The most effective drug for lymphostasis. Effective treatment of lymphostasis of the lower extremities at home

If a phenomenon such as lymphostasis is detected lower extremities, drug treatment has the most positive effect, helps to stop unpleasant symptoms diseases and get rid of the root cause of the pathology. Before resorting to the use of medicines, it is necessary to consult with your doctor, as many drugs have a number of side effects and contraindications.

Why does pathology occur?

Lymphostasis - a disease of the lower and upper extremities, can be congenital, or acquired with age due to the development of pathological processes in the body and diseases. Lymphostasis of the lower extremities is a circulatory disorder in which lymph cannot circulate normally through the peripheral vessels. At its core, the disease is the development of severe edema of the extremities with a pronounced clinical picture. Lymphostasis of the lower extremities causes the following:

• transferred surgical operations removal of oncological neoplasms;
• inflammatory processes;
• tumors on the organs in the pelvis;
• excessive body weight;
• mechanical or chemical injury;
• congenital pathologies of the lower extremities.

One of the main reasons for the appearance of lymphostasis on the lower extremities is a violation of the circulatory process due to clogging of blood vessels with blood clots or cholesterol plaques. Venous insufficiency, or varicose veins, causes the lymphatic vessels to dilate to compensate for blocked lymph flow. This leads to a decrease in the tone and elasticity of the walls of blood vessels. Congenital anomaly of development lymphatic system lower extremities always leads to the development of lymphostasis.

Lymphostasis may appear as a result of previous erysipelas of the lower extremities or due to a congenital anomaly - the Klippel-Trenaunay-Weber syndrome. With a large body weight, the lymphatic vessels of the small pelvis are squeezed, as a result of which lymphostasis inevitably begins to develop. There are frequent cases of the appearance of leg pathology in renal failure. Before treating lymphostasis, it is necessary to identify its root cause, since the pathology of the lymphatic system of the legs is a consequence of various diseases.

Features of drug treatment

Only the attending physician can prescribe medications for lymphostasis, any attempts to independently choose medications or neglect conservative methods in favor of traditional medicine can lead to serious complications.
Drug therapy has a positive effect at any stage of the disease, the main thing is to choose the right drugs that will not only remove the unpleasant symptoms of lymphostasis, but also get rid of the cause of its appearance. Treatment of lymphatic edema of the lower extremities is not limited to taking one drug; for a positive effect, it is necessary to carry out complex therapy, including the use of several groups of drugs with different spectra of action. The main drugs that are prescribed for lymphostasis are benzopyrones, diuretics, phlebotropes, coumarins, drugs that have an antibacterial effect.

In addition to drug therapy, it is necessary to treat lymphostasis of the lower extremities with a whole range of measures. The patient must constantly wear compression stockings or tighten the legs with a bandage bandage, carry out physiotherapy procedures, change the diet, do not forget about taking vitamin complexes that restore the tone and elasticity of the lymphatic vessels.

Drugs to restore the outflow of lymph

The main reason for the appearance of the pathology of the lymphatic system is a violation of the outflow of lymph, and first of all, the patient is prescribed venotonic drugs. The main drugs of this group:

• Venarus;
• Detralex;
• Venodiol.

The composition of venotonics includes active ingredients such as flavonoids, hesparidin, diosmin. Detralex helps to stop the symptomatic picture of lymphostasis - pain syndrome, an unpleasant feeling of heaviness, convulsive muscle contractions, trophic disorders. The course of treatment is chosen individually. In especially severe cases, the patient will have to take Detralex for life. During the treatment course, prolonged exposure to the sun is not recommended.

Some drugs of the venotonic group include horse chestnut - Venastat, Reparil, Aescin, Venen. These remedies help reduce swelling, fatigue, relieve excessive tension in the lower extremities, which occurs at the end of the day and in patients with excessive body weight. The main purpose of venotonics is to improve blood circulation and restore the process of lymph outflow in the vessels, but they do not treat the root cause, therefore they are used as one of the main, helper methods medical treatment.

Medicines to restore tone and elasticity

Angioprotectors are drugs that help restore the normal state of the walls of the lymphatic vessels. Their excessive expansion and decrease in tone is due to the fact that the lymphatic system itself is trying to compensate for the insufficient passage of lymph and fluid by expanding its channel, but this is fraught with loss of elasticity. The main active substances of angioprotectors are rutin and ascorbic acid. The drugs that are prescribed to patients are Bioflavonoid and Troxerutin.

Angioprotectors stop severe swelling of the soft tissues of the lower extremities, relieve inflammation, and contribute to the normalization of the tone and elasticity of the walls. After a course of administration, the patient's blood circulation improves, the processes of oxidative reduction are normalized.

