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Best Hospital for Vascular Disease Treatment in Chennai

The Best Compression Stockings for Varicose Veins

Compression stockings play an important role in controlling the symptoms of varicose veins. If the right compression stockings are used in the proper way, the action of squeezing the vessels to make the upward flow of blood easier through legs can prevent the pooling of blood that causes vein issues.

Wearing the correct size of compression hose that gives the right amount of pressure is the key to having the best effect of compression stockings for varicose veins. Stockings that are ill-fitting, being too tight or too loose can cause varicose veins or worsen varicose veins symptoms such as itching and burning. Varicose vein treatment in Chennai includes compression stockings that feels firm but not tight on the leg. Choosing the right compression stocking can be a confusing aspect as it involves an understanding of the level of compression needed for effectiveness. 

Best compression stockings have graduated markings

The graduated compression level of the garment can be known from the range of numbers indicated on the compression stockings. For instance, if the range of numbers shows “20-30 mmHg”, it means that the amount of compression will not decrease below 20 mmHg and not rise above 30 mmHg. It is the measurement of pressure that reads in unit of measurement called “millimetres of mercury” (mmHg), also used more commonly in measuring blood pressure. Stockings have graduated compression that is strongest at the ankle and gets lighter as the graduation moves up the leg.

This is a very special way of knitting that allows a compression stocking to assist circulation to improve and carried out of the legs. If the graduated compression went down towards the feet instead of moving up from the feet, the effects would be highly devastating. Medical compression stockings manufacturers of reputed companies or brands usually graduate the compression properly.

Low level compression for best everyday stockings

Everyday compression stockings to help with mild swelling and leg fatigue from varicose veins due to long periods of travel, sitting or standing would be best at a low-level compression of 15 – 20 mmHg. Since they are used as casual everyday compression socks, they are made to look like dress socks and casual cotton socks available in different styles to choose from for both men and women. Women may choose sheer fashion styles to suit their clothing and occasion. 15-20 mmHg level of compression is also available as sports compression socks.

Alongside varicose vein laser treatment in Chennai, this 15-20 mmHg compression stocking has become a popular choice among people while flying and for travel. Comfort and availability of numerous styles have attracted more and more people to choose a little of 15-20 mmHg compression for their lifestyles.

Medical Grades of compression stockings for varicose veins

The severity of varicose veins is the deciding factor for selecting the best suitable pressure range of compression stockings. While excess pressure can have a reverse negative effects, too little pressure may prove to be futile in providing necessary relief. The vascular specialist can assess the varicose vein condition and recommend the most suited medical grade of pressure range for using compression stockings. 

Grade I

Initial signs of varicose veins are best managed by mild compression that relieves constant, minimal heaviness in the legs. The 20-30 mmHg level of compression is the first medical grade that provides competent compression for varicose veins without being too strong on the legs. This is the most widely used medical grade stockings because the 20-30 mmHg level of compression is great for managing swelling in the legs from spider veins and varicose veins. Pregnant mothers with varicose veins also benefit from this grade of compression stockings to alleviate heaviness, swelling, and aching in their legs. 

Grade II

Swelling, burning, and heaviness of the legs from varicose veins need moderate compression. A stronger medical grade of 30 – 40 mmHg level of compression is recommended for varicose vein health symptoms that range from moderate to severe. The kind of fabric used for the stocking is to be taken into account when choosing the 30-40 mmHg compression. It is a good idea to select a stocking made of a more durable material to support a stronger compression level. Compression stockings that are 30-40 mmHg made of poor-quality fabric may be more prone to snags and holes. Natural fabrics such as natural rubber are stronger especially if the compression stockings are considered for more severe varicose vein symptoms.

Grade III

Firm and stronger compression is required to treat severe symptoms of varicose veins and venous ulcers. People considering this level of 40-50 mmHg compression should necessarily consult a vein specialist and seek medical advice because it offers a very strong compression that is medically recommended as varicose vein treatment in Chennai only for severe symptoms of varicose veins, wound management, and lymphedema. It is always suggested to use prescribed compression stockings as the doctor recommends for the condition.

Other factors for choosing the best compression stocking 

  • The size of the compression stockings should be appropriate to the legs, being fit enough to regulate blood circulation but not too tight. Inappropriate size can cause damage to the skin or have no effect on venous circulation.
  • The length of compression stockings can be chosen according to the suitable region of the limb affected by the varicose vein. A wide variety of styles that are knee length, thigh length, and pantyhose for both men and women are available.
  • Fabric choice can be varied for compression stockings according to the grade and pressure range required. Exclusive fashion styles include dress sock styles, sports sock styles, and opaque styles.

Compression stockings, when used according to the particular situation on a regular basis is a safe and practical way that offers a remarkable difference in dealing with varicose vein symptoms. Compression stockings accompany as an effective aid in varicose vein laser treatment in Chennai to reduce swelling in the legs, enhance blood circulation and lower the risk of getting blood clots.

Do enlarged veins during exercise indicate bigger problems?

Enlarged Veins

The appearance of enlarged veins during exercise could be a sign of varicose veins where blood pools in the dysfunctional surface veins of the leg. Though varicose veins are a common condition, for people who lead an active lifestyle, swollen and enlarged veins caused by poor blood flow in the legs become a concern. There are good chances that people may skip out on exercises for fear that the already abnormal veins may become much worse. But the fact is that cutting exercise totally out of the lifestyle is not right. Routine exercises in daily life is crucial not only for vein health but also for cardiovascular health and the entire body’s overall health. 

