Leg Varicose Vein Treatment
What causes varicose veins and how to identify them?
Leg varicose veins are a common problem affecting over 50% of the adult population in the West, regardless of gender. However, women are more affected than men.
This health issue is often caused by a congenital malformation of the blood vessels, which is exacerbated by aging and other factors such as hormones, posture, and lifestyle. To improve clarity and engagement: In most cases, this common condition stems from a congenital weakness in the blood vessel walls, amplified by the effects of time and other factors such as hormones, posture, and lifestyle habits.
To make this text flow better and be more engaging, it could be rephrased as: A birth defect in the venous walls can cause vein expansion, valve leakage, increased blood pressure, and dilation of the superficial venous system. All this contributes to increased hydrostatic pressure and has a significant impact on blood circulation, as illustrated in the figure below.
This phenomenon of visible vessel dilation reflects a broader process affecting the entire venous system.
Treatment to permanently eliminate varicose veins
TRAP: Three-Dimensional Regenerative Ambulatory Phlebothrapy
The TRAP method offers a definitive and effective solution against vein dilation in the lower limbs. Unlike palliative treatments, it durably strengthens the vein wall, reduces the volume of varicose veins, and restores valve function to treat all visible venous abnormalities. This method does not involve surgery, lasers, or sclerotherapy. It's a true "cure" for varicose veins.
Considering these elements, it is clear that the treatment is not limited to treating only the capillaries and visible varicose veins. It aims to treat the entire superficial and perforating circulation, including non-visible vessels, which is why it is so important. A transilluminator is used for this purpose.
TRAP aims to treat the system as a whole (three-dimensional treatment), using a 3% sodium salicylate solution in a hydro-glyceric vector, much lighter than conventional sclerosing agents. In this way, by avoiding complete occlusion of the "inlet" vessel, the solution also spreads into the perforations reaching the deep circulation, and it is possible to inject larger quantities (48 to 70 ml of regenerating solution per session).
The effect of contact between the vessel wall and the solution causes a contraction of the vessel diameter and a thickening of the wall. This occurs with the preservation of elastic fibers, the restoration of valve function in the perforations, and thus the abolition of reflux from the deep circulation to the superficial circulation. When describing this phenomenon, it is appropriate to mention hemodynamic venous hypertension as the main cause. Indeed, the latter leads to dilation of the superficial veins, which can cause undesirable imperfections.
It is recommended to systematically treat the entire lower limb. We will start with the medial part of the limb, then we will look at the lateral part and finally the posterior part. It is advisable to start with the limb showing the most manifest form of the disease and to treat it entirely before dealing with the other limb. Limiting therapeutic treatment to only the areas where visible veins are present does not correct the hemodynamic alterations of the circulation and inevitably predisposes to relapses. Unlike classical sclerotherapy, with T.R.A.P. the vessels are not closed, but their caliber is reduced, making them stronger and more functional.
What are the characteristics of the TRAP treatment?
During this outpatient treatment, no pain is felt and no anesthesia is necessary, allowing the patient to immediately resume their normal social and professional activities with ease.
For a smoother and more dynamic experience, an average session duration of 30 minutes is recommended.
The number of sessions required varies from 3 to 7 per limb depending on the initial conditions. The optimal interval between sessions is 1 week.
To maximize effectiveness, it is advisable to avoid applying the treatment during the hottest months (July and August). However, it is possible to start it before this period, suspend it, and then resume it once the hottest months have passed.
Once the session is over, it is important to follow these steps: first, a compress is applied and should be kept for a period of 2 to 3 days. Then, it is recommended to wear an elastic therapeutic stocking for the duration of the treatment.
Treatment results
Observing the first sessions, we notice a clear improvement in the patient's symptoms, with a gradual improvement in the aesthetic appearance of their limbs and a halt to the progression of their varicose vein disease.
To obtain a good result, it is essential that all visible vessels disappear completely after sclerotherapy, leaving no permanent marks or complications. We aim to eliminate any sign of hyperpigmentation and avoid any other complications to achieve a satisfactory result.
Unlike other methods, three-dimensional regenerative phlebothrapy, by being able to treat the entire perforating circle (which sooner or later appears on the surface), allows for a permanent result over time.
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TRAP: Comparison with usual varicose vein therapies
Sclerotherapy, phlebectomies, saphenectomy, laser, high-frequency current, and functional ligatures address the effect of the pathology, not the cause. These varicose vein treatments address a few dilated veins without considering that the therapy aims to eliminate hemodynamic venous hypertension in the superficial and perforating circulation of the limbs.
To treat varicose veins, it is necessary to constrict and strengthen the vein wall.
Treatment should not be limited to a localized area. The entire venous circle is connected. Rational treatment of varicose veins must strengthen the walls of all dilated and/or dilatable veins in the superficial and perforating circulation. Traditional treatments are not suitable for biological material, and even less so if you do not fully understand how it works.
Three-dimensional regenerative ambulatory phlebothrapy (TRAP) treats the limb's hemodynamic hypertension. The three-dimensional injection of the regenerating solution constricts and strengthens the veins, making them once again leak-proof, while preserving the valvular apparatus. Varicose veins and telangiectasias disappear from view. In veins with reduced diameter, blood circulates faster, which improves the patient's oxygenation.
In conclusion, the treatment of varicose vein disease must be considered holistically. The circle is entirely connected; varicose veins are such because they have the weakest walls.
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