Lymphostasis of the lower extremities: causes. How to treat lymphostasis of the lower extremities?
As you know, many people suffer from edema. In the evening you can observe a slight swelling of the feet and veins, in the morning the situation most often normalizes. It is worth paying special attention to this, because such a sign may indicate a tendency to varicose veins and the beginning of the development of thrombophlebitis. If the swelling in the area of the veins over time becomes more and more noticeable, you should seek qualified help from a doctor. Such a clinical picture often indicates lymphostasis of the lower extremities.
What should you know about this pathology?
Lymphostasis refers to the pathology of the lymphatic system, which is characterized by complete cessation of lymph circulation. It ceases to fulfill its primary functions and to carry out continuous drainage of all tissues of the body.Edema is a clinical symptom of this pathological process. Most often it develops in the lower extremities. In the fair sex such a disease is diagnosed five times more often than in men.
Lower limb lymphostasis is a disease of a chronic nature that affects only one or both legs at the same time. The pathology itself does not pass, it requires medical or even surgical treatment. Otherwise, the likelihood of the formation of fibrous tissue increases, which entails a thickening of the legs (elephantiasis).
Lower limb lymphostasis: causes
- Heart failure.
- Varicose enlargement.
- Pathology of the kidney.
- The presence of arteriovenous fistula.
- Malformations in the development of the lymphatic system.
- The new growths interfering a normal lymph flow.
- Parasitic infections.
- Venous insufficiency of the chronic nature.
What are the signs of the disease?
In its development, this pathology goes through three stages.
- Lymphostasis of the lower limbs in the first stage is characterized by the appearance of minor edemas mainly in the evening, which disappear on their own by the morning or after a short rest.They may increase after severe physical exertion or prolonged immobility. At this stage, as a rule, there are no growths or any major changes in the connective tissue itself. The help of a specialist, who most often consists in applying conservative treatment methods, gives a positive result.
- The second stage is characterized by the preservation of edema even after a night's rest, the growth of connective tissue, the appearance of pain discomfort. Even with a weak finger pressing on the skin for a long time the mark remains. Lymph stasis can cause cramps.
- In the third stage, impaired lymphatic drainage becomes irreversible, in the affected areas, so-called fibrocystic changes occur, and elephantiasis gradually develops. At this stage, concomitant diseases (eczema, trophic ulcer, erysipelas, deforming osteoarthrosis) often appear. In the absence of proper treatment, death is possible due to sepsis.
Lower limb lymphostasis is also characterized by the appearance of the following symptoms:
- General weakness.
- Joint pain.
- Inability to concentrate for a long time.
- The appearance of overweight.
- White coating on the tongue.
Causes of lymphostasis of the lower extremities determine the types of the disease.
The primary form is a consequence of congenital diseases and deficiencies in the functioning of the lymphatic system. Such pathology, as a rule, begins to manifest itself after the birth of a baby into the world or already in adolescence, and more precisely at the stage of puberty.
The secondary form develops due to the activity of several factors at once. These include the following: a sedentary lifestyle, chronic diseases, surgery, etc.
It is very important to identify the lymphostasis of the lower extremities. Photos of patients with such a diagnosis can be viewed in specialized medical reference books. If you have symptoms that indicate this disease, you should consult your doctor. The specialist should initially examine the lower limbs, listen to all patient complaints, and also collect a detailed history.After that, a detailed diagnostic examination is appointed, which implies:
If necessary, an additional examination of other organ systems can be appointed to reduce the risk of recurrence of the disease.
How to treat lymphostasis of the lower extremities? Independently cope with this disease is impossible. Therapy should be prescribed by an experienced specialist.
The main goal of drug treatment is to bring the lymph flow back to the normal leg. For these purposes, prescribe:
- Phlebotonics to improve microcirculation in the tissues ("Phlebodia", "Vazoke", "Detralex").
- In the initial stages of the disease, Troksevazin, Paroven, Venoruton are particularly effective. These drugs increase venous tone and improve lymphatic drainage function.