So, let varicose veins not get in the way of much-needed daily exercises. The best treatment for varicose veins in Chennai can guide on what exercises will work well with varicose veins and not against them.

Does exercising cause vein issues?

Contrary to beliefs, enlarged veins during exercise have nothing to do with an increase in either blood volume or pressure in these vessels. In fact, stepped-up activity during exercise is known to decrease blood volume and pressure. During exercise, internal diameters of veins and venules narrow in a process called vasoconstriction, forcing the flow of blood forward to the heart thereby facilitating their ability to receive more blood coming from the capillaries. Thus, this process helps decrease the pressure in the venules and veins to promote better circulation and is not the basis for the enlarged veins.

Swelling or bulging of muscles causes cutaneous veins to get pushed and flattened toward the skin surface and makes them appear more prominent and enlarged. In persons with less subcutaneous fat, such veins are more visible. This appearance during exercise may not be bad but it is neither good. Since varicose veins are already distorted, the prominence of enlarged veins may not be a pleasing sight and are a sure sign for varicose veins laser treatment in Chennai. Evidence of pathology does not suggest that exercising causes varicose veins but there are many other factors that contribute to the development of varicose veins such as Genetics.

→ Being 50 or more years of age

→ Pregnancy 

→ Being a female

→ Obesity

→ Work requirements for prolonged sitting or standing

Exercising with Varicose veins

The pressure and stress on the veins from sitting or standing for too long are detrimental to anyone, especially to those prone to venous disease who are at risk of varicose veins. Even exercises as simple as walking every day can help improve vein health. Exercising proves to be beneficial for those with varicose veins. Vein experts recommend at least 20 to 30 minutes of any of the following physical activities 3 to 4 times a week. 

Walking– There are many benefits and no disadvantages to going walking. Walking is a low-impact exercise and especially good for people with varicose veins or at risk of varicose veins because simple movements help strengthen calf muscles and aid in circulation without straining the body. Brisk walking for a minimum of 30 minutes a day for 5 days a week raises the heart rate without any risk and helps burn more calories.

Elliptical- Exercising on an elliptical is another great option for varicose vein legs. These machines offer low-impact exercise and support calf muscles to help with the blood flow through the legs and the body without any additional stress.

Leg exercises– People who cannot work out on equipment or go out for walking can do leg exercises such as bicycle legs, kneeling leg lifts, calf & thigh raises, side leg lifts, ankle rolls, toe pullbacks, and rocking to safely increase the blood flow away from varicose veins. When you have varicose veins, It is important to keep leg muscles strong if veins are already showing a pooling of blood. Strength training exercises that focus on calf muscle groups are particularly helpful for those with varicose veins. These exercises not only target leg muscles that assist with blood circulation but the elevation also helps alleviate symptoms of varicose veins. 

However, exercising does not prevent the formation of varicose veins or cannot cure varicose veins. Depending on the severity of the vein condition, one may make an informed decision if exercises are enough to keep symptoms under control or consider various options as suitable to varicose veins treatment cost in Chennai.

Exercises that can be a bigger problem for veins

Depending on the severity of varicose veins, one may have to refrain from certain exercises that are strenuous and restrictive in action. Incorrect posture or exercise that increases pressure on the abdomen can restrict the blood flow from the legs to the heart. It can also increase pressure on the veins in the legs, aggravating the symptoms of varicose veins.

High-impact running– A great deal of strain and pressure on the legs by constant pounding on the treadmill or ground can damage not just joints and cartilage, but also cause veins to swell and aggravate varicose veins.

Biking– The posture of being crouched over handlebars for an extended period of time can increase abdominal pressure and reduce the blood flow to the legs. 

Weight lifting– Though a recent popular workout that offers great benefits, it can have some major setbacks in people at risk for vein health problems. Weightlifting is a strenuous exercise that puts a lot of stress on veins’ circulation and can even worsen vein issues.

Many forms of exercise can create the appearance of enlarged veins that can become a bigger problem but being mindfully active is the key to successful varicose vein treatment in Chennai. 

Arteriovenous Malformations – Cause, Prevention & Cure

Arteriovenous malformations (AVMs) are tangles of blood vessels that cause abnormal artery-to-vein
connections. Incorrectly formed blood vessels disrupt communication between arteries and veins.
Arteriovenous malformations are found rarely present in about 1 in 100,000 people. AVMs more
commonly occur in the head, neck and spine. Next in frequency are AVMs of the extremities with an
equal distribution between the upper and lower extremities. It is called a peripheral arteriovenous
malformation when the abnormality occurs in the arms, legs, heart, lungs, liver, the reproductive or
genital system. Developments in classification along with imaging and interventional techniques
available at laser vein hospital in Chennai have helped to improve the outcome in the management
of these potentially threatening peripheral AVMs.

have helped to improve the outcome in the management
of these potentially threatening peripheral AVMs.


What Causes Arteriovenous malformation?

It is not certain as to what causes arteriovenous malformations. It is believed to be congenital,
where it develops during pregnancy and the individual is born with an AVM. Some people with head
trauma or certain infections have also reported AVM. AVMs are thought to be hereditary only in rare
cases.


