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

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

Men are less likely to suffer from such a pathology as varicose veins, however, it does not completely bypass them. 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 assistance.

Men often ignore the first symptoms of the disease, considering them to be just a cosmetic defect. The 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 non-healing trophic ulcers on their legs.

The danger of varicose veins

Varicose veins of the lower extremities in a man

What is the danger of varicose veins in men - everyone needs to know. At first glance, the disease seems to be only a cosmetic defect, but in reality everything is much more serious. By itself, varicose veins do not pose a threat to the life or health of the patient, but the thrombophlebitis that develops against its 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 risks to health and life:

  • thrombosis - when the veins expand, blood begins to stagnate, which provokes the appearance of blood clots. When a blood clot breaks off, a blockage of a vessel occurs, 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;
  • decreased performance - in severe pathology, edema of the lower extremities develops, which seriously impairs performance, gradually leading to disability.

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

Reasons for the development of the disease

Without prerequisites, 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 provokes the development of pathology:

  • hereditary weakness of the venous valves- the main factor causing the appearance of varicose veins. If it is present, special regular monitoring of the condition of the legs is required;
  • frequent constipation- with this violation of digestion, an overload of the veins of the small pelvis occurs, due to which a gradual stagnation of blood in the legs develops;
  • excess weight- due to overload of the legs, 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, the blood circulation in the tissues is disturbed and the full outflow of blood from the legs stops. Because of this, a stagnation develops, which causes the disease;
  • sitting or standing work- in such a situation, due to squeezing of the veins for a long time, severe stagnation of blood develops, deforming the venous valves and stretching the walls of the vessels;
  • smoking- with prolonged use of nicotine, toxic substances penetrate the body, which thin the venous walls and lead to a loss of their elasticity;
  • alcohol abuse– action is similar to nicotine.
The development of varicose veins as a result of disruption of the venous valves and the formation of blood reflux

In the complete absence of predisposing factors, varicose veins rarely occur. Suffer from pathology mainly persons aged 45 years.

Manifestations of varicose veins

In men, the symptoms of varicose veins appear early, and it is important to recognize them in a timely manner. Representatives of the stronger half rarely pay attention to the first manifestations, and therefore for them the acute symptoms of the disease always come as a surprise. About the pathological expansion of the veins they say:

  • spider veins - they are the first sign of the disease. On the legs appear in the form of a peculiar pattern - cobwebs. From this moment it is necessary to begin treatment of the disease. As it progresses, protrusions of blood vessels and an increase in the severity of asterisks are observed;
  • goosebumps in the limbs - due to a deterioration in blood supply, a feeling of crawling on the skin is often observed, sometimes they can turn into convulsions, mainly at night;
  • pain - unpleasant sensations appear along the diseased vein after prolonged physical exertion or being in a position that is uncomfortable for the legs. With the further development of the disease, night pains in the legs are also noted, which can only be prevented by raising the legs above the body, for example, by placing a pillow or roller under them;
  • swelling - at first, swelling appears only in the foot area, and as the disease develops, it rises higher. At first, edema appears only after prolonged physical exertion and disappears if you give your legs a rest. Further, the swelling becomes permanent, and even a long rest does not eliminate them.
  • darkening and thickening of the skin;
  • constant low temperature of the feet;
  • deterioration in the sensitivity of the feet and lower legs;
  • formation of trophic ulcers.

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

How is the diagnosis carried out

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 veins. This procedure is similar to ultrasound, but the graphics show not only the tissues, but also the speed of blood flow and its quality. Additional examinations are prescribed less frequently, since the signs of varicose veins are very clear and obvious. Among them:

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

Treatment

The procedure for reducing the lumen of a diseased vessel with varicose veins on the legs

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

All therapeutic actions pursue the main goals:

  • Removal of symptoms of chronic venous insufficiency.
  • Removal of manifestations of valvular insufficiency - because of it, blood stasis occurs, since the valves lose their ability to control blood flow.
  • Preventing 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 disease recurrence.

With rapidly progressive varicose veins, its treatment is possible only surgically. However, conservative therapy is still indicated before the operation 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 in order to eliminate congestion in it.

Conservative therapy

Conservative treatment begins after the first treatment of the patient for medical help.

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

Medications 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 at the stage of preparation for surgical intervention.

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 venotonic drugs. This medicine is produced in the form of ointments, gels and tablets for oral use. Venotonics are almost never a means for injection.

Treatment of non-severe inflammation of the veins is carried out with drugs without surgery. 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 application are also shown. Among them are anticoagulants. In the presence of infections, antibiotics are included in the therapy. Acting directly on the inflamed area, they bring quick relief, removing unpleasant symptoms.

Invasive Therapy

Treatment with invasive methods is used both at the initial stage of the disease and in its advanced forms. At the beginning of the pathology, low-traumatic puncture sclerotherapy is performed. With it, the diseased vein is not removed from the circulatory system.

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, then surgical removal of the diseased vein is indicated - phlebectomy. Along with it, conservative treatment is also carried out. Phlebectomy is performed in 4 stages:

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

Removal of a diseased saphenous vein can be performed in almost any hospital, since it does not require special equipment. All general surgeons easily cope with this work. Low-traumatic intervention is usually carried out only in large clinics and specialized centers.

If it is not possible to visit a phlebologist, and problems with the veins have appeared, the surgeon or therapist will prescribe the treatment. Their knowledge is enough to select drugs 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 pathological expansion. If a man follows the recommendations, then even with hard work he manages to avoid varicose veins. Prevention is the following:

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

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