Varicose veins on the legs in men: causes, symptoms and pathological treatment

A phlebologist conducts a diagnostic examination of a man with varicose veins on his leg

Men are less likely to experience pathologies such as varicose veins, however, it does not bypass completely. As a rule, representatives of the stronger sex seek medical help only when the disease becomes severe, which greatly complicates therapy. To date, doctors know almost everything about varicose veins, and with timely treatment they will always provide qualified help.

Men often ignore the first symptoms of the disease, considering them only cosmetic defects. The understanding that there is something wrong with health comes only at this time when a large inflamed venous node appears on the leg, causing pain and suffering. Especially persistent patients go to the doctor only after the appearance of an unhealed trophic ulcer on their leg.

Dangers of varicose veins

Varicose veins at the bottom in a man

What are the dangers of varicose veins in men - everyone needs to know. At first glance, the disease seems to be just a cosmetic defect, but in reality everything is more serious. By itself, varicose veins do not pose a threat to the life or health of the patient, but thrombophlebitis that develops against its background is a serious cause for concern! There are chronic and acute forms of thrombophlebitis. The most dangerous complication is the separation of blood clots that can block the pulmonary arteries (pulmonary thromboembolism).

In the future, venous pathology carries the following risks to health and life:

  • thrombosis - when the veins expand, the blood begins to clot, which gives rise to the appearance of blood clots. When a blood clot breaks, a blockage of the duct occurs, which can lead to death;
  • inadequate blood supply to the legs - with advanced varicose veins leads to the development of trophic ulcers, severe inflammation, tissue necrosis and gangrene;
  • performance decline - in severe pathology, edema in the lower part of the foot develops, which seriously affects performance, gradually leading to disability.

In the absence of adequate treatment, there is a high risk of pathological transition of the veins to the inguinal area, which threatens with violations of reproductive function and diseases of the genitourinary system.

Causes of disease development

Without preconditions, vein expansion does not occur. The causes of varicose veins in men are no different from those that cause the disease in women. The following give rise to the development of pathology:

  • hereditary weakness of the venous valve- the main factor that causes the appearance of varicose veins. If it is present, special regular monitoring of the condition of the foot is required;
  • frequent constipation- with this violation of digestion, a small pelvic vein load occurs, which causes a gradual blood stasis in the developing legs;
  • overweight- due to excessive leg load, blood stasis develops, which in turn leads to pathological stretching of the veins without the possibility of reverse recovery;
  • prolonged excessive physical activity- with them, blood circulation in the tissues is disrupted and the full outflow of blood from the legs stops. Because of this, stagnation develops, which causes disease;
  • work sitting or standing- in such cases, due to squeezing the veins for a long time, severe blood stasis develops, changes the shape of the venous valve and stretches the walls of the ducts;
  • smoking- with prolonged use of nicotine, toxic substances penetrate the body, which thins the walls of the veins and causes loss of their elasticity;
  • alcohol abuse- action similar to nicotine.
The development of varicose veins due to venous valve disorders and the formation of blood reflux

In the complete absence of predisposing factors, varicose veins are rare. Suffering from pathology especially people aged 45 years.

Manifestations of varicose veins

In men, the symptoms of varicose veins appear earlier, and it is important to recognize them in a timely manner. Representatives of the stronger half rarely pay attention to the first manifestation, and therefore for them the acute symptoms of the disease always come as a surprise. On the development of venous pathology they say:

  • spider veins - they are the first sign of the disease. On the legs appear in the form of strange patterns - cobwebs. From this moment it is necessary to begin treatment of the disease. As it progressed, blood vessel protrusion and an increase in the severity of the asterisk were observed;
  • goosebumps on the limbs - due to a decline in blood supply, a feeling of crawling on the skin is often observed, sometimes they can turn into seizures, especially at night;
  • pain - an unpleasant sensation appears along a diseased vein after prolonged physical exercise or being in an uncomfortable position for the legs. With the further development of the disease, night pain in the legs is also observed, which can only be prevented by raising the legs above the body, for example, by placing a pillow or roller under it;
  • swelling - at first, the swelling appears only in the foot area, and as the disease progresses, it rises even higher. Initially, edema appears only after prolonged physical exercise and disappears if you give your feet a rest. Further, the swelling becomes permanent, and even a long break does not eliminate it.
  • darkens and thickens the skin;
  • constant low temperature of the feet;
  • deterioration in the sensitivity of the feet and lower legs;
  • trophic ulcer formation.

Many patients seek qualified medical help only 10-15 years after the first signs of leg varicose veins appear, when their condition becomes so severe that it interferes with normal daily life, not to mention full working capacity.

