Natural Varicose Veins Cure and Treatment
Physical methods of prophylaxis are designed to reduce stasis in the leg veins. Three types have been evaluated graduated compression stockings (GCSS), intermittent pneumatic compression (IPC) devices, and venous foot pump (VFP). These methods are not associated with increased perioperative bleeding, but their problem is low compliance. Overall experience is also very limited in contrast with the pharmacological agents. These methods, unlike pharmacological agents, have not been shown to reduce mortality or PE and, therefore, appear to be less effective than pharmacological methods. In addition, GCSs are contraindicated in patients with peripheral vascular disease.
A proper clinical evaluation involves a careful assessment of the patient's symptoms, signs, and risk factors for venous thrombosis. Patients with symptomatic DVT can present with painful swelling, tenderness along the distribution of the deep leg veins, and localised erythema consequent to venous obstruction or perivascular inflammation. These signs can also be found in patients with cellulitis, ruptured Baker's cyst, superficial thrombophlebitis, and other muscu-loskeletal conditions. Therefore, the most important objective of the clinical evaluation is to determine whether the presenting features are more or less likely to be caused by one of these alternative diagnoses. If the patient has no known risk factors for venous thrombosis an alternative diagnosis is considered more likely and, therefore, the likelihood of DVT is significantly reduced. In contrast, if the patient has one or more known risk factors for thrombosis, the likelihood of DVT is increased. Well-established risk...
For acute venous thrombosis the approved doses are either enoxaparin 1 mg kg every 12 hours or tinzaparin 175 kg every day (see Table 22.2 for all LMWH doses). For low-risk patients (calf vein thrombosis, upper extremity thrombosis), once-a-day therapy with 1.5 mg kg of enoxaparin can be used, but this may not be adequate for higher-risk patients and twice a day therapy should be used. One trial did demonstrate that once daily dalteparin was inferior to twice a day therapy for venous disease and this dosing should not be used. For short courses of therapy, most patients do not need to have LMW heparin levels drawn. Patients who are very obese ( two times ideal body weight), who have severe liver or heart failure, who are pregnant, or on long-term LMWH therapy should have levels performed.
Adopting the above strategy in analysing the data based on the relation between genotype, phenotype, and clinical outcome reveals that despite extensive investigation, there is still no clear reproducible evidence for the role of any haemostatic polymorphism in arterial thrombosis. This contrasts with the well-defined role of some of the same polymorphisms in VTE.33,35 It is worth considering why this might be. There are fundamental differences between arterial and venous disease, with the dominant role of the vessel wall in the former. It can also be assumed that the haemostatic changes will play a crucial role in the thrombotic complications of arterial disease, mediated through atheromatous plaque rupture, fibrin generation, and platelet activation. It is, however, generally thought that arterial occlusion has a multifactorial aetiology, which conspires to undermine the integrity of the vessel wall and promote thrombosis. Some of these processes, which may involve haemostatic...
Bilberry is used to relieve the symptoms of mild diarrhoea and improve poor night vision, sensitivity to glare, photophobia, peptic ulcers, varicose veins, venous insufficiency and haemorrhoids when taken internally. It is also used as a mouthwash, gargle or paint for mild inflammation of the mouth or throat, such as gingivitis or pharyngitis.
HAEMORRHOIDS, VARICOSE VEINS, VENOUS INSUFFICIENCY The considerable astringent, anti-inflammatory and anti-oedema activity of bilberry provides a theoretical basis for its use in these conditions. Several human case series and a single-blind trial report significant improvements in lower extremity discomfort and oedema related to chronic venous insufficiency however, further research is required to confirm these findings (Ulbricht & Basch 2005).
Varicose veins abnormally dilated, tortuous veins due to prolonged intraluminal pressure or loss of support of the vessel wall. They affect a wide range of patients but particularly obese females over 50 years of age. There is also a familial tendency. Varicosities also occur in the oesophagus secondary to portal hypertension in association with liver cirrhosis. Haemorrhoids are varicose dilatations of the haemorrhoidal plexus of veins at the anorectal junction.
Independent risk factors for venous thromboembolism include increasing age, male gender, surgery, trauma, hospital or nursing home confinement, malignancy, neurological disease with limb paralysis, and central venous catheter transvenous pacemaker, prior superficial vein thrombosis and varicose veins. Among women, risk factors include pregnancy, oestrogen-containing oral contraceptives, and hormone replacement therapy. About 30 of VTE surviving cases develop recurrent venous thromboembolism within 10 years.
The communicating venous system connects the deep and superficial veins with valves that allow flow of blood only from the superficial veins deep veins. Incompetent valves allow backflow of blood into the superficial veins (superficial veins deep veins). This backflow causes dilation of the superficial veins that leads to varicose veins.
Even with recent improvement in DHA formulations, the color achieved remains dependent on skin type. Individuals of medium complexion with skin phototypes II or III 14 , as opposed to those who are lighter or darker, will obtain a more pleasing color. Individuals with underlying golden skin tones will achieve better results than individuals with rosy, sallow, or olive complexions. Older consumers with roughened, hyperkeratotic skin or mottled pigmentation with freckling may be less pleased with their use. Dermatologists regularly recommend these products for tanning as a safe alternative to UV exposure. They may be used to camouflage some skin irregularities such as leg spider veins. Light-to medium-complected patients with vitiligo who show increased contrast with the vitiligi-nous areas with natural or unavoidable tanning in their normal skin may also benefit. They may even provide some protection for individuals with certain photosensitivity disorders 15 .
Historical note The horse chestnut tree is commonly found in ornamental gardens throughout Europe, growing up to 35 metres in height. The seeds are not edible due to the presence of alkaloid saponins, but both the dried seeds and bark of the horse chestnut tree have been used medicinally since the 1 6th century. The seeds are also used for the children's game 'conkers' and were used to produce acetone during World Wars I and II. In modern times, a dry extract referred to as horse chestnut seed extract (HCSE) is standardised to contain 1 6-21 triterpene glycosides (anhydrous escin). HCSE has been extensively researched for its beneficial effects and is commonly used by general practitioners in Germany for the treatment of chronic venous insufficiency. Homoeopathic preparations of both the leaf and seed are also used for treating haemorrhoids, lower back pain, and varicose veins and the buds and flower are used to make the Bach flower remedies chestnut bud and white chestnut. The active...
Elevating the legs above the level of the heart or putting on support hosiery before arising in the morning can relieve discomfort. In risk of developing varicose veins. Elevating the legs above the level of the heart or putting on support hosiery before arising in the morning can relieve discomfort. In
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