Treatment FAQ

what is the treatment for venous stasis?

by Enos Kassulke III Published 3 years ago Updated 2 years ago
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What Is the Best Treatment for Venous Stasis? Compression therapy is commonly recognized as the most helpful treatment for this condition. In addition, leg elevation reduces edema in patients with venous stasis and is recommended for patients with the condition, usually about 30 minutes a few times a day.

What is the best treatment for venous insufficiency?

 · For venous stasis, one of the most common treatments is prescription compression stockings. These stockings help the blood flow more easily through veins, and the compression is an excellent way to reduce the chances of varicose and spider vein issues.

How to treat venous insufficiency naturally?

Venous stasis can often require treatment through a number of minimally invasive procedures, including: Endovenous laser ablation (EVLT) Radiofrequency ablation (RFA) VenaSeal Varithena Ultrasound Guided Sclerotherapy In rare cases, patients may require invasive procedures.

How do you reverse venous insufficiency?

To reduce swelling and relieve pain caused by venous insufficiency, you can wear compression stockings. They are tighter at the ankles than at the top of the legs. They also can help venous skin ulcers heal. But there are different types of stockings, and they need to fit right. So your doctor will recommend what you need. You also can try to:

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Does venous stasis go away?

The problem will not go away if you wait, and the earlier it is diagnosed and treated, the better your chances of preventing serious complications. Symptoms include: Swelling in the lower legs and ankles, especially after extended periods of standing.

Can venous stasis be reversed?

First, I want to be clear that there is no way to actually reverse the cause of venous insufficiency, only the symptoms. Damaged valves inside the vein cannot be repaired, but there are plenty of ways to minimize the impact of the reflux they cause. Many of my patients do eventually become symptom-free.

What happens if venous stasis goes untreated?

Untreated venous insufficiency results not only in a gradual loss of cosmesis but also in variety of complications including persistent pain and discomfort, hemorrhage, superficial thrombophlebitis, and progressive skin changes that may ultimately lead to ulceration.

Is walking good for venous stasis?

Exercise is a surprisingly effective treatment for venous insufficiency. Exercising gets your heart pumping, and the extra pumping force of your heart pushes the blood up and out of your lower legs. Walking is particularly beneficial.

How do you increase venous return in your legs?

Lifestyle Changes for Chronic Venous InsufficiencyWear Compression Garments. ... Maintain a Healthy Weight. ... Increase Activity Levels. ... Elevate the Legs. ... Avoid Tight Clothing and High Heels. ... Avoid Salt. ... Moisturize the Skin.

What supplements are good for venous insufficiency?

Vitamin B. This family of vitamins is among the most important to strengthen your blood vessels and thus, prevent vein issues or at least keep them at bay if they're already surfaced. For those who have a history of vein issues and blood clots in their family, vitamins B6 and B12 are particularly important.

Can I live a normal life with venous insufficiency?

Chronic venous insufficiency affects millions of Americans, but the good news is that people with this condition can find relief from pain, avoid the complications, and lead a normal life by making lifestyle changes that include: Exercising. Keeping your salt intake to a minimum. Drinking plenty of water.

What is the most serious complication of venous insufficiency?

Left untreated, these damaged veins can cause serious complications, such as ulcers, bleeding, and a potentially fatal condition called deep vein thrombosis.

Can venous insufficiency lead to leg amputation?

At worst, they can be indicative of a progressive disease process called chronic venous insufficiency, which causes poor wound healing, ulcers and, in severe cases, can lead to amputation.

What is the best exercise for venous insufficiency?

Walking, biking, jogging, and doing standing calf raises are good ways to prevent vein complications. All of these types of exercises improve circulation, aid in weight management, better vein care, better vein health and keep your bones and muscles healthy. Having an active lifestyle can help you improve blood flow.

How do you get rid of venous stasis discoloration?

Exercise- Walking regularly can help to circulate blood instead of allowing it to pool in the lower legs, causing redness. Elevating legs at rest- putting your legs up to at least the level of your heart eliminates the strain of gravity on the veins and allows it to leave the legs more easily, reducing some redness.

Do compression socks help venous insufficiency?

