Studies in Germany have shown that only about 20 to 50 percent are vein-healthy, 25 to 50 percent have slight varicose veins, 10 to 15 percent have an advanced varicose, 5 to 15 percent have a severe varicosis and 1 to 4 percent have a lower leg ulcer ( Ulcer crusis) due to chronic venous insufficiency. These numbers are alarming. Nevertheless, spider veins and varicose veins are often misjudged as a cosmetic problem. And not only from those affected, but also from many doctors.
Long standing and sitting are poison for the veins
Venous diseases, Dr. Michael Hutter from the Venere Centrum Braunschweig, are in need of therapy, as they often ran chronically. The typical venous patient complains of heavy legs, swelling in both lower legs, tensions and pulling pain, nocturnal leg cramps and restless legs. These symptoms are exacerbated by prolonged sitting or standing, with heat and before or during menstruation.
Leg veins are particularly affected
The venous patient is particularly likely to suffer from a varicosis of the leg veins. Here one differentiates between the primary and the secondary Varicosis. The primary varicosis is a plant-related venous disease. Frequently, these genetic factors are amplified by external influences. The most important plant-related risk is connective tissue weakness, which often occurs as a family.
Negative factors include: lack of exercise, sitting for long periods, frequent standing for long periods of time, wearing false clothes and unfavorable footwear. Overweight and chronic constipation and a frequent number of pregnancies. In the process, the veins lose their elastic transformation properties, which leads to a widening in length and diameter in the sense of a varicose vein.
In secondary varicosis, the causes of this dilatation are predominantly occlusions in the superficial or deep veins. Inflammatory venous disease includes thrombophlebitis superficialis. This is an inflammation of the superficial veins due to various causes, such as toxic wall damage, carcinomas, allergies and infections or blood poisoning.
However, one of the most dangerous venous diseases is deep vein thrombosis, especially due to the risk of impending pulmonary embolism. More than six percent of patients with venous leg complaints suffer from chronic reflux of the lower extremity (postthrombotic syndrome). Essential for the development of a thrombosis are the wall condition of the veins and the flow and coagulation factors. Thrombosis is particularly common after wall injuries and slowing of the flow of blood, for example, by immobilization of the patient.
"Initiative venous health"
Dedicated doctors and scientists have founded the "Vein Health Initiative". The common goal is to educate physicians and those concerned about the diseases of the venous area even better and to give tips for the practice. In treatment, the complexity of venous disease requires an interdisciplinary therapy concept. The instruments range from surgical intervention, especially for major vascular damage, to a broad conservative spectrum.
As a "pillar of vein therapy" is the compression treatment. It makes sense in all stages of the disease, but carries the risk of the patient's lack of willingness to participate in diagnostic and therapeutic measures. This is why particularly intensive care is required for venous patients in particular, since the psychosocial factors of this disease must also be taken into account.
Movement top priority
Decisive for the therapy success is the motivation of the patient to co-operate. Exercise is paramount, regular venous exercises and plenty of running strengthen the leg muscles and promote the vein muscle pump. Venenfitness is of course not only treatment, but above all, prevention of venous disorders.