Drugs of the medicinal group of angioprotectors stabilize the concentration hyaluronic acid in cell membranes. Preparations have 3 forms of release - tablets, solution for intramuscular injection(or intravenous) and gels. Which method of using the drug to choose, the doctor decides, since some forms of drug release are not suitable for the patient due to the inability to inject or take a pill due to taking other drugs that do not interact with the active substances of the angioprotector.

The use of enzymes

The inflammatory process that accompanies lymphostasis brings a person severe discomfort, pain and complicates the course of the disease. To relieve inflammation, the patient is prescribed drugs, which include special enzymes. These substances not only relieve inflammation, but also eliminate pain, help reduce soft tissue edema, and restore the immune system. The main drugs with enzymes are Phlogenzym, Wobenzym.

Medicines This medical group is especially necessary for people whose lymphostasis is complicated by a predisposition to the occurrence of blood clots that clog blood vessels and prevent the normal process of lymph outflow.

In addition to the main anti-inflammatory action, enzymes help to remove toxic substances from the body, and especially from the lymphatic system, normalize metabolism and restore necrotic soft tissues supplying them with the necessary amount of nutrients and oxygen.

The course of taking the drugs is selected by the attending physician, depending on the degree of development of lymphostasis, the severity of the symptomatic picture and the presence of concomitant diseases of the circulatory system, which are characterized by the formation of a large number of blood clots.

Action of coumarins

Coumarins - group medicines, which have a wide spectrum of action and are prescribed to patients for the treatment of lymphostasis. Coumarins are not drugs that can be used in monotherapy. Their main action is aimed at enhancing the effect of the main drugs. Patients are prescribed oxycoumarins, which affect the degree of blood clotting, helping to prevent the appearance of blood clots.

According to the latest clinical trials, the presence of coumarins in complex drug therapy for the treatment of lymphostasis does not particularly affect the positive result.

Coumarins relieve inflammation and break down large group molecules that are part of the intercellular matrix. These drugs do not affect the condition of the blood and do not thin it to prevent blood clots.

Wearing compression stockings has a greater effect. Nevertheless, some patients who are faced with the problem of stagnation of lymph in the vessels of the lower extremities and taking coumarins note that their condition has improved significantly. The decision on the need to take coumarins is made by the doctor; in most cases, drugs of this group are prescribed to patients with chronic form disease or with severe symptoms.

Diuretics

Diuretics are drugs that have a diuretic effect. They are prescribed to all patients who are undergoing treatment for lymphostasis. The disease is accompanied severe swelling soft tissues, and it is possible to remove excess fluid from the body only through the kidneys. Taking diuretics gives a quick and effective result, as excess fluid immediately leaves the lymphatic channel. It is necessary to take these drugs with special care, since, despite the positive dynamics from their use, they can have the opposite effect.

Excess fluid that accumulates in the lymphatic system and abruptly leaves it under the influence of the active components of diuretics can accumulate again under the influence of an intercellular transudate. In such cases, it will be much more difficult to withdraw fluid from the system again, and swelling may increase. Therefore, the intake of diuretics should be strictly in compliance with the dosage that the attending physician selects.

Take diuretics with vitamin complex, and the main emphasis is on maintaining the required concentration of potassium and calcium, since these enzymes are actively washed out of the body along with urine.

Antibacterial drugs

Which drugs should be taken is decided by the attending physician, and this depends not only on the severity of the development of the disease and the degree of manifestation of the clinical picture, but also on the cause that led to the unpleasant pathology of the lymphatic system of the lower extremities.

Patients undergoing treatment for lymphostasis are forced to take a large number of drugs, follow preventive measures for the development of complications, go to physiotherapy and radically change their diet. But only an integrated approach to the treatment of lymph stagnation in the vessels can provide the necessary, positive effect.

In certain cases, the cause of the development of lymphostasis is the ingress of infectious, pathogenic microflora onto the soft tissues of the lower extremities. In the presence of severe inflammatory processes that lead to soft tissue necrosis, antibacterial drugs are prescribed to the patient.

In most cases, infection with gram-positive cocci leads to the development of lymphostasis. The infection penetrates into the tissues of the lower extremities during injuries, wounds, or when erysipelas appears. Together with antibacterial drugs, it is necessary to take vitamins for quick tissue repair and protective functions. immune system.

Lymphostasis is a disease that is not just the cause of severe discomfort, pain and the inability to lead a normal life.

Pathological processes in the lymphatic system without their timely treatment can lead to very serious consequences. Violation of microcirculation in the lymphatic system leads to irreversible processes in the pelvic organs.

Treatment of pathology should begin immediately after the discovery of the first symptoms. With a running course of lymphostasis, it can go into a chronic stage, and then it will be impossible to cure the disease, and the patient will be forced to take medicines all his life in order to alleviate his condition. It is strictly forbidden to take drugs on your own, without the appointment of a doctor, as well as to neglect the established dosage.

