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Treatment of atherosclerosis of the vessels of the legs


Periodically each of us feels mild pain in the legs, but usually do not pay attention to her any attention. And we do it absolutely in vain, after all speech can go not about fatigue or General malaise, and of serious illness. One of them is atherosclerosis of the lower extremities, the most common pathology that develops in adulthood is around 65-70 years.

What lies beneath this disease?

Under the atherosclerosis of the legs mean a disease in which there is a number of changes - a violation of the passage of blood through the peripheral vascular, the occurrence of trophic tissue, etc. most Often, the atherosclerosis affects the large arteries of the abdominal and thoracic cavity. This is what leads to pathological changes in popliteal, tibial and femoral arteries, the lumen of which is reduced by more than 50-55%.

The disease can take more than ten years, during which she will quietly sit inside.

Stages of atherosclerosis

Experts distinguish several stages of development of pathology of vascular of the legs. First - preclinical - is accompanied by a strong violation of lipid metabolism (lipidoses). Pain in the lower extremities are, but they occur only after walking long distances and strenuous exercise.

проявление закупорки сосудов

Normal vascular, and prone to disease

In the second stage begin to be felt the first signs of atherosclerosis legs hurt after the passage of 250-1000 m. the Third period (critical ischemia) is characterized by pronounced symptoms of the disease. Pain syndrome appears after 50 m of walking path. Well, on the last (fourth) stage, the skin of the feet striking trophic ulcers, necrosis (blackened skin) and gangrene, and severe discomfort in the legs occurs even at rest, including at night.

It is important!!!! If atherosclerosis of the lower limbs treatment is not started even at this stage, the case could end up with gangrene with amputation of feet.

The main reasons

The factors provoking development of this disease can be very different. We managed to put together the main reasons:

  • Smoking is the main cause of atherosclerosis. Tobacco contains nicotine causes spasm of the arteries and prevents the blood passing through the vascular. This is a direct path to the thrombosis and atherosclerosis;
  • Weight;
  • Frequent consumption of meals rich in animal fats and cholesterol;
  • Health problems - diabetes, a decrease in the production of hormones sex hormones and thyroid, bloodhypertension and other;
  • Genetic predisposition;
  • Chronic experience of stress;
  • High blood pressure.
  • Age;
  • Belonging by gender - often atherosclerosis legs in males;
  • Reduced motor activity;
  • Large psycho-emotional loads;

How does

отложения на стенках сосудов

As we already mentioned, atherosclerosis of vascular of lower extremities for a long time does not manifest itself, and then immediately there are a number of serious problems. Is there not a single sign, through which it would be possible to recognize the beginning disease? Of course, there is. They are all in front of you:

  • Numbness of the feet;
  • Intermittent claudication;
  • Rarely, embolism or acute thrombosis;
  • Constant chilliness and feeling of coldness;
  • Cyanosis and pallor;
  • Convulsions especially are often plagued by night;
  • Pain - from mild to very strong;
  • The absence of pulsation at the ankle, popliteal fossa and thigh;
  • Trophic phenomena that manifest themselves by splitting nails and ulcers on the toes and heels, and hair loss on the legs;
  • Pain in the limbs, worse during walking;
  • Cyanosis (agrowaste) of the skin.

How to diagnose

Timely and correct diagnosis of atherosclerosis of vascular of lower extremities plays an important role, because it can help to learn about the causes of disease and prescribe the correct treatment. In the hospital you must hold the next consultations and procedures:

  • Mr-angiography;
  • MSCT angiography;
  • Pressure measurement with calculation of the ankle-brachial index;
  • Peripheral arteriography;
  • Duplex scanning (Doppler ultrasound) peripheral arteries;
  • Determination of the pulsation of arteries of extremities;
  • Consultation with a vascular surgeon.

Also, doctors have noted the presence or absence of trophic disorders on the legs, establish the patency of the vascular with a DS and a Doppler ultrasound and listen systolic murmur over the stenotic arteries.

Not be amiss to hold another little test. The patient should raise the legs in the supine position at 45 degrees. The knees to bend the impossible. During the procedure, noted the rate of appearance of pallor on the soles of the feet and General fatigue of the feet.


The treatment of this severe and dangerous disease depends on the severity and complexity of symptoms. It can be both folk and traditional. Will discuss the details of each of them.

General medicine

If you want to create positive change in the fight againstarteriosclerosis of the legs, prepare yourself for the strict implementation of the recommendations of the experts:

  • Follow a diet low in cholesterol. You absolutely can not eat fat, pate, margarine, butter, fatty meat varieties, cold meats, dairy products with a high percentage of fat, offal, French fries, alcohol, pastry goods, mayonnaise;
  • Adjust your weight;
  • Refrain from Smoking and alcohol;
  • Go on a comfortable and airy shoes;
  • Be very careful when clipping nails;
  • Don't forget to carefully handle all minor injuries of the legs and feet;
  • Avoid hypothermia of the feet;
  • Use of the dosed physical activity - walk at a moderate pace for half an hour a day, swim, exercise on a stationary bike;
  • Cure concomitant diseases - hypertension, diabetes, etc.

