries, blackberries and strawberries as well as cherries.

More than just being an unsightly appearance on the legs, varicose veins are also regarded to be one very serious condition. Most often than not, varicose veins appear when the leaflets of the valves in the veins no longer meet properly or don't work by pumping blood to return to the heart.

Varicose veins usually start to appear on the legs gradually. They do not appear instantaneously but that isn't to say that they cannot worsen and progress within just a certain period of time. As common as the condition may seem, most people dread having varicose veins most especially because it can lower their self confidence and can indeed be unsightly.

In many cases hemorrhoids will respond quickly to the use of herbal medicines, both taken internally and applied externally, however it is also necessary to address the cause of the condition. Some common factors that can contribute to hemorrhoids include sitting or standing for long periods, lifting heavy objects, dehydration, obesity and lack of exercise, but without a doubt the largest factor is constipation and straining during defecation. A poor intake of dietary fiber is often a major culprit that increases the risk of development of hemorrhoids.

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 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.

Side Effects Of Bilberry There are no any serious side effects of Bilberry but it may cause gastrointestinal upset, dizziness, or headaches. Also, people taking drugs or herbs that lower blood pressure, lower blood sugar, cause diarrhea, or thin the blood, should take Bilberry with caution???it could increase the effects of these herbs and medications.

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.

Uses Of Bilberry Bilberry leaf has been used for diabetes, stomach problems, arthritis, blood circulation problems, and heart problems Bilberry contains anthocyanosides, compounds that benefit the circulatory system. Bilberry strengthens blood vessels and connective tissue, builds strong capillaries, improves circulation, and may help to control the formation of blood clots, varicose veins, and hemorrhoids. Additionally, the compounds (anthocyanosides) in Bilberry help eyes adapt to light changes and enhances night vision. Tannin, found in dried Bilberry berries, helps to control diarrhea and related intestinal inflammation (astringent properties). Extract of Bilberry protects the stomach against digestive acids because it stimulates the production of stomach mucus. The leaves of the Bilberry are high in chromium - important to regulate blood sugar levels. This may benefit people who are diabetic or hypoglycemic.

Aloe Vera gel - the fresh pulp can be applied directly on the anus to provide pain relief and soothe any burning sensations. Butcher's Broom - this herb has been used throughout history for the treatment of hemorrhoids and varicose veins. When looking for preparations of Butcher's Broom, try to find those that contain a minimum of 9-11% of ruscogenin content, which is the active ingredient. 100 mg should be taken three times daily.

If you have varicose veins, put an end to your fear right this very moment! There are a lot of non-surgical treatments that are proven to be effective when it comes to treating varicose veins.

Women are the most common targets for varicose veins. Women are more likely to acquire this type of condition compared to men because women have potentially weaker and thinner vein valves.

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

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.

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, 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.

 

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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

Herbal medicine can greatly assist in reducing the symptoms of hemorrhoids however in very severe cases surgical treatment may be required. In such instances the herbal treatments and dietary changes outlined can be used to prevent the problem from occurring again following surgery.

Witch hazel - this herb can help to ease the bleeding and swelling associated with hemorrhoids. It is applied externally as an ointment, or the liquid can be applied directly to the area with a sterile cotton pad. Use three times daily until relief is obtained.

Herbs for the treatment of hemorrhoids: Pilewort - Piles are another name for hemorrhoids and this herb was named for its effectiveness for this condition. It tonifies the blood vessels and stops bleeding. Pilewort may be taken internally as a tea or alcohol-based tincture and it can also be applied externally as an ointment.

BILBERRY Bilberry, or Vaccinium myrtillus (Latin), is made from a small, blue berry that has been used medicinally for hundreds of years. bilberries have powerful anti-inflammatory and antioxidant qualities. Bilberry has traditionally been used to treat diarrhea, varicose veins, mucous membrane inflammation, and hardening of the arteries (atherosclerosis). It has also been shown to be particularly beneficial to the health of the eyes.

Will Getting Rid Of Varicose And Spider Veins Hurt My Circulation? The varicose veins that are being treated are not doing their job, and therefore are not missed when they are treated. The body has numerous other veins that are taking blood back towards the heart, and they take over the role of the varicose veins after treatment.

Benefits Of Billberry The Bilberry pigments decrease capillary permeability and fragility, and the tendency to bruise easily. Therefore,Bilberry Extract are useful for the treatment of microcirculatory disorders, such as varicose veins, venous insufficiency, and hemorrhoids. Bilberry preparations are also useful for degenerating eye conditions such as glaucoma, age-related macular degeneration, cataracts, and diabetic retinopathy.

The anthocyanidin pigments, along with the flavonoids and other antioxidants, help protect and relax blood vessels, inhibit blood clot formation, and improve microvascular blood flow, thereby diminishing angina events. Many of the antioxidants in Bilberry are more potent than vita min E and can inhibit the oxidation of LDL cholesterol, as well as promoting vasorelaxation. Preliminary experiments reveal that Bilberry extract also possess antimicrobial and anticancer properties and may help in the healing of wounds and ulcers.

Mizpah Matus B.HSc. is a herbalist and nutritional consultant. Mizpah writes for Nourishing Perspectives - http://www.nourishingperspectives.com and Pursuit of Perfection.

Fiber - a low fiber diet increases the risk of straining during bowel movements and increasing fiber intake may actually be a very effective simple measure that can go a long way towards improving hemorrhoids. Increasing fruit and vegetable intake is a must, however there are also a wide variety of fiber supplements available, such as those containing Psyllium husk or Slippery Elm Bark, that can soften the stools and reduce straining. It is very important to ensure that water intake is increased when taking fiber supplements.

The following active constituents have been found in Bilberry: ericolin, arbutin, beta-amyrin, nonacosane, and anthocyanosides. Anthocyanosides are a type of flavonoid which causes the deep blue-red color of many berries. This may produce many of the secondary benefits such as lowering of blood pressure, reduction of clots, reducing varicosities and bruising, reversing poor blood supply, and improving blood supply. Bilberry is used in Europe before surgery to prevent excessive bleeding and hemorrhaging. A recent German medical journal reports bilberry effective in reducing excessive bleeding by 71% (Lietti). Bilberry also thins the blood by inhibiting platelet adhesion (Bottecchia). This combination of actions 1. improving capillary strength, 2. reduction of capillary leakage, and 3. blood thinning results in improved blood flow and may reduce clotting-related health risks.

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.

Bilberry promotes good circulation and strengthens artery walls, and thus may be an effective treatment for atherosclerosis, a condition in which plaque builds up on the artery walls and blocks the flow of oxygenated blood to the heart. Bilberry's anti-inflammatory properties also work to reduce the overall inflammation, including inflammation of the gums, that has been linked with heart disease.

How Long Will It Take For Me To See Results After Treatment? You will see some immediate results after treatment for varicose and spider veins. The best results will be seen after 3-6 months, when the swelling and bruising has completely resolved.

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.

With this, you can definitely put an end to your fear of varicose veins. No matter how worse it currently appears in your legs, you can get the results that you expect every after your application of effective treatments and in no time, you can be assured of great and younger looking legs that you have always dreamed of.


 
 
     
 
 





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