As a rule, pain and swelling of the lower extremities disappear by morning, but if this does not happen, or does not occur fully, you should think about it and start a serious examination, during which lymphostasis of the lower extremities can be detected. According to statistics, about 10% of the world's people suffer from this disease.

A little about the lymphatic system

The connection between the cardiovascular and lymphatic networks is undoubted, since the latter is part of the circulatory network. The lymphatic system is represented by a network of vessels located throughout the body and through which lymph circulates. Lymph is formed in the process of filtration of blood plasma, that is, the liquid penetrates into the intercellular space, and from there, together with coarse proteins of the interstitial space, it enters the lymphatic capillaries, and then into the lymphatic network, where the lymph is "cleansed" (in the lymph nodes), and again flows into circulatory system in the region of the lower parts of the neck.

The lymphatic system has its own "duties":

• with its help, tissue fluid is evacuated from the interstitial space (prevention of edema);
• together with the proteins of the interstitial space through the subclavian veins transports tissue fluid back into the bloodstream;
• participates in the transfer of fats from the small intestine into the blood;
• synthesizes lymphocytes, which are part of the body's defense mechanism;
• filters tissue fluid in the lymph nodes and removes toxins, microorganisms, tumor cells, foreign substances from it;
• involved in the formation of antibodies.

The lymphatic system consists of lymphatic capillaries, vessels, nodes, trunks and ducts. With any damage to the lymphatic tract (sticking, blockage or overgrowth), the free outflow of lymphatic fluid from the tissues is disturbed, which leads to edema, which later turns into lymphostasis.

Lymphostasis of the lower extremities: definition

A pathological condition in which swelling of the tissues of the area involved in the process (in this case, the lower limbs) increases is called lymphostasis of the legs or lymphedema (lymphedema). This disease is caused by a violation of the outflow of fluid through the lymphatic vessels, which leads to its stagnation in the tissue space and edema. Among patients with peripheral vascular pathology, 3-7% are people with leg lymphostasis.

Lymphedema classification

There are primary and secondary lymphostasis of the legs. And if the primary lymphostasis of the lower extremities is congenital, then the secondary one develops during life under the influence of any provoking factors. In turn, secondary lymphostasis is divided into youthful (occurs between 15 and 30 years old) and adult (develops after 30 years).

Causes

Primary lymphostasis of the lower extremities has the following causes:

• the diameter of the lymphatic vessels is very small;
• insufficient number of lymphatic pathways;
• anomalies of the lymphatic vessels (infection, obliteration, doubling);
• amniotic constrictions, which lead to the formation of scars that compress blood vessels;
• genetic predisposition to underdevelopment of the lymphatic system;
• congenital tumor-like formations of the lymphatic system.

Secondary lymphostasis is caused by various diseases, which lead to stagnation of lymph and swelling of the lower extremities:

Lymphostasis of the legs in its development goes through three stages, which have different manifestations:

First stage

The initial phase of the disease is called mild or reversible edema and is called lymphedema. Swelling / swelling of the legs with lymphostasis appears in the area ankle joint, at the bases of the fingers and between the bones of the metatarsus from the rear of the foot. Usually a similar phenomenon occurs in the evening and / or after exercise. The skin over the swollen place is pale, easily gathers into a fold when probing. sprawl connective tissue no, and the edema itself is painless and quite mild. After sleep or rest, the leg / legs quickly return to normal.

Second stage

This stage is characterized by irreversible edema of the lower limb and is called fibroedema. The phase of irreversible edema proceeds slowly, up to several years, and is manifested by the growth of connective tissue. The edema “rises” upward, becomes quite dense, and the skin over it stretches and thickens, making it impossible to fold it. Edema is permanent, does not disappear at rest and is accompanied by pain syndrome or a feeling of heaviness during exercise.

At this stage, the lower limb begins to deform, the circumference of the leg increases significantly, and long standing leads to seizures in calf muscles and joints of the foot. The skin becomes bluish, thickened (hyperkeratosis), and warty outgrowths may appear. Complications of this stage are wounds and ulcers in places of constant friction of the skin (contact with clothing, skin folds), they become inflamed and constantly ooze lymph. The difference between the diameters of a healthy and diseased leg can reach 50 cm.

Third stage

This is the final and most severe phase of the disease. At this stage, the disease is called elephantiasis or elephantiasis (elephantism). It is characterized by a significant proliferation of connective tissue under the edema, the skin becomes very dense and rough, “like an elephant”, stretched and casts blue. The affected limb is greatly enlarged in size, its contours are lost, and fibrosis and cystic changes develop in the soft tissues. The leg becomes like an elephant and completely loses its function. Complications of the third stage include: the development of osteoarthritis, contractures, eczema, trophic non-healing ulcers and erysipelas.

