A 71 year old with varicose veins in his lower limbs and wanted surgery

You are a patient in Shanghai, you can come to my clinic for face-to-face consultation. You can check my clinic hours. On Thursday morning, he was in the General Hospital of East China Hospital, and on Tuesday afternoon, he was in Minhang Branch of East China Hospital.

In addition, I also have a special outpatient clinic, that is, every Tuesday at 8:30 am on the 5th floor of Building 7, which is appropriately arranged according to your time. Reply to the expert:

Huadong Hospital Affiliated to Fudan University - Vascular Surgery - Deputy Chief Physician Cui Jiasen View the original post".

Not all patients with varicose veins of the lower extremities require surgery**. However, patients are advised to consider surgery if:

The veins of the lower limbs are severely twisted and clumped, and even the thighs are varicose veins;

After walking and standing for a long time, the legs feel sore, heavy and even depressed edema of the lower legs, which affects the normal life and work of the patients;

There was **eczema, stasis dermatitis caused by varicose veins, which still persisted after **department**;

The patient himself feels that varicose veins affect the appearance;

The leg veins are tortuous and clumpy, and there are often red, swollen, hot, and painful phlebitis;

Patients with varicose veins who have a clear family history of varicose veins of the lower extremities may be considered for surgery as soon as possible**. At the same time, it should be clear that the patient does not have contraindications to surgery such as deep vein thrombosis of the lower extremities and inferior vena cava return disorder before performing varicose vein surgery**.

Depending on the severity of the disease, generally speaking, mild varicose veins can be controlled by wearing compression stockings first, and severe ones of course require surgery**, because serious ones can lead to complications and even old rotten legs. Drugs don't work very well.

Varicose veins of the lower extremities are mainly caused by standing for a long time or engaging in heavy physical activities for a long time, which leads to the obstruction of the venous valves of the lower limbs, the obstruction of venous return, and the increase of pressure in the tortuous blood vessels, thus causing them to expand. It is recommended to go to a regular hospital for symptomatic treatment**, avoid sitting for a long time, and appropriately elevate the lower limbs to avoid blood stasis.

Surgery is the most effective method. Nowadays it is all minimally invasive surgery, and varicose vein surgery is a minor operation. Do not worry.

Mild varicose veins can be treated conservatively** or by injection**.

Usually avoid sitting and standing for a long time, you can walk around and tiptoe more, often elevate the affected limb, wear medical elastic stockings, elevate the leg before going to bed, do more exercise such as swimming and jogging, and do not do exercises that increase the pressure on the lower limbs.

If you can't avoid standing and sitting for long periods of time, you can walk a few steps when you're okay, tiptoe, or wear medical compression stockings.

Sleeping with varicose veins in the legs can help blood flow back in the legs, reduce the pressure on the valves in the lower limbs, and delay the development of varicose veins.

Notes:

1. Reduce the simple standing for long periods of time.

2. Avoid cold and long-term immersion in cold water of the lower limbs.

3. If you need to stand and sit for a long time, you should change your posture from time to time. When stilting your legs, you should change the position of your legs after a period of time.

4. Attention should be paid to preventing constipation, the whole body should be relaxed after returning home, and obese people should have a plan.

1.Lose weight in moderation.

The best way to deal with varicose veins is to prevent them in advance, such as those who are obese and overweight. ** It can greatly reduce the pressure on the legs, can speed up blood flow, and significantly relieve varicose veins.

2.Don't stand for long.

However, for people in the service industry, there is no way to change the standing time every day, and there are people who often carry heavy loads. When we are usually fine, we can massage our legs, such as pinching and kneading, and if we can persist, we can unconsciously relieve varicose veins.

3.Wear compression stockings.

You can wear some elastic stockings to alleviate it, although it is a little expensive, but compared to the harm caused by varicose veins, you should still prepare. The elastic stockings on the market have the same function, but everyone's condition is different, the thickness of the legs is different, and the pressure of the compression stockings required is also different.

1. Walk briskly.

Walk three times a day in the morning, noon and evening, with an average of 20 minutes each time. During brisk walking, the contraction of the gastrocnemius muscle is strengthened, which favors venous blood return in the lower extremities. At the end of the brisk walk, lower your legs high and massage them with your hands.

2. Keep swimming.

Swimming is a very healthy sport, people consume more calories when exercising in the water, and swimming for about half an hour a day can consume more body calories, which has a leading effect. More importantly, varicose patients' blood is not easy to disperse in the lower limbs, and the water during swimming will increase the elasticity of blood vessels, and in the water, leg flexion, leg extension and water action will increase the muscle tension of the legs, which is conducive to promoting blood circulation in the legs, helping the blood in the legs to be better transmitted to the upper side, and effectively preventing varicose veins.

3. Ride a bike.

As the saying goes, the plan of the day lies in the morning, the morning air is fresh, the human body is the most vigorous, and cycling is conducive to promoting the body's metabolism. By riding a bicycle, the blood circulation in the legs is accelerated, and the stagnant blood is dispersed. If you ride a bicycle regularly, the blood in your body will continue to circulate normally, and your vein valves will not be damaged and cause varicose veins.

4. Crawling exercises.

Crawling is a simple exercise that has a good effect on venous blood return in the lower limbs. The practice time changes from short to long, starting slowly and then fast. During the crawling process, the legs are constantly in motion, which promotes blood circulation in the legs.

Varicose veins due to the congenital vascular wall membrane is relatively weak or rarely changes for a long time to maintain the same posture, blood accumulation in the lower limbs, and the venous valve is destroyed over time and the venous pressure is too high, which is a symptom of the protruding surface of the blood vessels. It is characterized by the protrusion of blood vessels on the surface, like earthworms, twisting and turning, pimples. Guidance:

It is recommended to observe whether there is any local aggravation of symptoms and soreness or other symptoms after standing for a long time, if it is causing other symptoms, it is usually varicose veins. Can be conservative**!