Normal blood flow works following a circulatory network system. Blood circulates through the body
within an organized closed circuit of blood vessels. Arteries carry oxygen-rich blood from the heart
to the brain and the rest of the body parts. Veins return oxygen and nutrient-depleted blood and waste
products from all parts of the body back to the heart and lungs. Normally, the blood pressure in the
veins is much lower than in the arteries. The smallest blood vessel units of arteries and veins called
capillaries connect with each other in the tissues for the exchange of blood. The missing “bridge” of
capillaries between arteries and veins within the vascular tree forms an AVM. The malformation can
occur anywhere between the arterial (arteries) side to the arterial-capillary and the venous (veins)
side. In an AVM, larger channels that connect the arteries directly to the veins replace the capillaries.

carry oxygen-rich blood from the heart
to the brain and the rest of the body parts. Veins return oxygen and nutrient-depleted blood and waste
products from all parts of the body back to the heart and lungs. Normally, the blood pressure in the
veins is much lower than in the arteries. The smallest blood vessel units of arteries and veins called
capillaries connect with each other in the tissues for the exchange of blood. The missing “bridge” of
capillaries between arteries and veins within the vascular tree forms an AVM. The malformation can
occur anywhere between the arterial (arteries) side to the arterial-capillary and the venous (veins)
side. In an AVM, larger channels that connect the arteries directly to the veins replace the capillaries.


As the direct connection diverts the blood from the artery directly to the vein, bypassing the
capillaries, it is called a shunt. The channels are called the “nidus” that may consist of many tiny
shunts or a few large ones. In a peripheral AVM, the blood supply along with its nutrients and oxygen
to the tissue around is reduced because of the nidus. This raises the blood pressure in the draining
veins and increases the amount of blood going through the arteries and veins. This process, when
continued over a period of time, damages the surrounding tissue and loads the heart to work harder
in order to keep up blood circulation.


Symptoms of Arteriovenous malformation


Initial symptoms or problems may not present in most people with AVM. Symptoms may never
appear if they have not appeared until 50 years of age. However, 12% of people with AVMs do have
some symptoms. AVMs grow along with the stages of growth and symptoms change over time.
Hormonal changes during puberty or pregnancy, trauma or injury, and surgery can affect how quickly
the AVM grows. Symptoms are assessed by a team of doctors for varicose vein laser treatment in
Chennai
. AVMs are often organized using a scale called the Schöbinger staging system:


-Stage I (quiescence) is quiet with only the skin on top of the AVM being warm and pink or
red.


-Stage II (expansion) when it gets larger with a pulse felt or heard in the AVM.


-Stage III (destruction) causes pain, bleeding or ulcers.


-Stage IV (decompensation) results in heart failure.


Symptoms of AVM vary with the location of the malformation. Brain and spinal AVM often leads to a blood vessels to bleed or rupture, causing stroke and brain damage or neurological deficits such as paralysis and seizures. Symptoms of peripheral arteriovenous malformation depend on their size and the significance of the location, which may include:

-Shortness of breath on exertion

-Coughing up blood

-Abdominal pain

-Black stools

-Lumps on arms, legs or on trunk

-Pain with swelling

-Weakness or paralysis of muscles

-Numbness or tingling sensation

-Skin sores or ulcers


Treatment for peripheral Arteriovenous malformation


AVMs are benign, meaning they are noncancerous. The focus of treatment for AVM is managing the
symptoms and improving the life of the patient. There is no medicine that can cure an AVM. The age
of the patient, the size, location, and stage of the AVM are the deciding factors of a treatment plan.
An AVM without problems may require just regular follow-up visits. Since AVMs can expand over
time, it is recommended to start treatment as early as it presents with symptoms. The force of the
blood flow from arteries cause increased pressure to the AVM. Veins have weak walls that cannot
always withstand the pressure of excess blood flow, causing it to burst and bleed leading to
significant health problems. Symptoms of an AVM in the arm or leg may be eased by wearing a
graded elastic compression sleeve or stocking that squeezes the enlarged veins and reduces the
swelling.


Embolization and sclerotherapy are the treatments that can reduce the size and symptoms of an
AVM. Embolization involves using materials such as medical glue, metal coils or plugs that are placed
into the centre of the AVM to block blood flow. The procedure is done through a tube called a
catheter, which is inserted through an artery or vein connected to the AVM. Blood flow into the AVM
is stopped to help shrink the AVM.


Sclerotherapy is a procedure where a liquid medicine called a sclerosant is injected into the AVM to
destroy the vessels and cause scars to form. It is similar to the technique used to treat other vascular
conditions such as venous insufficiency, varicose veins and lymphatic conditions. Ultrasound imaging
is normally used to reach and target the AVM. Destruction of blood vessels leads to less or no blood
flow through the AVM. Sclerotherapy is often. Such procedures for AVMs should be done only by
surgeons with experience in laser treatment for varicose vein in Chennai.

Diabetic Foot Ulcer Treatment in Chennai

Diabetic foot ulcers are defined as nonhealing or long-lasting chronic skin ulcers in diabetic patients. Anyone who has diabetes can develop a foot ulcer. They occur as an open sore or wound in approximately 15 percent of patients with diabetes and the common location is at the bottom of the foot. About 6% of people who develop foot ulcer are hospitalized due to infection or other ulcer-related complication. Approximately 85 percent of all diabetes-related lower-extremity amputations are preceded by foot ulcers. Management of foot ulcer at the diabetic foot clinic is largely determined by the severity, vascularity and the presence of infection. Multidisciplinary care for the diabetic foot with treatment results aimed at wound healing and closure are challenging.