In addition to local manifestations of lymphostasis of the lower extremities, there are also general symptoms:

• general weakness;
• fast fatiguability;
• pain in the head;
• tongue coated with white coating;
• loss of attention and difficulty concentrating;
• weight gain, obesity;
• pain in the joints.

Diagnostics

After a thorough collection of anamnesis and complaints, a vascular surgeon (angiosurgeon, phlebologist or lymphologist) examines the lower extremities and prescribes additional methods examinations:

Lymphography

Refers to X-ray methods of examination. It consists in introducing a gap (between 1 and 2 fingers) of the foot 1 - 2 cubes of lymphotropic dye, and then a transverse incision of about 2 cm is made between the bones of the metatarsus (1 and 2), in which the lymphatic vessels stained blue are visible. A radiopaque substance is injected into any of the visible vessels, and pictures are taken.

Lymphography allows you to determine the number of vessels, their shape and patency, the connection of collateral vessels and spare ones, the permeability of the wall of the lymphatic vessel. If there is a uniform filling of the vessel with contrast with a preserved diameter of its diameter along the entire length, then one speaks of the preservation of patency and damage to the contractile apparatus.

• With primary lymphostasis, underdevelopment of blood vessels is noted
• In the secondary, there is a disturbed course of the vessels, altered forms, filling the skin network with contrast and spreading the substance into the subcutaneous tissue (extravasation).

Lymphoscintigraphy

This is a method of radioisotope diagnostics (an isotope substance is injected into the subcutaneous tissue, from where it enters the lymphatic network, then pictures are taken with a special gamma camera). The method allows you to monitor the state of the lymphatic system in dynamics and determine the nature of the lymph flow: collateral, main or diffuse, as well as complete lymphostasis, assess the patency of the vessels, their tortuosity and the condition of the valves.

Dopplerography of the vessels of the lower extremities

Or duplex scanning of blood vessels - ultrasonography vessels using the Doppler effect (allows to differentiate venous and lymphatic edema).

Other tests

• Ultrasound of the pelvic organs- identification inflammatory diseases or tumors that interfere with lymph flow.
• Biochemical and general analysis blood- determination of blood proteins, liver enzymes, identification of signs of inflammation, etc.
• General urine analysis- to exclude kidney pathology.
• Heart study- ordered ultrasound ECG of the heart to detect/exclude cardiac pathology.

Treatment

With lymphostasis of the lower extremities, treatment is mandatory. Moreover, the earlier it is started, the higher the chances of success. Therapy of the disease is a complex task, which combines many techniques ( medical nutrition, massage, taking medications, etc.) and is aimed at improving lymphatic drainage from the lower extremities.

All conservative methods of treatment are used only at stage 1 of the disease (lymphedema phase), when structural changes in the skin and connective tissue have not yet begun. How to treat lymphostasis depends on the cause that caused it. First of all, it is necessary (if possible) to eliminate etiological factor(for example, in the presence of a tumor of the small pelvis, squeezing the lymphatic vessels, its removal is indicated). General recommendations for patients with this pathology:

• it is strictly forbidden to visit a bath, sauna or sunbathe (thermal exposure contributes to the expansion of blood vessels, including lymphatic vessels, which worsens blood and lymph flow in the legs);
• you can’t wear shoes with heels or with lacing (heels increase the load on the legs and worsen the lymph flow, and lacing pulls the soft tissues and blood vessels that pass through them, which also negatively affects the disease);
• avoid heavy lifting and static loads (prolonged standing or sitting);
• treat even minor skin lesions (including bites) with antiseptic solutions;
• refuse to wear tight underwear and tight-fitting clothing (firstly, it contributes to squeezing of the lymphatic vessels, and, secondly, skin friction at the points of contact with clothing provokes the formation of trophic disorders);
• you can’t sit, especially for a long time, with your legs crossed (by the way, the favorite position of women), since this position makes it difficult for lymph and blood flow in the legs and pelvic organs;
• it is forbidden to walk barefoot outside the house (there is a high probability of damage to the skin of the feet and the formation of a long non-healing ulcer);
• when taking a bath, use special oils (Balneum Plus), and after water procedures, wipe the skin of the legs with creams and lotions without fragrances and preservatives, which not only cleanses the skin, but also softens it, and also restores the protective barrier;
• use powder (talc, baby powder) with severe sweating of the legs, which reduces sweating and the risk of developing trophic disorders;
• timely and accurately cut toenails;
• during the massage, avoid kneading techniques.