Poor circulation, also known as Venous Insufficiency, has the potential to cause leg pain, swelling, and fatigue. Fortunately, therapeutic compression socks have been proven to improve blood circulation and the symptoms of Venous Insufficiency.

What is the best treatment for venous stasis?

For venous stasis, one of the most common treatments is prescription compression stockings. These stockings help the blood flow more easily through veins, and the compression is an excellent way to reduce the chances of varicose and spider vein issues.

How to diagnose venous insufficiency?

Doctor diagnose venous insufficiency in a number of different ways. There are diagnostic tests that can show whether this is a problem for you, and doctors also use patient’s own accounts of the problems they’re experiencing as a way to diagnose whether there are vein problems occurring. Not everyone will have the same kinds of symptoms, but when there are problems with your legs you’ll want to talk to your vein doctor in order to see if vein issues may be the cause. If problems with your veins are found, and the blood isn’t moving through them in a sufficient way, it’s important to discover that so it can be properly treated.

What causes pain in the legs and thighs?

One of the most common issues when it comes to vein health is venous stasis, which can cause pain and discomfort, along with an unsightly look, typically in the legs or thighs. Here’s what to know about this condition.

What to do when you have trouble with your veins?

When you have trouble with your veins, you want to get the right treatment to help you feel better. But in some cases, you may not be sure what’s causing the problem and how to get it treated. That’s where your vein doctor can come in, as they can help you find the right diagnosis and treatment options to have you feeling better about leg vein ...

Can compression stockings cause leg vein disease?

If compression stockings aren’t enough, or they aren’t going to give you the help you need, there are other options for treating venous insufficiency.

Can spider veins cause venous insufficiency?

With that in mind, it’s important to look at what kinds of problems this can cause. Spider veins and varicose veins are very common with venous insufficiency, and these can cause additional issues if they aren’t treated or if they continue to get worse.

What is the best treatment for venous ulcers?

Faster healing is the goal of all wound management programs, including those for venous ulcers, also known as stasis ulcers. Compression therapy is the main treatment for venous ulcers. However, your doctor will work with you to choose the best wound management program for your needs.

What does it mean when you have a venous ulcer on your foot?

If an ulcer often shows up in the same area, this may be a sign of a venous ulcer. A venous ulcer looks irregular and shallow. There may also be swelling, inflammation, discoloration or thickening of the skin in the area near the ulcer. Venous ulcers are the most common type of ulceration on the legs and feet.

What is a non healing wound?

Venous ulcers are non-healing or slow-healing wounds that form as a result of blood pooling in the legs and feet. This happens when the walls or valves in the veins of the lower extremities don’t work effectively. This is called venous insufficiency. Venous ulcers are more common in women and older people.

What type of compression therapy increases pressure on the wound both while moving and at rest?

Elastic. This type of compression therapy increases pressure on the wound both while moving and at rest. Both compression stockings and bandages can be used for this. Unlike inelastic compression therapy, this type can be removed at night, washed and easily replaced. Intermittent pneumatic compression.

What is inelastic compression?

The most common type of inelastic compression therapy is a moist bandage which hardens after drying. Because it is stiff, the dry bandage will not change when the size of the leg changes, which can be uncomfortable. Elastic. This type of compression therapy increases pressure on the wound both while moving and at rest.

How long can a venous ulcer stay unhealed?

The condition is difficult to treat and will often return. Open ulcers may remain unhealed for weeks to many years. Venous ulcers can lead to significant medical complications, so proper treatment is very important.

What is wound care management?

The goals of wound care management are to reduce swelling, improve healing of the ulcer and keep the ulcer from coming back. Treatments include:

How to treat advanced venous stasis?

The two most common invasive surgical treatment options for advanced venous stasis are vein stripping and phlebectomy. During a vein stripping procedure, a series of two to three incisions are made on the leg and the entire vein is removed; the vein is then tied off and the incisions are closed with stitches.

What causes swelling in the ankles and lower legs?

Venous stasis develops as a result of damaged valves in the veins interfering with blood’s ability to flow upwards and towards the heart; serious cases of venous stasis are commonly accompanied by swelling and fluid retention in the ankles and lower legs.