Evaluation of diabetic foot ulcers

Management of diabetic foot ulcers involves assessing, grading and classifying the ulcer as the first steps. Checking for vascular and neurological status of the lesion and accurately assessing wounds are significant part of foot ulcer evaluation. Clinical evaluation of the extent and depth of the ulcer and the presence of infection or ischemia form the basis for classification of ulcer on which nature and intensity of treatment are determined.  Patients with diabetic foot ulcers need ankle-brachial index and toe pressure measurements to assess for ischemia.

Diabetic Foot Ulcer Treatment in Chennai

Aim of diabetic foot ulcer treatment

Successful wound healing treatments in Chennai for diabetic foot ulcers consists of addressing these three basic issues: debridement, offloading, and infection control. Treatment for diabetic foot also involves managing blood glucose levels as tightly controlling blood glucose is of the utmost importance.  Other medical interventions for allied health problems are also of equal importance in allowing the wound to heal well.

Debridement – Proper removal of necrotic tissue, peri-wound callus and foreign bodies down to viable tissue is necessary to decrease the risk of infection and reduce peri-wound pressure. Debridement facilitates normal wound contraction and healing. After debridement, the wound is usually irrigated with saline or cleanser and applied with medication and dressing. The purpose of  a good dressing is to prevent tissue break down, absorb excess fluid and prevent contamination. If there is an abscess, debridement of all abscessed tissue with incision and drainage is essential. While timely incision and drainage procedures have saved many limbs, failure to perform the procedure have led to the loss of many limbs. A deep abscess if treated only with antibiotics can delay appropriate therapy and result in further morbidity and mortality.

Offloading– To halt weight bearing completely on the affected foot is the most effective method of offloading to heal a foot ulcer.To wear special footgear, brace, specialized castings, or use of mobility devices like the wheelchair or crutches will reduce the pressure and irritation to the area with the ulcer and help the healing process to be faster. Postoperative shoes or wedge shoes that are large enough may also be used to accommodate bulky dressings. Total contact casts (TCCs) can be applied to significantly reduce pressure on wounds. However, inappropriate application of TCCs cause new ulcers to form. The disadvantage is that TCCs are contraindicated in deep or draining wounds or for use with noncompliant, blind, morbidly obese or severely vascularly compromised patients. The advantage of removable cast walkers are that it allows for daily wound inspection, dressing changes and early detection of infection. The biggest challenge for clinicians treating diabetic foot ulcers is to find the right of proper offloading for the ulcer.

Infection control – Mild to moderate infections with localized cellulitis are generally treated with oral antibiotics prescribed at the outpatient clinic.  Whereas, severe diabetic foot infections that are polymicrobial needs hospitalization and treatment with intravenous antibiotics. Limb-threatening infections are treated with antibiotics that are selected to cover a wide spectrum of gram-positive and gram-negative organisms and provide both aerobic and anaerobic coverage. There is no surgery required to treat a majority of non-infected foot ulcers. In cases where this treatment method fails, appropriate surgical management to remove pressure on the affected area includes shaving or excision of bone and correction of diabetic foot deformities like hammertoes, bunions or bony “bumps.”

The wound size and location, pressure on the wound from walking or standing, swelling, circulation, blood glucose levels, wound care and external application are the factors that decide the healing time to may vary from weeks to several months.

Therapeutic methods for diabetic foot ulcer

A systematic approach to treatment should be taken for all diabetic foot lesions. There are different kinds of wound cleaning, debridement, skin grafting, infection control, vasodilators, pain management and different types of bandages and even fly maggots used as therapeutic methods. The multifaceted nature of foot ulcers and the numerous comorbidities that can occur in diabetic patients demands a multidisciplinary approach to be employed. Significant improvements in outcomes, including reduction in the incidence of major amputation have been demonstrated by this approach. But unsatisfactory results of these existing multidisciplinary care systems have made diabetic foot ulcer management difficult.

Laser therapy in diabetic foot ulcer treatment

Low level laser therapy (LLLT) or soft laser supplies direct bio stimulative light energy to body cells that is known to promote reduction of inflammation, angiogenesis and production of extracellular matrix components. Laser therapy devices illuminate the treatment area from a certain distance that stimulates molecules and atoms of cells without rapid or significant increase in tissue temperature. According to a study, significant reduction of wound bacterial load can be achieved through CO2 laser therapy.

Ann N Y Acad Sci. 2018 Jan; 1411(1): 153–165.

Diabetic foot ulcer clinic recommends the application of lasers to stimulate wound healing in cases of nonhealing ulcers. The body’s natural healing processes can be accelerated by using a Laser wavelength of light that is targeted to increase blood flow at the wound site. Reduced pain, accelerated tissue repair, faster wound healing along with improved nerve function and vascularity are the benefits of Laser therapy. Evidence of multiple benefits of Laser in the treatment of wound healing has risen promising scientific application of Laser therapy in the treatment of diabetic foot ulcer.

Painless Treatment of Diabetic Foot Wounds or Ulcers

(Diabetic) foot wounds or ulcers are open sores typically formed on legs of diabetic patients. Ulcers are formed when the skin breaks up and the underlying tissues are exposed. According to APMA, American Podiatric Medical Association, around 15% of diabetic patients develop foot ulcers and among them, up to 25% may need an amputation. However, those who have had an amputation are at risk of losing their lives in less than 5 years as it becomes difficult for the amputation wound to heal.

What causes diabetic foot ulcers?
  • Poor blood circulation (Lower Extremity Ischemia) . One form of vascular disease wherein the blood doesn’t circulate properly to the legs resulting in formation of wounds/ulcers and also makes it difficult to heal.