Therapeutic nutrition for lymphostasis

First of all, the treatment of the disease should begin with dietary adjustments, this is especially true for patients with obesity. The diet for lymphedema is aimed at limiting salt intake (sodium chloride causes fluid retention in the tissues and swelling) and spicy foods (cause thirst and increase fluid intake).

The amount of free liquid should be at least, but not more than 2 liters per day (replace tea and coffee herbal teas, compotes without sugar, fruit drinks), exclude carbonated drinks. You should also limit simple carbohydrates (bread, pastries, confectionery, sweets, etc.), which contributes to the addition of extra pounds, replacing them with complex ones (bread from wholemeal flour or bran, porridge in water or diluted milk: millet, barley, corn).

Increase the consumption of vegetables and fruits (you can bake, stew, but do not fry), give preference to salads from fresh vegetables seasoned with vegetable oil. Limit the intake of animal fats (about 10 grams per day), since saturated (animal) fats in large quantities impede lymph flow. A vegetable oils in the diet should be at least 20 gr. daily. In addition, an excess of animal fats provokes, which aggravates the course of lymphostasis.

Also in the diet there should be a sufficient amount of proteins of plant and animal origin, which is necessary for the formation of antibodies and strengthening immunity. From animal fats, preference is given to fermented milk products, sea and offal. Sources of vegetable protein are buckwheat, legumes and nuts.

Compression treatment and kinesiotherapy

Compression therapy consists in squeezing the skin and subcutaneous tissue of the diseased leg in such a way that the pressure force increases from the foot to the lower leg and thigh. During the day, the patient is advised to keep the affected leg in an elevated position if possible, and at night put a roller or pillow under it (creating an angle of 45%).

Compression is carried out by elastic bandaging of the lower limb and wearing an elastic stocking. The imposition of an elastic bandage is carried out in the morning, without getting out of bed, starting with each finger, then moving to the foot and then to the lower leg and thigh. At night, the leg is unbandaged (see).

The method of pneumocompression with the help of special devices is also used, which consists in sequential mechanical compression of the leg with a certain pressure. To do this, a special pneumatic boot is put on the sore leg, into which air is pumped in the direction from the foot to the thigh. The course relies on 10 - 14 procedures. After each session, light gymnastic exercises are carried out.

Kinesiotherapy is a lymphatic drainage massage and physiotherapy exercises. Massage with lymphostasis of the legs supports the lymph flow, "expels" the lymph from the edematous tissues, stimulates phagocytosis by macrophages, enhances the work of the capillary lymphatic pump. Also, with the help of massage, macromolecular substances that interfere with normal lymph flow are destroyed.

Lymphatic drainage massage is performed by a specialist and is contraindicated in case of trophic disorders of the skin of the sore leg, vein thrombosis and in the presence of tumors and diseases internal organs. Self-massage is also allowed (in the initial stages). At home, massage is recommended after taking a warm bath, and after applying a special cream to the skin of the foot.

In the first 3 - 5 minutes, circular stroking movements are carried out (it is important to remember: the massage is performed along the lymphatic flow, that is, from the foot up), then rubbing movements and pressure are carried out and the session ends with pats. The duration of the massage is 15 minutes. Courses are recommended for 14 days with a 1 - 2-week break. After completing the massage session, you should make 10 light jumps on your toes or stretch 15 times on your toes.

Therapeutic gymnastics (LFK) is carried out twice a day, for 5-10 minutes and includes the following exercises (on a hard surface):

• V horizontal position perform a “bicycle” with both a sick and a healthy leg;
• raise the sore leg up (without bending) and perform circular movements with it;
• in a sitting position, bend and unbend your toes;
• rotate the legs with the knee and then the ankle joints;
• in a sitting position, draw the “eight” with your feet and rotate alternately with one and the other foot.

Exercise therapy is carried out necessarily in stockings or elastic bandages.
In addition, with lymphostasis, swimming and "Scandinavian" walking (with ski poles) are shown.

Drug therapy

Drug treatment of lymphostasis of the lower extremities includes a wide range of drugs that normalize blood and lymph flow, reduce the permeability of the walls of blood vessels and increase their elasticity:

