Chronic Venous Insufficiency (CVI) results from failure of return of venous blood and increased capillary pressure, resulting in changes like swelling stasis (stagnation) dermatitis, hyper pigmentation, fibrosis (thickening) of the skin and subcutaneous tissue of the leg and ulceration.
CVI is in the majority of cases is associated with varicose veins. And varicose veins are more common in women than in men, and it is an inherited characteristic. The aggravating factors include pregnancy, increased blood volume, and increased cardiac output, increased progesterone.
Clinical features
CVI is commonly associated with heaviness or aching legs, which is worse on standing and relieved on walking. Thickening of skin may limit movement of ankle and cause pain and limitation of movement in turn increase stasis (stagnation). Leg edema aggravated by dependency, summer season. On physical examination, the superficial leg veins are enlarged.
Skin lesions
Swelling of lower leg improved in the morning after a night's sleep in the horizontal position. Stasis dermatitis occurs about the lower legs and ankles, there are inflammatory papules, scaly and crusted erosions. There is also pigmentation stippled with recent and old hemorrhages, dermal sclerosis and excoriations due to scratching.
Lipodermatosclerosis what it is?
Inflammation, indurations and pigmentation of lower third of leg making inverted champagne bottle appearance with edema above and below the sclerotic region. The leg is narrow above the ankle, and as it goes up become wider.
Ulceration: ulcers, sharply defined with deep margins, necrotic base surrounded by stasis dermatitis, and lipodermatosclerosis.
Stasis ulcer stasis ulcer with stasis dermatitis
Inverted champagne bottle appearance of the leg
Treatment
Nowadays, the incidence of venous insufficiency is getting more, and it can be considered as one of the occupational diseases. Prolonged standing and prolonged sitting are the main cause for. Once the varicose vein has developed tight bandage during the daytime, and while lying at night has to elevate the leg, like keeping the leg on the pillow. While sitting keep the leg elevated.
Homeopathic treatment
Once the varicose vein has fully formed, to make it to its normal position is difficult. But early stages can be managed by medicines and with daytime bandage and night elevation method.
Pain and ulceration can be managed by homeopathic medicine in the majority of cases. The medicines selection depends up on the site of the ulcer, nature of pain, aggravation time of the pain and also side of the leg affected. Since homeopathic treatment is purely individual based medicines may change from person to person. And overall prognosis is very good.
Medicines like Lachesis, Ars alb, Carbo veg, Secale cor, Silicia, etc. are the more frequently indicated medicines.
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