  • Hyperglycemia / High blood sugar levels. High sugar levels in blood make it difficult for the body to fight off infections. Even a small prick may become a large wound that is difficult to treat.

  • Peripheral Neuropathy (loss of sensation due to nerve damage). This condition is the cause of foot ulcers in 90% of the cases. If the nerves in the feet are damaged (high blood sugar levels in blood have a negative effect on nerves, veins and arteries in the body), it becomes difficult for a person to feel any injury to the legs (or in the infected area)
Symptoms of Diabetic Foot Ulcers

The most common symptom of diabetic foot ulcers is the darkening of the skin on the area, initially to bluish or dark brown and then to black as the skin dies due to insufficient blood supply. Then, there may be pus oozing out of the wound/ulcer along with pain, swelling, inflammation, and irritation.

The next stage will be the death of the underlying tissue due to infections (called gangrene). This may be accompanied by smelly discharge, and pain and the area may also become numb.

You should see your general physician or a diabetic wound care specialist as soon as you see any of these symptoms. If you see any change in colour of skin associated with pain near your feet and if you know that you are diabetic, you must see your doctor and get it checked up. Remember, a stitch in time saves nine and who knows, that visit might save your limb and your life too.  Your doctor will then assess the situation depending on the severity of the wound ranging from a simple lesion on the skin to a deep, damaged tissue underneath the skin and start treatment accordingly.

Painless treatment of diabetic wounds/ulcers

Usually, your general physician will be able to take care of the wound if it is in the initial stages. If he/she thinks that the wound is progressing without responding to the drugs administered, you will be referred to a wound or ulcer care specialist. Treatment for diabetic wounds or ulcers includes:

  • Wound offloading. The idea is to remove the weight that may be applied on the affected area and let it heal. If the wound is under the feet, you may be asked to use a wheelchair until the wound heals completely. Special footgear or support may be given to reduce the pressure on the wound.

  • Debridement – This is the process of removal of dead skin and tissue from the area to stop the infection from progressing to other surrounding areas.

  • Dressings that help the skin to heal. Skin substitutes and collagen-infused dressings may be used to wrap the wound/ulcer which can help the wound heal faster by supplying the basic building blocks for new skin.  Some dressings may be designed to remove the moisture from the area and to prevent any further infection.

  • HBOT (Hyperbaric Oxygen Therapy) – If treated at the right time (unless it’s too late), HBOT can help wounds heal without any medicines. Of course, your doctor might put you on medication that can help control infection, if any. Oxygen therapy supplies a lot of oxygen to the wound and also during the procedure/therapy, a lot of oxygen gets dissolved in blood plasma and gets supplied to every corner of the body. HBOT helps in regenerating blood vessels (angiogenesis) that will be able to supply blood to the wound. This not only helps fight off infection but also helps the wound heal faster. (75% faster). Research studies have shown that HBOT intervention can reduce the chances of amputation of limbs to a great extent

  • Vascular wounds that may not be necessarily due to diabetes are also treated at our wound or ulcer care center in Chennai. Our expert doctors assess the condition of the veins and arteries in the area and can treat the wound by fixing the problematic vein(s) or arteries.

All You Need to Know About Venous Ulcers

In simple terms, ulcers are wounds on skin. As you are aware, wounds on skin can form anywhere on the body and they need not form just because of an injury. When the veins inside your body have problem letting the blood flow to the heart, they bulge; the area around the veins also bulge resulting in ulcers. These are called venous ulcers.  Typically, venous ulcers form on the legs, especially near the ankle area. Sometimes, venous ulcers are also referred to as ‘leg ulcers’.

What causes venous ulcers?

Usually, venous ulcers are caused when there is a problem with the veins in your legs. The blood inside our body moves to the heart through veins. The one way travel of blood is facilitated by the valves present inside the veins. The veins also ease pressure on the leg when walking. When the valves in the veins are damaged (for any reason), the pressure on the leg builds up. This is called ‘Sustained Venous Hypertension’. As the blood pressure in the area builds up, it leads to swelling of the area and the skin resulting in ulcers.

Varicose veins is also another reason why venous ulcers may form. Varicose veins are the bulged veins with damaged valves that cannot facilitate the blood to pass through. They show up as thin lines on the surface of the skin or like big worms in the body that are clearly visible. Sometimes, varicose veins may not hurt but for some, they may hurt real bad. Venous ulcers or leg ulcers form when a person is suffering from varicose veins. 

Chronic venous insufficiency is another condition when the blood pools up in the legs without getting pumped to the heart. This results in bulging of the legs. Extreme bulging of the legs puts tremendous pressure on the skin in the area resulting in the formation of ulcers.

Treatment for venous ulcers or leg ulcers

Leg ulcer treatment options include:

  1. Compression therapy includes wearing compression stockings that can help in moving the blood to the heart and helping in reducing the swelling of the skin and varicose veins.
  2. Leg Elevation – Keeping legs in an elevated position for 30 mins, three or four times a day can help in good blood circulation, especially in people who stand long at work or home.
  3. Proper leg wound care and dressing of the affected area.
  4. Use of antibiotics as prescribed by the vascular surgeon or your general physician.
  5. Debridement – Thoroughly cleaning the wound and removing all the dead, thick skin and tissue near the infected area.  Post-debridement, regular nursing of the wound is necessary.
  6. Skin grafting – After cleaning up of the wound or debridement, skin from healthy areas of the body is taken to replace the damaged and dead skin in the affected area.
  7. Surgery for venous insufficiency may also be performed if your doctor thinks that it is appropriate.