How to tell if you have venous stasis?

Venous stasis is a condition that does not typically go away on its own. Progressive in nature, without taking steps to address the condition, symptoms become increasingly severe and can include: 1 Swelling in the lower legs and ankles 2 Feeling of tightness, pain, or “itchiness” in the affected areas 3 Browning or discoloration of the skin located near and around the ankles 4 Varicose veins 5 A localized feeling of “heaviness” or tiredness 6 Leg ulcers

What causes stasis dermatitis?

Causes by fluid build up resulting from varicose veins, poor circulation, and progressive heart disease, stasis dermatitis is characterized by significant fluid build up in the lower legs, ...

Why do veins leak blood?

Veins are responsible for carrying deoxygenated blood from the tissue and organs of the body back to the heart. As part of this process, one-way valves located throughout the veins keep blood flowing towards the heart and prevent it from flowing backwards. Over time, and as these vein valves continue to weaken, blood can start to leak backward and pool within the veins. As this happens, and as the affected valve (s) and vein (s) continue to weaken, blood starts to pool within the vein, resulting in the condition known as chronic venous insufficiency.

What is a venous ultrasound?

The venous ultrasound is non-invasive and emits sound waves that travel through the skin and is used to diagnose reversal of flow inside the veins. This diagnostic ultrasound is then used to identify the specific locations of venous stasis, as well as to identify a plan of treatment to address areas of venous stasis in the veins.

What are the factors that contribute to venous stasis?

There are many factors that contribute to the development of venous stasis, including: Repeatedly standing or sitting for extended periods of time. Long flights on an airplane. Long car rides. Blood clots. Varicose veins.

What is a venous stasis?

What Is Venous Stasis? Venous stasis is a loss of proper vein function of the legs that would normally carry blood back toward the heart. This may occur following injury to the veins, which can result in blood clots in the superficial veins known as superficial phlebitis, or following blood clots in the deep veins known as deep venous thrombosis.

What causes veins to be enlarged?

Patients often complain of a feeling of fullness, aching, or tiredness in their legs. These symptoms are worse with standing, and are relieved when the legs are elevated.

Why do my legs swell up?

Swelling in the lower legs and ankle can also occur as a result of chronic congestive heart failure and kidney disease. In some instances the cause of the swelling may not be easily identified. Individuals with this condition usually exhibit swelling of the legs and ankles.

How to reduce swelling in legs?

Keep your legs raised above your heart when you're lying down. This reduces swelling.

How to increase blood flow in a patient?

Get more exercise , especially walking. It can increase blood flow.

Can compression stockings help with swelling?

To reduce swelling and relieve pain caused by venous insufficiency, you can wear compression stockings. They are tighter at the ankles than at the top of the legs. They also can help venous skin ulcers heal. But there are different types of stockings, and they need to fit right. So your doctor will recommend what you need.

Why do my leg veins not flow back up to my heart?

Chronic venous insufficiency occurs when your leg veins don’t allow blood to flow back up to your heart. Normally, the valves in your veins make sure that blood flows toward your heart. But when these valves don’t work well, blood can also flow backwards. This can cause blood to collect (pool) in your legs.

What is an endovenous laser?

Endovenous laser ablation or radiofrequency ablation (RFA). This is a minimally invasive procedure. A tube (catheter) puts heat right into the affected vein. This closes the vein. Once the vein is closed, less blood pools in the leg. Overall blood flow is improved.

What is a varicose vein?

Varicose veins. Leg ulcers that are sometimes hard to treat. Having an uncomfortable feeling in your legs and an urge to move your legs (restless legs syndrome) Painful leg cramps or muscle spasms (charley horse) The symptoms of chronic venous insufficiency may seem like other health conditions.

What are the symptoms of venous insufficiency?

Symptoms of chronic venous insufficiency may include: Having an uncomfortable feeling in your legs and an urge to move your legs (restless legs syndrome) The symptoms of chronic venous insufficiency may seem like other health conditions. Talk with your healthcare provider for a diagnosis.

How to get blood flow in legs?