• phlebotropic agents (, troxevasin and troxerutin gel) - improve tissue microcirculation, increase vein tone, restore lymph flow;
• enzyme preparations (wobenzym, phlogenzym) - stimulate the immune system, fight edema, have anti-inflammatory and fibrinolytic effects;
• benzopyrones (coumarin) - reduce high-protein edema, thin the blood, activate proteolysis due to the activation of macrophages; calcium dobesilate is also prescribed, which is similar in action to benzopyrones;
• homeopathic remedy - lymphomiazot, which stimulates metabolism, improves lymph flow and enhances the elimination of toxins from the body;
• angioprotectors (drugs from horse chestnut extract) - normalize the tone of the lymphatic vessels and veins, reduce the permeability of the vascular wall, which reduces the intensity of edema (escusan, venitan, aescin);
• diuretics - are prescribed with caution under the supervision of a physician;
• antiplatelet agents (thinning the blood) - trental, chimes;
• antibiotics and anti-inflammatory drugs for trophic skin disorders (ulcers, eczema, erysipelas);
• antihistamines - recommended for relapses of erysipelas and suppress the inhibitory effect of histamine on the contractile activity of lymphatic vessels (see);
• solcoseryl - reduces swelling of tissues, has a regenerative effect, increases the tone of the vascular wall (stimulates the formation of collagen in the walls of blood vessels);
• immunomodulators (succinic acid, tincture of eleutherococcus, licopid) - stimulate the immune system, strengthen the vascular wall;
• vitamins (ascorbic acid, vitamin E, PP, P) - strengthen the vascular wall, reduce vascular permeability, have an antioxidant effect.

Physiotherapy procedures

From physiotherapy for this disease is used:

• electrical stimulation of contractility of lymphatic vessels;
• amplipulse therapy;
• UVI autoblood - reinfusion of one's own blood after its irradiation with ultraviolet light.

Folk methods of treatment

Treatment with folk remedies is used as an additional to the main therapy for lymphostasis and is carried out after consultation with a doctor:

• compresses from birch tar and baked onions on a sore leg;
• compresses with cabbage juice or applying cabbage leaves to the affected limb;
• infusion of plantain leaves;
• infusion of garlic and honey - 250 gr. chopped garlic, 350 gr. honey, infused for 1 week, taking 1 tbsp. spoon 3 r / day for 3 months an hour before meals;
• the use of beet juice;
• intake of dandelion and plantain juice;
• a decoction (2 parts), plantain and dandelion leaves (1 part each) is poured with half a liter of boiling water, allowed to brew for 6 hours, taken for a month 4 r / day, 100 ml before meals.

But it should be borne in mind that alternative therapy is effective only in initial stage diseases.

There are a large number of factors that can provoke the development of this disease. The main ones are:

• prolonged stay on the legs;
• excess body weight;
• excessive load on the lower limbs;
• constipation.

It is known that our vessels have special valves that prevent the return of blood flow to the heart. Due to the influence of various factors, pathological changes appear in the form of vasodilation and malfunction of the valves, in which they simply cease to close completely. As a result of such processes, there is a violation of the outflow of blood from the veins and lymphovenous insufficiency occurs.

The main signs of the appearance of the disease are:

If such symptoms occur, you should immediately consult a doctor who will prescribe a course of treatment to get rid of the disease as quickly as possible and the occurrence of complications.

Medical therapy

For the treatment of lymphovenous insufficiency, the use of medications is often prescribed, such as:

Phlebotonic preparations contribute to the restoration of lost tone venous walls and normalization of blood flow in the affected areas of the body. They include agents that have a lymphotropic effect and are used for lymphostasis (lymph stagnation) and many other diseases that are accompanied by severe swelling.

There are several forms of release of such drugs:

• ointment - the basis of the drug is very oily and the active substances that make up the composition do not completely dissolve in it, therefore, when applied to the skin, their absorption occurs gradually, providing a long-term effect;
• gel - has a very light structure and is quickly absorbed, leaving a thin film on the surface;
• cream - for a long time it can be on the skin without strong penetration, so the drug is used to treat superficial lymphovenous insufficiency;
• pills - are also widely used to combat the disease and are intended for internal struggle with pathology.

The most commonly used are the following drugs:

Of the lymphatic drainage drugs, the most popular remedy is lymphomyosot.

Detralex

The main active ingredients that make up the composition are diosmin and hesperedin. Available only in tablets, which are oval in shape and coated on top. The tool has a venotizing and angioprotective effect, and also actively contributes to:

• decrease in vascular extensibility;
• improvement of blood and lymph flow;
• increases the tone and elasticity of the veins;
• strengthens the walls of capillaries;
• relieves pain;
• helps to reduce swelling of the limbs.

The drug has practically no contraindications for use, except for the presence allergic reactions on the ingredients included in the composition. During periods of pregnancy and lactation, it is prescribed extremely rarely and only as directed by the attending physician.

To get rid of venolymphatic insufficiency, the daily dose is two tablets. One patient drinks during the day, and the second in the evening during dinner. Seven days later, the simultaneous administration of both tablets at the time of eating is prescribed.

When using the drug, adverse reactions may occur, namely:

The drug can be bought without a prescription at any pharmacy. It does not require special storage recommendations. The shelf life is 4 years.

Troxevasin

The drug is aimed at eliminating the following pathological changes that occur in our body due to lymphovenous insufficiency, namely:

• reduces swelling in the affected areas of the body;
• eliminates pain and cramps;
• reduces vascular fragility;
• promotes the healing of trophic ulcers that have arisen.

