Peripheral Venous Disorders

Peripheral Venous Disorders Overview:

Peripheral Venous Disorders includes a variety of conditions that relate to poor functionality of the veins throughout the body. It can describe either a blockage, defects, or damage to the veins that return blood to the heart and lungs.

These conditions can ocurr anywhere in the body, but are most common in the limbs.

 

Aetiology:

+ Chronic Venous Insufficiency

  • Involves insufficient venous return, usually from the limbs.
  • May be mild or asymptomatic in mild or early stages of the condition.
  • Involves general limb discomfort and skin changes including stasis dermatitis, ulcers, and oedema.

+ Postphlebitic Syndrome

  • Ocurrs after DVT but has the same signs and symptoms as chronic venous insufficiency
 

Symptoms:

Swelling/Oedema In The Limbs

Limb discomfort

Stasis dermatitis

Skin ulcers

 

Diagnostic Considerations:

Class Signs/Symptoms
0 No signs of venous disease.
1 Ectatic or reticular veins.
2 Varicose veins.
3 Oedema.
4 Skin changes (due to venous stasis).
5 Skin changes (due to venous stasis and healed ulceration)
6 Skin changes (due to venous stasis and active ulceration)

*Stage 3 and above often involve significant dysfunctions with venous integrity. 

 

Therapeutic Aims:

1. Improve Vascular Integrity

  • Venous tonics (Ruscus aculeatus, Ginkgo biloba, Vitis vinifera, Centalla asiatica, Achillea millefolium, Aesculus hippocastanum)

2. Reduce Inflammation

  • Venous Antinflammatories (Ruscus aculeatus, Aesculus hippocastanum)
  • Antioxidants (Vitis vinifera, Crataegus oxycanthus)

3. Reduce Thrombotic Changes

  • Platelet Aggregation Inhibitors (Ginkgo biloba, Allium sativum, Vitamin E, Omega 3 Fatty Acids)
  • Fibrinolytics (Salvia miltorrhiza, Allium sativum)

4. Improve venous Return

  • Venous Tonics (Ruscus aculeatus, Aesculus hippocastanum)
  • Physical Measures (Leg elevation, Compression socks, Gentle Excercise)

5. Improve Peripheral Circulation

  • Peripheral Circulatory Stimulants (Zanthoxylum clava-herculis, Zingiber officinale)

6. Heal Wounds & Venous Stasis Ulcers

  • Topical Vulneraries (Calendula officinalis, Matricaria recutita, Hamamelis virginiana)
 

Differential Diagnosis:

  • Chronic heart failure
 

Comorbidities:

  • Skin ulceration and infection
  • Deep Vein Thrombosis
 

Cautions:

It's important to rule out deep vein thrombosis, renal disease, heart failure, and hypoalbuminuria.

 

Herbs For Peripheral Venous Disorders:

  • Ruscus aculeatus
  • Aesculus hippocastanum
  • Calendula officinalis
  • Matricaria recutita
  • Ginkgo biloba
  • Vitis vinefera
  • Crataegus oxycantha
  • Salvia miltorrhiza
  • Allium sativum
  • Aesculus hippocastanum
 

Author:

Justin Cooke

The Sunlight Experiment

Updated: November 2017


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