Varicose veins in the legs in men: causes, symptoms and treatment of pathology

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

Men are less likely to suffer from such pathology as varicose veins, however, this does not completely bypass them. As a rule, members 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 a cosmetic defect. Understanding that something is wrong with health comes only at the moment when large inflamed venous nodes appear on the legs, causing pain and suffering. Particularly persistent patients go to the doctor only after the appearance of trophic ulcers on the legs that do not heal.

Danger of varicose veins

Varicose veins of the lower extremities in men

Everyone must know the danger of varicose veins in men. At first glance, it seems that the disease is just a cosmetic defect, but in reality it is much more serious. Varicose veins do not in themselves pose a threat to the patient's life or health, but thrombophlebitis that develops on his background is a serious cause for concern! There is a chronic form of thrombophlebitis and acute. Its most dangerous complication is the separation of a blood clot that can block the pulmonary artery (pulmonary thromboembolism).

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

  • thrombosis - when the veins dilate, the blood begins to stagnate, causing blood clots to form. When a blood clot ruptures, a blood vessel becomes clogged, which can lead to death;
  • insufficient blood supply to the legs - with advanced varicose veins leads to the development of trophic ulcers, severe inflammation, tissue necrosis and gangrene;
  • reduced performance - in severe pathology, edema of the lower extremities develops, which seriously impairs performance, which gradually leads to disability.

In the absence of adequate treatment, there is a high risk of transition of venous pathology to the inguinal region, which threatens the violation of reproductive function and diseases of the genitourinary system.

Reasons for the development of diseases

Without preconditions, varicose veins do not occur. The causes of varicose veins in men do not differ from those that cause the disease in women. The following causes the development of pathology:

  • hereditary weakness of the venous valves- the main factor that causes the appearance of varicose veins. If present, special regular monitoring of the condition of the legs is required;
  • frequent imprisonment- with this violation of digestion there is an overload of the veins of the pelvis, which develops a gradual stagnation of blood in the legs;
  • extra pounds- due to overloading the legs, blood stasis occurs, which in turn leads to pathological stretching of the veins without the possibility of reverse recovery;
  • prolonged excessive physical activity- their blood circulation in the tissues is disturbed and the full outflow of blood from the legs stops. As a result, stagnation develops, causing disease;
  • sitting or standing work- in such a situation, due to the long compression of the veins, there is severe blood stagnation, deformation of the venous valves and stretching of the walls of blood vessels;
  • smoking- with long-term use of nicotine, toxic substances penetrate the body and thin the venous walls and lead to the loss of their elasticity;
  • alcohol abuse- The action is similar to nicotine.
Development of varicose veins as a result of venous valve disorders and blood reflux

In the complete absence of predisposing factors, varicose veins are rare. The pathology mainly affects people older than 45 years.

Manifestations of varicose veins

In men, the symptoms of varicose veins appear early, so it is important to recognize them in time. Representatives of the stronger half rarely pay attention to the first manifestations, so for them the acute symptoms of the disease are always surprising. They say about pathological varicose veins:

  • spider veins - they are the first sign of disease. They appear on the legs in the form of a distinctive pattern - cobwebs. From this moment it is necessary to begin treatment of the disease. As it progresses, bulges of blood vessels and an increase in the weight of the asterisks are observed;
  • tingling in the limbs - due to the deterioration of the blood supply, a feeling of crawling on the skin is often observed, sometimes they can turn into convulsions, mostly at night;
  • pain - unpleasant sensations occur along the diseased vein after prolonged physical exertion or staying in a position that is uncomfortable for the legs. With the further development of the disease, nocturnal pains in the legs are also noticed, which can be prevented only by raising the legs above the body, for example, by placing a pillow or a roller under them;
  • swelling - initially swelling occurs only in the foot area, and as the disease progresses, it grows more and more. Initially, edema appears only after prolonged physical exertion and disappears if the legs rest. Furthermore, the swellings become permanent, and even a long rest does not remove them.
  • darkening and thickening of the skin;
  • constantly low foot temperature;
  • worsening of sensitivity of the feet and lower legs;
  • formation of trophic ulcers.