There may be an embolism, so go to the hospital for a check-up.

It may be varicose veins**, but general varicose veins and numbness in the legs are relatively rare, so it is recommended to go to a regular specialist hospital for examination.

** Methods for varicose veins:

Eat less salt: salt has a high ability to absorb water, and patients with varicose veins will consume too much salt and cause edema, resulting in the lower limb veins with poor blood circulation, and the blood circulation pressure becomes enlarged, accelerating the expansion and extension of venous blood vessels. Not good for varicose veins**.

Brisk walking: Walking can promote the metabolism of the whole body, help blood circulation, reduce the pressure on the veins and blood vessels of the lower limbs, and promote the excretion of harmful substances in the veins and blood vessels of the lower limbs, and avoid phlebitis and the formation of venous thrombosis.

Wear compression stockings or use elastic bandages to compress to reduce venous reflux and congestion, and pay special attention to the fit when choosing medical compression stockings, if the elastic stockings do not fit, they are not only ineffective, but also uncomfortable. It's best to put it on as soon as you get up in the morning and take it off when you go to bed at night.

It may be varicose veins, the rate of varicose veins is relatively high, but other reasons are not excluded, it is recommended to lie flat and raise the affected leg to the position of the heart, which can help relieve edema.

1.The first thing is to avoid standing or sitting for long periods of time, and to always let your feet elevate, put down exercises, or if possible, take small walks.

2.You should develop the habit of wearing compression stockings for one hour a day to exercise your legs, such as walking, brisk walking, cycling, running or treadmill, etc.

3.Lie down several times a day and raise your legs above your heart to promote venous circulation in your legs.

4.In general, the precautions for varicose veins are to maintain a normal weight and not be overweight, because excessive weight will increase the burden on the leg veins.

5.Avoid lifting heavy objects weighing more than 20 pounds (about 10 kilograms).

6.Do not soak your feet in water at a temperature of 40°C or higher for a long time.

7.Keep your feet and legs clean and avoid trauma that may cause them to break down.

8.When you go to bed every night, just raise your legs about 6 and maintain the most comfortable position, so don't let your legs stiffen and backfire.

Varicose veins prevention and treatment methods.

1. If your work requires you to sit or stand for long periods of time, you can do leg stretches every once in a while, such as raising your feet and then lowering them, or taking a small walk if you have the opportunity. This is one of the ways to prevent varicose veins.

2: Patients can wear that kind of elastic stockings every day for an hour of leg exercise, which can not only prevent leg edema, but also slim the legs. Such as walking, brisk walking, cycling, running or treadmill, etc., to avoid the occurrence of varicose veins.

Three: The patient takes some time out every day to do some leg elevation exercises, such as lying down, then raising the leg above the heart position, and then maintaining the knee flexion, which can promote leg venous circulation.

Four: You should also pay attention to your weight not to be too heavy, because being overweight often increases the burden on the meridians of the legs, which is not conducive to varicose veins.

5. Patients should try not to lift heavy objects except for work, such as heavy objects exceeding 10 kg.

Hello, for your case, knee effusion is not related to varicose veins, I think it is caused by osteoarthritis. Best wishes!

Follow-up: Thank you, what is osteoarthritis? What should I do**? What will help in the future**?

Problem analysis: Hello, please don't worry, there will be no sequelae of surgery. Varicose veins are the most common limb diseases of the venous system, and the main reason for the formation is due to the congenital vascular wall membrane is relatively weak or the same posture is rarely changed for a long time, blood accumulates in the lower limbs, and the venous valve is destroyed in the case of accumulation and venous pressure is too high, which is a symptom of the protruding surface of the blood vessels.

Suggestions: It is recommended to actively go to the general surgery or vascular surgery department of a regular hospital, and under the guidance of the doctor, it is recommended to treat the symptoms**, and it is recommended before going to the hospital for examination: 1. Avoid standing for a long time or sitting frankly, and walking can use the pump effect of the calf muscles to promote venous return; 2. Elevating the lower limbs can alleviate symptoms such as edema; 3. Wearing elastic stockings with pressure gradient can delay the progression of hunger disease; 4. Some drugs can play an auxiliary role, commonly used are Ai Mai Lang, Mai Zhiling tablets, etc., I wish you a good morning!

It is caused by poor blood flow after standing for a long time. Go to the regular one, I'm just cured in the regular one, and I haven't been ** for 5 years. Fear of harming the plate.

There is a very good one in Qixia District in Nanjing, many people are cured there, and it is not **, you will know if you look for Zou Yangheng.

Problem Analysis:

Varicose veins of the lower extremities, if the deep venous return function is normal, high saphenous vein ligation and decortication may be considered.

Suggestions: For saphenous vein ligation and decortication, it is also a minor operation, the technical level is more mature, as long as the preoperative examination is perfected before surgery to rule out surgical contraindications, the general risk is not large. It is recommended that you seek an evaluation by your doctor on a case-by-case basis.

Problem Analysis:

Hello, varicose veins of the lower limbs should be decided according to the degree of varicose veins, if mild varicose veins, only mildly dilated, usually not obvious, can be expanded after standing for a long time, relieved after resting, consider that you can occupy time without surgery**. If there is significant dilation, flexion into a clump, and discomfort in the lower extremities, surgery should be considered**.

Suggestions: It is recommended that if you have obvious varicose veins in your lower limbs, and there is also swelling pain and discomfort, please go to a regular hospital for further examination and diagnosis.