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PREVENTION PROGRAM FOR OVERWEIGHT PERSONS WHO SUFFER

FROM VARICOSE VEINS     

Except where noted, there is scientific evidence to support the help you can receive by following each of these preventive steps. The first and the last steps are probably the most important beneficial changes that you can make in caring for yourself.

1. Get down to ideal weight.
2. Do not eat large meals (it can interfere with circulation to your legs).
3. Do not wear obstructive, tight-fitting clothing for the same reason.
4. Do not eat high-fat meals, which clog your blood with a high fat content. (I do not have strong evidence that high-fat meals will slow the blood flow and increase clotting in your veins, although there is very strong evidence that a high-fat diet, especially a diet high in the saturated fat that comes from meat products, is correlated with deposits of fatty substances on the walls of the coronary arteries and with coronary heart disease. This is purely intuitive advice on my part.)
5. Do not stand in one place for more than a few minutes at a time—keep moving. Flexing your calf muscles aids circulation. Flexing also helps when you have to sit in one place for a long period.
6. Elevate your legs at every opportunity to assist the flow of blood back to your heart.
7. Raise the leg end of the mattress you sleep on so it is about two inches higher than your waist (you can fold a blanket and slip it under the mattress).
8.      If you should suffer from gnawing pains in your legs at night, turn around in bed, put your legs up over the headboard, and stay that way for about fifteen minutes to let blood drain from your legs. You can also do a hack-stand: rest on your back on the floor or bed, lift your legs and hips to the vertical position, supporting yourself with your hands on your hips, and hold this position for several minutes. Your weight will rest on the backs of your upper arms from the elbows to the shoulders. However, if you have high blood pressure, check with your doctor about the advisability of these positions before you attempt to do either of them.
9.      At the first sign of any problem, elevate your legs and gently massage them, with the motion going toward your heart.

If you do not have an anti-inflammatory drug at hand, take one aspirin tablet and get in touch with your physician.

10.     If you receive any sort of bruise to your legs that might cause an inflammation or a clot, put an ice pack on it immediately.

11.     Be careful in the use of elastic stockings or bandages. Sometimes these can obstruct circulation and hurt, rather than help, the condition. If you need to use a support hose, experiment until you find the very best possible style for your condition. You need to talk this over with your doctor, and be sure to tell him what effects the support you are presently using are having. If there is pain, the support hose is probably not helping, and may be doing additional damage. No matter who prescribed or fitted it, when support hose begins to hurt, get it off immediately and get in touch again with your physician. You may need another prescription.

12.     Above all, as you lose your weight, begin to gradually increase your walking. I believe that vigorous walking, worked up to in both speed and time very gradually to the forty-five minutes per day that I am recommending, will accomplish the same thing for you that jogging has done for me. However, as long as you are overweight, you must be very moderate and very careful, or you can aggravate, rather than help, the condition.

To gain the most benefit from continuous vigorous physical activity, and to be able to pursue it with more benefits than risk for varicose veins, you must be at the very best weight that you can possibly achieve.

All of my suggestions are designed to prevent or to minimize trouble with varicose veins. My suggestions are not a treatment for phlebitis, thrombophlebitis, and varicose veins. These are medical conditions that require medical treatment. While I have not needed them in years, I still carry with me, in my tennis bag and in my suitcase on trips, the blood thinner, the clot-dissolving enzyme, and the anti-inflammatory drug that my physician has prescribed in case of trouble. You need medical supervision, too, but discuss the preventive measures I have just described with your doctor. I believe that they can help you, as they have helped me, prevent inflammations and clots and that they will lessen a very aggravating problem.

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