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Supportive Therapy


Unfortunately, there is no cure for varicose vein disease. There has never been any documentation in the phlebological literature that conservative therapy is an effective substitute for definitive treatment of varicose veins. Conservative treatment is usually reserved for elderly or severely ill patients who are not good candidates for definitive minimally invasive treatment or for patients with very early disease (has few spider veins) who are completely asymptomatic. Certain measures are used to temporarily alleviate symptoms but not to cure the disease. These measures enhance the results of minimally invasive techniques such as Sclerotherapy and may delay the recurrence of varicose veins. These measures are:

 

Graduated Compression support stockings
Leg elevation
Daily Exercise
Pharmacological aids
Nutritional Support, homeopathic


Compression Stockings


CLASS
PRESSURE (approx.)
INDICATIONS (suggested)
 I 20-30mm Hg Aching, swelling, telangiectasias, reticular veins
 II 30-40mm Hg Symptomatic varicose veins, CVI, post-ulcer
 III 40-50mm Hg CVI, post-ulcer, lymphedema
 IV 50-60mm Hg CVI, post-ulcer, lymphedema


Pharmacological Aids


Many drugs have been found helpful in the reduction of symptoms of venous disease, including Vitamins C and E, nonsteroidal anti-inflammatory drugs, pycnogenol, and horse chestnut seed extract. Only one drug, pentoxyfilline, has been shown to significantly change the course of venous disease. By interfering with leukocyte activation, pentoxyfilline may prevent or reduce skin changes such as lipodermatosclerosis due to venous disease.