How the diagnosis is made

To make a diagnosis, you need to visit a phlebologist, who, after a visual examination, will make a primary diagnosis. Next, the specialist will send you for an ultrasound examination of the vein. The procedure is similar to ultrasound, but the graph shows not only the tissue, but also the speed of blood flow and its quality. Additional examinations are prescribed less frequently, as the signs of varicose veins are very clear and obvious. Among them:

  • CT scan;
  • CT angiography;
  • coagulological blood test.

Treatment

Procedures to reduce the lumen of diseased vessels with varicose veins in the legs

Currently, there is no effective conservative therapy that can cure varicose veins. It is carried out in combination with surgical treatment methods and is designed to improve the quality of life of patients and slow the progression of pathology.

All therapeutic actions pursue the main goal:

  • Removal of symptoms of chronic venous insufficiency.
  • Removal of the manifestation of valve insufficiency - because of this, blood stasis occurs, because the valve loses its ability to regulate blood flow.
  • Prevents the development of complications - the main consequences are tissue necrosis and sepsis due to infection of the tissues at the site of the ulcer.
  • Prevention of recurrent disease.

With rapidly progressing varicose veins, its treatment is only possible through surgery. However, conservative therapy is still indicated prior to surgery to improve the patient’s condition. Treatment, as a rule, is selected individually, depending on the patient's condition. The goal of therapy is always to reduce the lumen of the diseased vessel to eliminate congestion in it.

Conservative therapy

Conservative treatment begins after the patient’s first treatment for medical assistance.

First of all, compression therapy is used. The essence is to create an artificial external support corset for the vein, which will prevent its protrusion and promote better lymphatic drainage. To do this, use a tight bandage with an elastic bandage or special compression underwear. You can not prescribe such underwear for yourself, as there are contraindications to its use.

Medications prescribed by a phlebologist depend on the degree of damage to the veins and the course of the disease. When the venous bed is significantly damaged by the disease, the most powerful phlebotropic drugs are used in the preparatory stage for surgical intervention.

To reduce the risk of blood clots and increase blood outflow from the lower legs, the use of anticoagulants and antiplatelet agents is indicated.

The disease cannot be eliminated without the use of venotonic drugs. The drug is produced in the form of ointments, gels and tablets for oral use. Venotonics are almost never used for injections.

Treatment of mild varicose veins is carried out with non-surgical drugs. To normalize the patient’s condition, the use of non-steroidal anti-inflammatory drugs is indicated. In addition, for the fastest results, gels and creams for topical use are also indicated. Among them are anticoagulants. With the presence of infection, antibiotics are included in the therapy. Acting directly on the inflamed area, they bring quick relief, eliminating unpleasant symptoms.

Invasive Therapy

Treatment with invasive methods is used in the early stages of the disease and in its advanced form. At the onset of pathology, low traumatic puncture sclerotherapy is performed. Thus, diseased veins are not removed from the circulatory system.

Lower leg vein sclerotherapy - an invasive method for the treatment of varicose veins

If a severe form of varicose veins is diagnosed, then surgical removal of the diseased vein is indicated - phlebectomy. Along with that, conservative treatment is also carried out. Phlebectomy is performed in 4 stages:

  • elimination of the source of reflux;
  • removal of the main saphenous vein;
  • removal of varicose veins;
  • perforated vein surgery.

Removal of the diseased saphenous vein can be done in almost any hospital, as it does not require special equipment. All general surgeons easily cope with this work. Low traumatic interventions are usually performed only in large clinics and specialized centers.

If it is not possible to visit a phlebologist, and problems with the veins have appeared, a surgeon or therapist will prescribe treatment. Their knowledge is enough to choose a drug and determine the patient's condition.

prevention

Compression underwear for the treatment and prevention of varicose veins in the legs

Preventive measures, even with a hereditary predisposition to the disease, help protect the veins in the legs from the development of pathology. If a man follows the recommendations, then even with hard work he manages to avoid varicose veins. Prevention is as follows:

  • to quit smoking;
  • avoid excessive consumption of alcoholic beverages;
  • compliance with the drinking regime - you need to drink 2 liters of clean water per day, regardless of liquid food. This ensures normal blood viscosity;
  • active lifestyle;
  • maintain a normal weight;
  • the use of elastic bandages to support the veins while lifting weights;
  • during long journeys in transport and flights by airplane, it is necessary to get up or stretch your legs periodically, promoting lymph flow;
  • ensure proper rest for the legs in a supine position for at least 1 hour a day, regardless of sleep duration.

Remember that you should not ignore the first manifestations of the disease, considering it only a cosmetic defect. If therapy is started on time, then there is a chance to get rid of the disease or stop further progression.