Medical approach to treatment

Treatment of atherosclerosis of the lower extremities includes the range of drugs and procedures. To appoint only by a qualified doctor, so it's necessarily visit the hospital.

What can be done to cure this disease?

  • Antiplatelet drugs (e.g. Aspirin and Reopoliglyukin) - they prevent blood clots and serve as the best prevention of heart attacks and strokes;
  • Drugs that increase the physical activity of the patient. Thanks Pentoxifylline and Cilostazol walking is virtually painless, and the total blood flow in the lower extremities is significantly better;
  • Drugs with antiplatelet effect - they have a positive effect on the circulatory system and reduce the level of cholesterol in the blood;
  • Anticoagulants (Warfarin, Heparin) - do not give clotting of blood in the vascular, prevents the development of blood clots;
  • Antispasmodics (Drotaverine) to relieve spasms and reduce pain;
  • Antibiotic ointments (Ofloxacin, Gelaskin, Levomekol, Dimexide) is applied in the presence of trophic ulcers;
  • Drugs that enhance tissue nutrition (Centeral);
  • Vasodilators (Vasonit, Agapurin, Vazaprostan, Pentoxifylline, Pencillin, Trenal);
  • Vitamins;
  • Physiotherapy - darsonvalization, electrophoresis with novocaine, hyperbaric oxygenation.

Surgical treatments

Surgery is the last measure in the treatment of atherosclerosis of the lower extremities. As a rule, the operation is prescribed for pronounced ischemia and the occurrence of very severe complications.

In this case we will focus on such procedures:

  • Bypass grafting - the creation of additional paths for blood flow around the placenarrowing of the arteries;
  • Balloon angioplasty - the introduction into the cavity of the receptacle of the container, widening of the arterial lumen;
  • Stenting of the arteries to the affected vessel is placed a tubular spacer that maintains the diameter of the artery at the desired level;
  • Endarterectomy - removal of diseased portion of the vessel with atherosclerotic plaque;
  • Autografting is used for the treatment of venous ulcers that do not respond well to local therapy;
  • Prosthetics - replacement autovenous or synthetic vessel to the affected artery;
  • Amputation necrotised division of the foot with the subsequent installation of the prosthesis.

Traditional methods of treatment

An unconventional approach to the treatment of atherosclerosis of vascular of lower extremities is the place to be, but in this case you will need the advice of experienced professionals. As for recipes, here is the most effective and popular options.

Recipe No. 1 - tincture

You will need:

  • Horse chestnut (fruits) - 20 g;
  • Humulus lupulus - 45 g;
  • Boljshegruzy carthamoides - 35 g;
  • Water - 200 g of liquid 2 g of the mixture.

How to prepare:

  1. Combine the herbal mixture.
  2. It poured just boiled water.
  3. Insist for three hours.
  4. Take a day to ½ Cup.

Recipe No. 2 - broth

You will need:

  • Chamomile (flowers) - 1 tsp.;
  • RESEDA - 1 tsp.;
  • Plantain - 1 tsp.;
  • St. John's wort - 1 tsp.;
  • Water - 200 ml;
  • Sage - 1 tsp.

If desired, the composition could be slightly different:

  • Sage - 1 tsp.;
  • Plantain - 1 tsp.;
  • St. John's wort - 1 tsp.;
  • Series - 1 tsp.;
  • Chamomile (flowers) - 1 tsp.;
  • Water - 200 ml.

How to prepare:

  1. Combine all the components.
  2. Fill composition (1 tbsp) boiling water.
  3. Insist about a day in a darkened closet.
  4. Use for applications for legs in the morning and before bed. Legs before treatment must be washed thoroughly.

Recipe No. 3 - rubbing

You will need:

  • Olive oil - 1 tbsp. spoon;
  • Sea buckthorn oil - 1 tbsp.

How to prepare:

  1. Mix the two oils.
  2. RUB the mixture into the affected skin as a cream.
  3. Use within three weeks.

Recipe No. 4

You will need:

  • Fennel seeds (crushed) - 1 tbsp. spoon;
  • Boiling water - 200 ml.

How to prepare:

  1. Pour dill only boiled water.
  2. Give it time to infuse.
  3. Drink four times a day on 5 teaspoons.

Recipe No. 5

style="font-size:medium;">You will need:

  • Elecampane root (dry) - 20 g;
  • Propolis tincture (20%) - 100 ml;
  • Alcohol - 100 ml.

How to prepare:

  1. Grind the root of nard and poured it into a bottle made of dark glass.
  2. Insist 20 days in a darkened closet.
  3. Add the tincture of propolis.
  4. Taken 3 times a day for 25-30 drops.

Recipe No. 6

You will need:

  • The bark of the Rowan - 400 g;
  • Water - 1 l

How to prepare:

  1. Pour the bark of mountain ash in 1 litre of boiled water.
  2. Cook 2 hours on low heat.
  3. Allowed to cool and filtered through cheesecloth, folded in several layers.
  4. Drink before meals.

Atherosclerosis of the legs is a serious and very dangerous illness that requires urgent and skilled response. Only in this case, we can hope, if not absolute recovery, at least for a significant improvement in health.

Prevention of atherosclerosis the best means of combating it.