- The vascular surgeon, Dr. Bader Al-Raies Bolaños, explains how in the hospital that the Ribera health group has in Valencia, specialized in the musculoskeletal system, a precise anatomical diagnosis is made to plan a personalized treatment
- The health center treats “spiders”, from an aesthetic point of view, in complex cases and facilitates all treatments, including sclerotherapy and skin laser or classic surgery, endolaser and radiofrequency.
The symptoms that accompany the appearance of varicose veins are closely related to physical activity. For this reason, the vascular surgeon and head of the hospital's specialized consultation IMSKE River, Dr. Bader Al-Raies Bolaños, remembers the importance of physical exercise and good muscle tone to minimize the consequences of having varicose veins. “It is important to maintain muscle tone, especially in the calf area, so that each muscle contraction is effective on the venous system. It's not enough to walk, you have to tone up. “It is a very important element to prevent the negative effects of varicose veins,” he says.
Varicose veins are “a manifestation of a disease called chronic venous insufficiency, which involves the inability of the superficial veins to return blood to the heart,” as explained by Dr. Bader Al-Raies. And there are different manifestations, from the mildest, “those small spiders with only aesthetic significance,” which are also treated at Ribera IMSKE, to alterations that can cause pain or discomfort, such as truncal varicose veins, which are dilated veins that bulge. on the surface of the skin. “The latter, in their most evolved forms, can cause our leg to swell or the skin of our leg to begin to take on a reddish or brown color, or even venous ulcers to appear, which are wounds that do not heal underneath. of the knee.”
In the specialized consultation of the Ribera IMSKE hospital, the Traumatology and Rehabilitation hospital of the health group Ribera In Valencia, a precise anatomical diagnosis is made, after a complete examination, an ultrasound and an interview with the patient to find out their symptoms and objectives for treatment, before defining the clinical process.
“The symptoms we develop do have a lot to do with our activity. Sedentary people, who spend a lot of time standing or who are exposed to heat sources tend to develop much more symptoms than those who have a more active life, who play sports and exercise their leg muscles," explains the hospital specialist. Ribera IMSKE, who also assures that “obesity is also directly related to these clinical manifestations and to the development of complications in varicose veins.” Therefore, he adds, “eating a healthy diet and maintaining a weight within normal limits is essential to prevent the deleterious effects of varicose veins. Does this mean that varicose veins will not appear? No, but it means that we will suffer less from the consequences of chronic venous insufficiency,” he explains.
Treatments for varicose veins: the best option for each case
Dr. Bader Al-Raies Bolaños explains that the best treatment is the one that adapts to the particular case of each patient. “From the point of view of telangiectasias, spiders, which above all have an aesthetic impact, we have the options of sclerotherapy and cutaneous laser,” he says. For the treatment of truncal varicose veins, “we have a wide therapeutic arsenal, from classic surgeries, endolaser and radiofrequency, which help close venous pathways, through which there is reflux; sclerotherapy with foams, which also allows us to treat quite dilated veins through non-invasive percutaneous treatments; and lately the use of glues have also been incorporated to close these varicose veins.” These are, as he explains, invasive treatments.
But in other cases, after the correct diagnosis of the patient, non-invasive treatments are chosen, resorting to a group of drugs, venotonics, which help reduce the symptoms; or compression therapy. “The patient does not have to seek evaluations in two different centers because at Ribera IMSKE all cases are addressed, from the simplest, for aesthetic imaging, to the most complex, which require surgery,” he explains.
