As individuals age, they often notice the formation of varicose veins on their legs. According to the Society for Vascular Surgery, varicose veins affect approximately 35% of Americans annually. Dr. Mark Iafrati, a professor of vascular surgery at Vanderbilt University Medical Center, explains that veins are considered varicose when they stretch to more than twice their normal size. These veins appear blue or purple and can cause the skin to become bumpy. While many individuals seek to change the appearance of varicose veins for cosmetic reasons, it is important to recognize that they also present medical concerns. These enlarged veins are not effectively taking blood back to the heart, which can have negative effects on muscle and skin health.
Numerous over-the-counter products, such as creams, gels, sprays, and supplements, claim to alleviate the appearance of varicose veins. However, it is essential to consult medical experts to determine the effectiveness of these options. Varicose veins form when the valves in the veins are damaged or weakened, which can occur due to various factors. Dr. Benjamin Jacobs, an assistant professor in the University of Florida Division of Vascular Surgery and Endovascular Therapy, identifies being overweight, giving birth to four or more children, and standing for long periods of time as top risk factors for varicose veins. Prolonged periods of sitting can also contribute to the development of varicose veins due to the force of gravity.
Dr. Iafrati suggests that wearing high heels can also increase the risk of varicose veins. High heels restrict ankle flexibility, which is important for promoting blood flow and preventing blood pooling and potential clotting. Other factors that contribute to varicose veins include tobacco use, a history of blood clots, and genetics. Varicose veins are more commonly seen in families or individuals with jobs that put them at risk. Additionally, aging plays a role in varicose vein formation since veins that control blood flow weaken over time.
When it comes to over-the-counter treatments for varicose veins, it is important to approach them with caution. According to Dr. Mitchel P. Goldman, creams and pills claiming to eliminate varicose veins are ineffective and should not be relied upon. FDA approval is an important factor when considering the legitimacy of these products. However, even supplements like horse chestnut seed extract pills, which are said to support leg vein health, may not be reliable due to the lack of regulation and inconsistent quality.
Regularly wearing compression stockings or socks can help reduce painful symptoms and the likelihood of developing new varicose veins. Compression levels are measured in millimeters of mercury (mmHg). Standard compression levels range from 15-20 mmHg for over-the-counter products to 40-50 mmHg for medical class 3 stockings. Elevating the legs above the heart for 30 minutes, three times a day, can also provide relief from pain and discomfort associated with varicose veins.
For effective treatment, medical intervention is recommended. Dr. Goldman suggests non-surgical options like laser treatment and sclerotherapy, which involves injecting a solution into the varicose veins to cause them to swell and close up. More invasive options include high ligation and vein stripping, as well as ambulatory phlebectomy, which involves the removal of smaller varicose veins through small punctures in the skin. The majority of these treatments can be performed in-office and have little risk to the patient.
Before seeking medical intervention, conservative approaches like compression and elevation should be attempted. Oral agents, such as Daflon 500 mg found in the supplement Vasculera, may also be beneficial in improving blood flow. Consultation with a doctor is essential before trying any supplement.
Ultimately, varicose veins do not pose significant risks to overall health. However, for those seeking to eliminate varicose veins and alleviate related discomfort, medical treatment is recommended for effective and long-lasting results.
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