Conservative Management and Compression

Everyone with venous insufficiency will benefit from lifestyle measures that include regular exercise, maintaining a healthy weight, periodic rest and elevation of the legs, and wearing graduated compression stockings. All these measures help improve venous return.

Exercise involving the legs will help the calf muscles pump more blood back towards the heart. Exercise also helps with maintaining a healthy weight.

Weight loss reduces pressure on larger veins in the upper legs and abdomen and allows for easier return of venous blood.

Avoid prolonged periods of standing or sitting with legs dependant if possible and aim to rest and elevate the legs for 15 to 30 minutes three times a day. This reduces blood pooling in the leg due to gravity.

Finally the regular use of properly fitted graduated support stockings will help venous return when up on your feet for prolonged periods. These stockings provide the greatest compression around the foot and ankle and gradually reduce pressure as they move up the leg. Compression stockings will reduce pooling of blood in the superficial veins and the deep veins of the lower leg. Knee-high compression stockings, usually that provide 20-30 mmHg of compression, will often help relieve symptoms such as aching or swelling. These stockings compress the veins and prevent blood from traveling down pooling in the legs. If you have insurance, most companies require that you wear compression stockings for at least three months before covering any other type of treatment for varicose veins.

Medications such as horse chestnut extract can temporarily improve symptoms such as itching , aching or burning discomfort.

Lifestyle measures and medications can improve symptoms and help prevent further problems. However they cannot reverse existing damage and only further treatments (interventions) can remove spider or varicose veins. Learn more by contacting us today.

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