The maximum concentration after the use of means arises in two hours and does not decrease for eight hours. It is excreted in the urine with the help of the kidneys.

Contraindications to the appointment are:

• intolerance to constituent components;
• disease gastrointestinal tract(ulcer, gastritis);
• kidney diseases.

The main component is troxerutin, which is extracted from yellow plants. The tool is produced in the form:

In the middle of the yellow capsule is a crumbly powder of the same color. One capsule is prescribed three times a day, and the course of therapy lasts approximately 30 days.

The gel also has a yellowish color. The product is applied to the affected skin and rubbed with smooth massage movements with the hands. The gel is used twice put on. Between manipulations, at least 10 hours should pass, and in some cases 12 is recommended. After performing the procedure, wash your hands thoroughly with soap and rinse everything with warm water to avoid getting the medicine on the mucous membranes.

With very large edema, a complex application of the gel and capsules is prescribed at the same time. Side effects occur very rarely in the form of small rashes on the skin and allergic reactions.

Venoruton

The tool helps to strengthen the walls of blood vessels and normalize the processes of permeability, and also gives the veins elasticity and protects against fragility. The drug has an angioprotective and phlebotonizing effect on blood vessels.

Capsules are taken orally, one piece three times a day. The reception does not stop until the swelling disappears completely, then a short break is made and the procedure is repeated for prevention purposes. As a result of treatment with this medicine, minor headaches, flushing of the face and, very rarely, rashes on the skin may appear. To improve the effectiveness of the drug, in parallel with Venoruton, the use of ascorbic acid is prescribed. The drug is not recommended by doctors during pregnancy and hypersensitivity to the components.

Gel Venoruton is prescribed for external use only. The remedy is applied to the edematous areas of the lower extremities in the morning and evening. The substance penetrates the skin very quickly and helps to reduce pain, edema, improves tissue trophism. The drug can be applied under elastic bandages and compression underwear.

Capsules and gel can be bought at any pharmacy without a prescription. The temperature regime during storage of medicines should not exceed 30 ° C. The shelf life is three years.

Aescusan

The main component of the drug is aescin, which is obtained from the horse chestnut fruit. With its help happens:

• normalization of blood flow in the limbs;
• strengthening of blood vessels;
• metabolic processes in damaged tissues improve;
• vein toning occurs and their fragility decreases;
• heaviness and fatigue of the legs disappear.

The tool has many forms of release:

Tablets enter the blood through the walls of our intestines. Once inside, they are broken down by renal enzymes, then they are transported together with bile to the intestine and excreted with feces.

The course of treatment can last from a month to two, depending on the severity of the course of the disease. The tablets are taken before meals and they are washed down with a sufficient amount of liquid. Daily dose can be from 15 to 100 mg. It is forbidden to use the drug in conjunction with other groups of drugs, such as antibiotics, contraceptives and others. The use of tablets can cause disruption of the digestive tract (nausea, vomiting, heartburn). In some cases, there is an increase in body temperature and the appearance of rashes on the skin.

Drops are a solution of a reddish hue, which has a specific smell. It is forbidden to use it during the period of bearing a baby, breastfeeding, as well as people who do not tolerate aescin. The required dose and amount of administration is prescribed individually for each patient. In case of overdose, bloating, spasms and intestinal disorders appear.

Ointment and gel are applied directly to the skin. They have the same properties, the only difference is the absorption rate of the product. A small amount of the product is applied to the skin, and then it is rubbed in with light circular movements. The frequency of use can be from 1 to 3 times a day. Adverse reactions may manifest as itching and rash.

The effectiveness of therapy with this drug depends on the regularity of its use.

Lymphomyosot

These are homotoxic drugs that have a wide impact, namely:

• relieves swelling and inflammation;
• improves lymphatic drainage;
• reduces intoxication of the body;
• immunomodulatory;
• improves the interaction between the cells of individual systems (nervous, immune and endocrine).

The drug is produced in the form:

Drops are a translucent light yellow liquid that is used for oral administration. A single dose is 15 to 20 drops three times a day. Before use, it is recommended to dilute them in 100 ml of ordinary drinking water and take half an hour before meals. The course of therapy lasts up to 12 days.

Ampoules are used for intramuscular, intravenous, subcutaneous administration. For people who have reached the age of majority, the administration of 1 ampoule is prescribed from 1 to 3 times a week. The duration of the application is four weeks.

A huge plus this tool is the possibility of parallel use with other drugs, as well as the absence side effects. The only contraindication is individual intolerance to the components that make up the drug. The medicine has a long shelf life of up to 5 years and is stored at a temperature of 15-25 ° C.