Improving blood flow in your leg veins. Keeping your legs raised (elevated) can reduce swelling and help increase blood flow. Wearing compression stockings may also help. Regular exercise can also improve blood flow.

What is a blood clot in the calf called?

A blood clot in a deep vein, often in the calf or thigh (deep vein thrombosis)

What is the procedure to remove a vein?

Surgery. This is done in severe cases. Ligation is a type of surgery that may be used. The affected vein is tied off so that blood no longer flows through it. If the vein or its valves are heavily damaged, the vein will be removed. This is called vein stripping.

What is a family history of venous insufficiency or varicose veins?

a family history of venous insufficiency or varicose veins; lifestyle concerns, such as being overweight, being sedentary, and smoking; or. previous damage to one of your legs due to an injury, surgery, or blood clots, including deep vein thrombosis (DVT).

What are some examples of venous insufficiency?

experienced significant weight loss or weight gain (for example, women who have had multiple pregnancies are at higher risk for venous insufficiency since they have gained and lost weight several times); lifestyle concerns, such as being overweight, being sedentary, and smoking; or.

What does DVT mean in medical terms?

Some people with venous insufficiency also have deep vein thrombosis (DVT). DVT occurs when a blood clot forms in a vein located deep inside your body.

Why do veins leak backwards?

When your veins are working normally, they return blood from all your organs to your heart. Tiny valves inside these veins keep the blood flowing in the right direction. Venous insufficiency occurs when these valves aren’t working correctly. Blood may leak backward, away from the heart, causing blood to pool in your legs.

What age is venous insufficiency most common?

Venous insufficiency is more common in people over the age of 50 and affects more women than men.

How to treat venous insufficiency?

The first line of treatment for chronic venous insufficiency is to try non-surgical strategies. The goal is to promote normal flow of blood through the veins and reduce the pooling of blood in your legs. These conservative strategies may include:

Why do you wear compression socks?

Compression socks can help to prevent the backup of blood flow that can cause varicose veins in the legs. Listen to Claire Griffin, MD, talk about recommendations for wearing compression socks.

What is the best supplement for venous insufficiency?

Horse Chestnut- One promising ingredient in the fight against venous insufficiency is horse chestnut extract. This natural supplement is probably not in your medicine cabinet yet, but if you have venous insufficiency, maybe it should be. Clinical trials have found horse chestnut to help reverse symptom of venous insufficiency like leg swelling and itching. It may even help reverse skin damage and discoloration caused by chronic venous insufficiency. Horse chestnut extract can be found over-the-counter at specialty vitamin stores, and also prescribed under the brand name Vasculera, although insurance coverage is limited, as it generally is for most other supplements.

What is a vascular doctor?

A vascular healthcare provider that specializes in vein disease can help you determine what types of procedures, if any, would be right for you. Top warning signs you should go visit a vascular doctor .

How does elevation affect your legs?

When you elevate your legs, you allow gravity to naturally bring blood back toward your heart. This will likely make your legs feel less achy and swollen, and feels especially good at the end of a long day. Even people with mild cases of venous insufficiency may get substantial reversal of symptoms after just a few minutes of elevation. Ideally, your legs should be above the level of your heart, but any elevation is better than none. You can purchase special leg elevation pillows if you want to maximize your results.

What are compression socks?

Compression socks/stockings. Graduated compression socks are part of the treatment plan for every patient diagnosed with venous insufficiency, and I know, you HATE them. But allow me to humbly suggest you just haven’t found the right pair yet. The right pair of compression socks should help to reverse symptoms like leg heaviness, achiness, fatigue, ...

Why do veins stop working?

Insufficient veins cease to perform this function efficiently due to weak valves which slow the movement of blood, allowing it to pool in the legs. At times, the blood may actually flow toward the feet, instead of toward the heart.

What are the symptoms of a swollen leg?

Common symptoms include some or all of the following: Spider and/or varicose veins of the legs, groin, or private areas. Leg pain. Leg heaviness. Leg tiredness.

How much exercise should I do to get my blood flowing?

Without regular exercise, your circulation is missing an important part of its equation. I recommend at least 30 minutes of continuous, low-impact exercise a day, in addition to frequent breaks from sitting or standing throughout the day.

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