Chronic Venous Insufficiency Treatment
- What It Is
- Risk Factors
- Living With
- User Questions
- Alternative Treatment
- Care Guide
- Questions for Your Doctor
- When to Contact a Doctor
- Find a Doctor
- Resource Guide
How to Treat Chronic Venous Insufficiency
Once the valves have been damaged, they usually cannot be repaired. Treatment is ongoing and is aimed at maintaining blood flow and preventing pooling of blood. Treatment involves the following:
- Elastic support-Your doctor will prescribe special elastic stockings that squeeze the veins in the legs and keep the blood from pooling.
- Elevation-Raise your feet and legs above the level of your heart while resting or sleeping. Your doctor may ask you to do this several times a day.
- Exercise-Your doctor may encourage you to walk and to do specific exercises for your legs and feet.
- Mineral bath therapy (balneotherapy)-This treatment may help to improve symptoms, even in advanced cases of chronic venous insufficiency.
- Movement-Avoid long periods of sitting or standing. If you go on an extended trip, get up and walk or flex your leg muscles every 30 minutes or so.
- Skin care-If you have a skin ulcer, your doctor may use bandages (Unna boots) and/or apply an antibiotic cream to help prevent infection. Wearing compression stockings may also promote healing.
- Sclerotherapy-This treatment involves injection of a caustic material into the malfunctioning veins. Scar tissue fills the veins, and the blood is rerouted through other, more functional veins. Over time, your body will resorb the vein.
- Ablation-A tiny electrode is inserted into the malfunctioning vein, and electricity/heat scars the vein, blocking it off. As with, sclerotherapy, your body will resorb the nonfunctional vein over time.
- Surgery-Surgery is reserved for the few cases where discomfort or ulcers do not respond to conservative treatment. The type of surgery recommended will depend on your particular reason for having this condition, and the results of testing. Some possibilities include:
- Valve repair
- Vein stripping-This involves the removal of the faulty vein.
- Bypass surgery-A new length of artificial vein (a graft) is connected to two areas of the malfunctioning vein, in order to allow the blood flow to bypass the area that is not working.
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Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Copyright ©2014 EBSCO Publishing All rights reserved. Source: EBSCO