You can always consult Varicose veins specialist for the best treatment options for your venous ulcers or leg ulcer condition. You can find detailed information about Venous Ulcers, their Diagnosis and Treatment options by reading our blog here

How to prevent venous ulcers?

  1. Workout regularly, and sitting for long as a couch potato at home or due to work can result in venous ulcers.
  2. If you are overweight or obese, start working out right away. Maintaining healthy body weight is important to avoid not just leg ulcers or leg wounds but for overall health.
  3. Keep your legs elevated for sometime every now and then.
  4. If you start noticing that your legs are swelling, wear compression stockings.

Effective Leg Workout Exercises to Prevent Varicose Veins

Inactivity in the legs over a period of time is one of the primary causes of varicose veins or spider veins. Changes in physical posture and activity can help prevent symptoms such as pain and discomfort arising from varicose veins.  While risk factors predispose to the development of varicose veins, complete prevention of the condition may not be possible, but regular focussed exercise can control the severity of the dysfunction. General fitness exercise can keep the body weight down to prevent the complexity of varicose veins but specific leg workouts can help pump the blood back up to the heart and reduce the amount of blood swelling the veins of the legs.

Low-impact leg workouts are best to prevent varicose veins

Managing a lifestyle with doctor/fitness trainer-approved exercise can help protect from developing varicose veins. High-intensity exercises like jogging and running are not advisable as they can increase the pressure within the veins and add to the problem. A slow start exercise regime can be gradually progressed to higher comfort levels. A careful beginning and working up to incorporate more activity, exercises can both prevent the symptoms of varicose veins and improve overall health that can delay the onset of varicose veins.

30 minutes of physical activity a day is the recommended intensity of a workout to prevent any vein disease. If a breakup of the time to 10 minutes, three times a day is more suitable to the individual, it can be planned likewise. Some of the low impact exercises that may work best for people to prevent varicose veins or spider veins include:

Walking – maintains venous pressure

Walking is one of the highly beneficial low-impact exercises, usually safe for people of all ages and fitness levels. Walking is a low-impact exercise that helps improve calf muscle pump action essential for the veins. Walking for a minimum of 30 minutes a day for five days a week is known to yield good benefits. Regular walks not only help lose weight but also maintain healthy venous pressure and strengthen the muscles of the legs.

Swimming – improves endurance

Swimming is considered to be a great low-impact cardio exercise, because it does not require the legs to bear the body weight. The buoyancy of water offered to leg movements in swimming, push the legs up and stop blood from pooling in them.  New swimmers can start easy by taking 30 seconds of activity and 30 seconds of rest. Grading to more specific exercise can be achieved by focusing on kicking with a kickboard or trying out full strokes. As progress demands, one may increase swimming time or the number of laps in small intervals at the rate of not more than a 10% increase week to week.

Bicycling – healthy circulation

Bicycling is also a low-impact exercise that can increase blood circulation without any strain to the joints. Regular cycling by riding a bicycle that is either mobile or stationary can strengthen calf muscles and promote healthy blood flow in the right direction. When duration and cycling posture involve long cycling sessions bent over handlebars, it can reduce blood flow to the legs. Hence a fitness expert can advise on the right way to bicycle.

Bicycle legs

Bicycle leg exercise imitate the movement of cycling. Lying on the back and legs in the air, bending them at the knee and pedalling them slowly is like bicycling. Both legs at once, or alternate one at a time can be worked out.

Lunges – strengthens muscles

Lunges have to start with getting into proper starting position, standing with legs apart. By stepping forward slowly, bend the knee and make sure to keep the knee directly above the ankle. Hold at that position, then slowly straighten the leg  to step back to the original position. This has to be repeated with the other leg. This way of working the leg muscles sends more blood to the heart, strengthens calf muscle action, preventing pooling of blood.

Calf Raises – pumps blood to the heart

Calf raise exercises are a simple set of leg workouts that improve blood circulation in the legs reducing the effects of poor vein health. The procedure starts from standing straight with feet at hip-width apart. With support from holding a chair or wall for balance, raising heels up off the floor to stand on the toes and then hold for few seconds before lowering the heels down strengthens calf muscles. This exercise has to be repeated a few times.

This calf raise exercise can be progressed to positioning on a staircase, with hands resting against a wall or a sturdy object such as the rail for balance. With heels hanging off the back edge of the stair, heels have to be raised a few inches above the edge of the step to be on tiptoes. When holding the position for a moment, and then lowering heels below the platform, calf muscles can be felt stretched. Three sets of such 10-15 repetitions has to be build up slowly and gradually to that level of performance.

Leg Lifts – drains venous blood

Leg lifts have to be done regularly for beneficial effects. This exercise can help stretch leg muscles and increase flexibility. Leg lifts have to be started while sitting or lying on the back, with feet straight out. Lifting one leg up at a time, holding it in the air then slowly lowering it down and repeating with the other leg is one complete movement. This has to be repeated a few sets and progressed to more sets for intense workouts. A tougher version of the leg lifts would be the standing position where with the support of a chair, alternate legs are lifted up, held for few seconds, and lowered.

Rocking feet – stretches calf muscles

Stretching out the feet muscles also helps improve blood circulation in the legs. This exercise is particularly good for the calf flexors. While standing with support or while sitting, rest the body weight on the ball of the feet for a few seconds, then lower the heel. Next, rest the weight entirely on the heel by lifting off the ball of the feet from the floor. This alternate movement, stretches the leg muscles and aids better circulation.