- Anti-inflammatory and decongestants (Butadion, Reopirin).
- Diuretics should be taken with extreme caution and only on the advice of a doctor, so as not to harm your own body.
How does nutrition help in the fight against pathology?
To treat such a serious problem of lymphatic drainage helps competently composed diet.Diet for lymphostasis of the lower extremities plays a primary role, because the disease most often develops in overweight people.
Experts propose to limit the consumption of salty and spicy foods, from which you constantly want to drink. In addition, salt contributes to the consistent accumulation of fluid in the tissues, and this has a negative impact on the healing process.
It is also recommended to reduce the amount of carbohydrates consumed. It is better to refuse baking, sweets, pasta and potatoes.
The diet should consist mainly of fresh vegetables and fruits, dairy products, lean fish.
About the benefits of massage
Special massage for lymphostasis of the lower extremities is a prerequisite for each therapy. Manual lymphatic drainage contributes to the activation of vascular contraction, thereby helping to promote lymph flow. Thanks to the correct technique, many patients have noted a decrease in edema, a reduction in the volume of the affected leg.
Sometimes a massage is prescribed, which is otherwise referred to as pneumocompression. However, positive results can be obtained only if you additionally use a bandage with an elastic bandage. The latter is chosen exclusively by a doctor.
When is surgery required?
If conservative therapy is ineffective, the swelling increases, the doctor decides to undergo surgery.
Before direct surgery, the lymphatic vessels are stained with a blue dye to better see the course and degree of their expansion. The dye is usually injected into the interdigital spaces of the foot.
Then remove all damaged areas by bandaging or cauterization with a laser.
During the operation itself, it is possible to perform a number of additional procedures (liposuction, formation of drainage tunnels for the correct outflow of lymph, transplantation of lymphoid tissue).
The rehabilitation period implies compliance with measures to prevent the recurrence of pathology. Recommended lymphatic drainage massage, exercise therapy, rest.
Help traditional medicine
How else can you overcome lymphostasis of the lower extremities? Treatment (medication, surgery) should be prescribed exclusively by a qualified specialist. Conservative therapy is the only right decision in the fight against this disease.However, many patients prefer to seek help from alternative medicine.
A very effective folk remedy are compresses with baked onions and birch tar. The onion in the husk must be baked in the oven, cleaned and mixed with a tablespoon of birch tar. The latter can be purchased at almost every pharmacy. The resulting mass should be transferred to the tissue and applied to the affected area with the obligatory fixation of the bandage. Such procedures are recommended to be repeated every day for two months.
Honey has long been known for its beneficial properties. Sweet delicacy is actively used in such a diagnosis as lymphostasis of the lower extremities. Treatment in this case involves the reception of healing infusion. To make it, you need to take 350 g of honey and 250 g of garlic minced in a blender. This mixture should be infused for one week, after which you can take a tablespoon three times a day before meals. The course of treatment is two months.
Note that the use of alternative medicine is recommended to resort only after consulting a doctor.
How to prevent lower limb lymphostasis? Drug treatment is aimed primarily at reducing the progression of the disease, which is why it can not be abandoned. Neglect of their own health can provoke even greater lymphatic tissue swelling, impaired mobility of limbs.
Regardless of what stage the pathology was diagnosed, all patients, without exception, require the supervision of an experienced angiosurgeon. Moreover, course maintenance therapy should be carried out throughout life.
Prevent violations in the process of lymph circulation allows proper care of the skin of the feet, timely treatment of all diseases.
Unfortunately, lower limb lymphostasis is increasingly being diagnosed today. The causes of this pathology are different. This includes all kinds of diseases of the main systems of internal organs, and overweight, and parasitic infections. Modern medicine offers several treatment options, starting with drug therapy in the early stages and ending with surgical intervention in the development of complications.The earlier the patient seeks the help of a doctor, the higher the probability of a speedy recovery. Be healthy!