Many patients seek qualified medical care only 10-15 years after the first signs of varicose veins appear on their legs, when their condition becomes so bad that it interferes with normal daily life, not to mention full-fledged working ability.

How the diagnosis is made

To make a diagnosis, it is necessary to visit a phlebologist, who will make a primary diagnosis after a visual examination. Then the specialist will send you for an ultrasound examination of the veins. This procedure is similar to ultrasound, but the graph shows not only the tissues, but also the speed of blood flow and its quality. Additional examinations are prescribed less often, because the signs of varicose veins are very clear and obvious. Among them:

  • CT scanner;
  • CT angiography;
  • coagulation blood tests.

Treatment

A procedure to reduce the lumen of a diseased vessel with varicose veins in the legs

There is currently no effective conservative therapy that can cure varicose veins. It is performed in combination with surgical methods of treatment and is intended to improve the quality of life of patients and slow the progression of pathology.

All therapeutic actions pursue the main goals:

  • Elimination of symptoms of chronic venous insufficiency.
  • Elimination of the manifestations of valvular insufficiency - this leads to blood stasis, because the valves lose the ability to control blood flow.
  • Preventing the development of complications - the main consequences are tissue necrosis and sepsis due to infection of the tissue at the site of the ulcer.
  • Prevention of disease recurrence.

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

Conservative therapy

Conservative treatment begins after the patient's first medical treatment.

First of all, compression therapy is applied. Its essence is the creation of an artificial external supporting corset for veins, which will prevent their outbreak and promote better lymphatic drainage. To do this, apply a tight bandage with an elastic bandage or special compression underwear. You should not prescribe such underwear to yourself, because there are contraindications for its use.

Medicines are prescribed by a phlebologist depending 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 phase of preparation for surgery.

In order to reduce the risk of blood clots and improve the outflow of blood from the lower extremities, the use of anticoagulants and antiplatelet agents is indicated.

The disease cannot be eliminated without the use of venotonics. This medicine is produced in the form of ointments, gels and tablets for oral use. Venotonics are almost never an injection.

Treatment of mild venous inflammation is carried out with drugs without surgery. The use of nonsteroidal anti-inflammatory drugs is indicated to normalize the patient's condition. In addition, gels and creams for topical application are shown for the fastest results. Among them are anticoagulants. In the presence of infections, antibiotics are included in the therapy. By acting directly on the inflamed area, they bring quick relief, eliminating unpleasant symptoms.

Invasive therapy

Treatment with invasive methods is applied both in the initial phase of the disease and in its advanced forms. At the beginning of the pathology, low-trauma puncture sclerotherapy is performed. It does not remove the diseased vein from the bloodstream.

Sclerotherapy of the veins of the lower extremities - an invasive method for the treatment of varicose veins

If a severe form of varicose veins is diagnosed, surgical removal of the diseased vein is indicated - phlebectomy. In addition, conservative treatment is performed. Phlebectomy is performed in 4 stages:

  • elimination of reflux sources;
  • removal of the main saphenous vein;
  • removal of varicose tributaries;
  • dissection of perforating veins.

Removal of the diseased saphenous vein can be done in almost any hospital, because no special equipment is required. All general surgeons are easy to handle with this job. Low-trauma intervention is usually performed only in large clinics and specialized centers.

If it is not possible to visit a phlebologist and you have problems with veins, treatment will be prescribed by a surgeon or therapist. Their knowledge is sufficient to select medications and determine the patient's condition.

Prevention

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

Preventive measures, even with an inherited predisposition to the disease, help protect the veins in the legs from pathological spread. If a man adheres to the recommendations, then even with hard work he manages to avoid varicose veins. Prevention is as follows:

  • quit smoking;
  • avoiding excessive consumption of alcoholic beverages;
  • adherence to the drinking regime - it is necessary to drink 2 liters of clean water a day, not counting liquid food. This ensures normal blood viscosity;
  • active lifestyle;
  • maintaining a normal body weight;
  • the use of an elastic bandage to support the veins when lifting weights;
  • during long journeys in transport and flights by plane, it is necessary to occasionally get up or stretch your legs, improving the flow of lymph;
  • ensuring proper rest for the legs in a supine position for at least 1 hour a day, not counting the period of sleep.

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