Simple Ways to Treat Varicose Veins at Home

Varicose veins that occur at some point in almost 20% of adults can be treated based on the symptoms of concern. The appearance of swollen and enlarged veins along the skin surface of legs and feet is more of a cosmetic concern in women. Treatment options range from self-care to minor surgery. There are ways one can adopt to reduce the undesired ugly appearance of distorted veins. First and foremost simple measures to achieve better appealing legs and get rid of unwanted body art with varicose veins are a combination of lifestyle modifications. Self-care methods can help prevent new varicose and spider veins and help subside but cannot get rid of existing dysfunctional veins.

Exercise

Regular exercise enhances blood circulation in the legs which help to push along the blood that has collected in the veins. Exercise also helps to lower blood pressure which is a common contributing factor to varicose veins. Even something as simple as walking boasts some seriously incredible benefits in controlling varicose veins. As walking is a very low-impact workout, it is especially good for people who suffer from varicose veins. Walking is a simple movement that helps strengthen calf muscles without much jarring or pounding that may cause strain. By strengthening calf muscles, improved circulation benefits those with varicose veins thus minimizing the appearance of bulging veins.

Pedaling on a static cycle or an elliptical is another great option for reducing symptoms of varicose veins. These exercise machines are low-impact like walking and aid even more in working calf muscles that help with the blood flow through the legs. Swimming and yoga are similar exercises that have an advantage without the risk of placing additional stress on circulation. Leg exercises that are easy to do at home and don’t require any equipment are also highly beneficial in subsiding the swelling of veins. Bicycle legs, calf rises, side leg lifts, and rocking are some of the simple exercises that can be started with just a few reps at a time and slowly build up strength and increase the number of repetitions. Depending on the severity of varicose veins, it is better to stay on the safe side and refrain from certain exercises such as running and weight lifting that may have a great deal of strain and pressure on the veins.

Exercising with varicose veins benefits the symptoms of varicose veins. By carefully choosing suitable workouts and not pushing too far, the benefits of exercising can be highly relieving but it is suggested to consult with a vein specialist to ensure that exercising does not cause additional damage to the diseased veins.

Compression stockings

Compression stockings help to reduce the ugly appearance and painful symptoms associated with varicose veins. Elastic compression wear works its way by applying pressure to the legs. The simple principle behind these compression garments is that they compress swollen veins, increasing the velocity of venous blood flow to aid the muscles and veins to push blood upwards towards the heart and thus prevent the pooling of blood in the veins of the leg. Stockings are typically knee or thigh-high. Prescription compression stockings exert the greatest amount of pressure and are fitted by a specialist to ensure that they are effective. Compression stockings are recommended to be worn during the day because sitting upright and standing are more likely to cause circulation problems.

Posture correction

Certain circumstances like a job that demands long-standing time can lead to the worsening of varicosity. Sitting in one position for a prolonged period of time seems to be the present trend of workstation requirements. Organization of the workspace is an important aspect. There should be enough room to move around and change body position. Changing body positions improves blood supply to the working muscles and contribute to the reduction of muscle fatigue and swelling of veins. Sitting cross-legged and having poor posture are other common mistakes that cause the pooling of blood giving the leg an out-of-shape appearance. Elevating the legs whenever possible makes it easier for the blood to return.

Modifications

Other possible changes that can be easily carried out in everyday life to avoid the unpleasant appearance of varicose veins are:

  • Wear non-restrictive loose-fitting clothes. Waist-constricting garments can bottleneck surface blood flow making varicose veins bulge and appear shapeless.
  • Avoid wearing heeled footwear as the raised posture weakens calf muscles, leading to blood pooling and swollen veins.
  • Foods that are salty or rich in sodium can cause the body to retain water, so cutting down on salt and sodium intake can lessen the swelling. Foods such as almonds, lentils, and leafy greens which are high in potassium can help to reduce water retention. Dietary changes with more foods rich in fiber and flavonoids improve blood circulation and are known to help shrink varicose veins.

Medical Intervention

Surgical advancements have made it easy to get rid of the “purple snake effect” that varicose veins can give the leg. With minimally invasive procedures, one can, not only get rid of repulsive varicose veins permanently but also find a solution for symptomatic varicose veins. An added advantage is that these are performed by surgeons as simple out-patient procedures requiring no hospital stay and the convenience of an immediate return to everyday activities.

Sclerotherapy is a non-surgical procedure that involves only a direct injection of a sclerosant into the damaged vein. The benefit of Sclerotherapy for patients with varicose veins is that it makes damaged veins collapse so that venous blood flow gets redirected through healthy veins and thus prevents chronic swelling mainly for those with cosmetic complaints. 

Endo Venous Laser therapy is done using energy from a Laser that creates intense local heat to destroy the walls of the vein. This procedure allows to close off the problem vein successfully but leaves it in place thus minimizing bleeding and bruising. This procedure offers less pain, faster healing, and a return to work with almost invisible cosmetic changes.  

VenaSeal closure system procedure is the latest medical advent that allows utmost patient comfort and minimizes recovery time in the treatment of varicose veins. The VenaSeal system is the only non-thermal, non-tumescent, non-sclerosant procedure that uses a formulated medical adhesive to seal or close the diseased vein, thereby allowing blood to get rerouted through neighboring healthy veins. This procedure ensures utmost patient comfort and requires only a bandage to be placed at the access site after the procedure. The superior relief over other procedures in terms of patient compliance is that the VenaSeal Closure system does not require compression stockings during the recovery period after the procedure.

