Itching, tingling, pain, heaviness, leg cramps (almost always at night), varicose veins and swelling in the ankles and feet are some of the symptoms of venous insufficiency. This is what Dr. Raúl Panizo, a cardiovascular surgeon at the Ricardo Palma Clinic After pointing out that if a person presents these signs, they should go to the specialist immediately to have an early diagnosis and adequate treatment.
This condition usually occurs due to malfunctioning of the valves in the veins. Normally, the valves in the deep veins of the legs keep blood flowing toward the heart. When there is venous insufficiency for a long time, the walls of the veins become weak and damaged.
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Herein lies the importance of learning how to prevent it. To do this, it is recommended to follow a balanced diet, maintain a healthy weight, fight constipation, exercise regularly, wear special stockings and avoid a sedentary lifestyle, as well as staying long periods of time sitting or standing.
However, there are other factors that can predispose its development. For example, age, family history of varicose veins, being female (hormone levels), obesity, lack of physical activity, pregnancy, and spending long hours in hot places.
To diagnose venous insufficiency, the doctor will perform a comprehensive evaluation and diagnostic tests such as venous plethysmography and venous Doppler on the patient. In this way, you will be able to prescribe the most appropriate treatment to control the condition, which in advanced stages produces darkening of the skin, wounds at the ankle level, among other discomforts.
- Sclerotherapy: It consists of the application of medications (sclerosants) in the small veins that protrude in the legs. It is performed to improve the aesthetic appearance of the treated area and relieve symptoms related to the condition. It must be performed by a specialist as it can have serious complications.
- Surgery (Muller technique): It is a minimally invasive microsurgery. Varicose veins are removed by micro-incisions along the dilated veins.
- Endoluminal laser: It is a technique used in those patients with important varicose dilations. Use a heat source with fibers to burn the veins. It is a procedure that not just any doctor can do; since it can cause injuries to the skin or nerves neighboring the veins.
- Radiofrequency: It is the least used. Very similar to laser, but the mechanism of occluding the veins is by sound.