What are some home remedies for varicose veins?

What are Varicose Veins?

Before we learn about home remedies for varicose veins, we need to know what varicose veins are. Varicose Veins are a condition where the veins in certain parts of the body get enlarged, swollen and twisted. They can be seen distinctly, just under the skin and often appear blue or purple. Varicose veins are most commonly observed in the legs.

Did you know that around 20 per cent of adults experience Varicose Veins?

Home remedies for Varicose Veins

There are numerous medical treatments available for Varicose Veins. However, there also exists some home remedies that one can follow to prevent, reduce or even cure Varicose Veins. Some of them are listed below;

  1. Clothes

Avoid wearing tight clothing like skinny jeans, uncomfortable leggings, under-sized socks, stockings, etc. These kinds of clothes can restrict blood circulation. Unrestricted blood circulation is of great importance in the fight against varicose veins.

  • Sleeping Position

Since varicose veins occur more often in the legs, it is advisable to sleep in a position where the legs are slightly elevated. Keeping a pillow underneath the legs during sleep is a simpler solution.

  • Sitting Position

One should always be mindful of their sitting position if he/she has a history, of symptoms or is affected by Varicose Veins. Crossing the legs while sitting should be avoided at all times because it would restrict smooth blood flow and may also cause physical pain depending upon the severity of the condition.

  • Food

Food rich in fiber and potassium is highly recommended. Cutting down the salt in daily diet is also suggested to prevent water retention.

  • Exercise

Exercising is a great way to lower the risk of varicose veins. It helps to lower a person’s blood pressure and also improves the circulation of blood in the body. This prevents the blood from being collected in the veins. Some recommended exercises are;

  • Running
  • Jogging
  • Cycling
  • Swimming
  • Dancing
  • Compression Stockings

These are available in stores that sell medical equipment. These stockings apply some pressure to the veins letting more blood flow toward the heart.  Knee-high stockings are also available. People using knee-high stockings have reported a reduction in swelling and pain after one week of using them.

  • Herbs / Plant-based foods:

Horse Chestnut Extract (Aesculus Hippocastanum L) – Extract derived from these nuts has proven to reduce leg pain, heaviness, and also itching in people suffering from chronic venous insufficiency, which is a major cause of varicose veins.

Sea Pine Extract (Pinus Maritima), and Butcher’s broom extract (Ruscus Aculeatus) both help in reducing leg swelling or edema associated with this condition.

  • Massaging the area:

Gently massaging the affected areas can help blood move through the veins. You can use massage oil or moisturizer for easier massaging. Avoid pressing the veins directly.

  • Be on the move as much as possible:

Try to get up and take a stroll at regular intervals if you are sitting for a longer time. This helps in smoother blood flow.

Food for Varicose Veins Prevention

What are Varicose Veins?

Varicose Veins is a condition where the veins in certain parts of the body get enlarged, swollen and twisted. They can be seen distinctly, just under the skin and often appear blue or purple. Varicose veins are most commonly observed in the legs. Food for varicose veins that can help reduct them are detailed in this article.

Did you know that around 20 percent of adults experience Varicose Veins at some point?

What are the foods that can help in treating Varicose Veins?

Intake of appropriate food for varicose veins can do wonders to the human body. Preventing and possibly even curing Varicose Veins is one of the perks or refining a person’s diet

  1. Cutting Salt:

   Minimising salt intake in daily foods is a good way to start. Salty foods tend to cause the body to retain water. Excessive water retention can prove to be adverse in the fight against Varicose Veins.

  2. Foods containing Potassium

Foods that contain potassium in high amounts do the opposite to the foods containing large quantities of salt or sodium. They reduce water retention in the human body and help to prevent Varicose Veins.

  Foods rich in Potassium include;

  • Bananas
  • Oranges
  • Apricots
  • Grapes
  • Spinach
  • Potatoes
  • Mushrooms
  • Cucumbers
  • Peas
  • Brinjal (a.k.a. Eggplant)
  • Broccoli
  • Tomato
  • Tuna
  • Chicken
  • Brown rice
  • Nuts

3. Flavonoids

Flavonoidshttps://en.wikipedia.org/wiki/Flavonoid are chemical compounds found in many fruits and vegetables. They are great anti-oxidants and also help to improve blood circulation. Flavonoids even help to eradicate toxins from the human body

Below is a list of some good sources of flavonoids;

  • Chocolate (Dark)
  • Tea
  • Onions
  • Grapes
  • Kale
  • Tomato
  • Peaches
  • Apples
  • Strawberries
  • Cranberries
  • Oranges
  • Lemons
  • Garlic

4. Reduce Caffeine

Most people today can barely start their day without a cup of coffee early in the morning. A larger portion of the population who don’t consume coffee also ingest caffeine in other forms like from sodas, colas or even chocolates.

Caffeine constricts the blood vessels. Although this is a short-term effect, it can prove to be unpleasant for anyone with severe or recurring condition of Varicose Veins. Furthermore, caffeine also increases blood pressure.

5. Foods relieving Constipation

Constipation puts pressure on the abdomen and the bowels. It is, therefore, important to incorporate foods in one’s diet that can help relieve constipation. Some of these foods are;

  • Fig
  • Apples
  • Prunes
  • Pear
  • Kiwi
  • Oranges
  • Lemons
  • Spinach
  • Sweet Potato
  • Beans
  • Peas
  • Lentils
  • Chia Seeds
  • Flax Seeds
  • Oats