Remember, the independent use of medications is strictly prohibited, because improper use of the medicine can cause a deterioration in health and cause the development of pathological processes. Receiving funds begins only after consulting a qualified specialist who will prescribe the correct dosage and number of doses per day.

If you find an error, please select a piece of text and press Ctrl+Enter.

Russia, Moscow, Orlovsky pereulok, 7

Interpretation of PET CT results from another hospital, rub.

Remote telemonitoring of the state of healthrub.

Doctor's appointment / Consultation:

• orthopedist-traumatologist rub.
• surgeonrub.
• Lecture by a specialist doctor.
• Foreign surgeon-traumatologist rub.

Mon-Fri: 09:00

Russia, Moscow, 2nd Tverskoy-Yamskoy lane, 10

• Admission Ph.D. for joint arthroplasty rub.
• Appointment of a professor of joint arthroplastyrub.
• Admission Ph.D. on arthroscopy of joints rub.
• Removal of intraarticular telrubs.
• Reconstruction of stoprub.
• Endoprosthetics of the hip joint
• Endoprosthetics of the knee joint

Books

Overview of drugs and drugs for the medical treatment of lymphostasis of the lower extremities

The lymphatic system performs, along with the circulatory, transport function, and its violation leads to serious problems in the human body. Problems with lymphatic outflow are observed on average in 5% of patients who seek advice from specialists about edema, and this pathology is dealt with by doctors of various specialties: vascular surgeons, gynecologists, oncologists, dermatologists, and others. Despite the fact that lymphostasis of the lower extremities is not particularly dangerous disease and in its early stages responds well to treatment, it significantly reduces the quality of life of the patient and gives him significant physical and psychological discomfort. That is why the improvement of medical methods for the treatment of lymphostasis is a serious and urgent problem, since it has not only a medical, but also a social aspect. Let us analyze the most effective drug treatment of lymphostasis of the lower extremities.

Basic principles of therapy

The clinical picture with lymphostasis of the lower extremities at the initial stages of the disease is not characterized by any complaints of the patient about the deterioration. Symptoms of the disease appear with its development and are expressed in severe edema of the lower extremities, causing their serious thickening and deformation. The patient begins to complain of a feeling of heaviness in the legs, numbness of the limb, pain and severe fatigue. In the future, in the absence of drug therapy for lymphostasis, trophic ulcers appear on the skin, the limbs change color, and eczema forms.

All these symptoms are the reason for the appointment of a complex drug treatment aimed at improving the lymphatic circulation in the lower extremities. Usually, if lymphostasis is not started, conservative drug treatment methods are very effective and avoid surgical intervention. The main methods of treatment of lymphostasis of the lower extremities include:

• Lymphatic stimulation with drugs.
• Elastic compression throughout the course of therapy.
• Special course of physical therapy.
• Physiotherapy methods.

At the initial stage of the disease, symptoms are not noticeable.

It should be noted that drug treatment for lymphostasis of the lower extremities is effective only as part of complex therapy conservative methods. The action of drugs in lymphostasis is aimed at stimulating the contractile function of the lymphangion. Medicines used as part of a complex of drug therapy include several groups:

1. Phlebotonics.
2. Enzymes.
3. Benzopyrones.
4. Angioprotectors.
5. Diuretics.
6. Angioprotectors.
7. Antibiotics and anti-inflammatory drugs.
8. Immunomodulators.
9. Antihistamines.

Strengthening the walls of blood vessels

Phlebotonics are actively used in the medical treatment of lymphostasis of the lower extremities, since their action is aimed at strengthening the walls of blood vessels. Phlebotonics are produced in different dosage forms: it can be tablets, ointments, gels, injection solutions. These medicines are based on the action of various active ingredients.

Diosmin-based drugs include Venolek and Phlebodia. The drug Diosmin helps to increase venous resistance, they help reduce lymphatic congestion and have a positive effect on the condition of the vessels.

Main active substance is an extract of horse chestnut, in addition to it, it contains vitamin B1. In terms of effectiveness, Aescusan is inferior to that of diosmin, and it is advisable to prescribe it at the initial stage of the disease. This medicine is able to influence the activity of capillary blood flow and relieve tissue stress, it is also recommended for the prevention of the formation of blood clots and blood clots.

Detralex is considered one of the most effective medications for the treatment of lymphostasis, it contains two active substances - diosmin and hesperidin. This combination has a positive effect on venous tone and improves lymph outflow, as a result of which congestion in the lower extremities is significantly reduced. The drug Detralex is not contraindicated for use by pregnant women and women during lactation.

• Antistax.

The main active ingredient is an extract of grape leaves, the action of which is aimed at eliminating lymphostasis by strengthening capillaries and vessel walls. The drug actively promotes the outflow of fluid from the lower extremities.

The drug has a complex effect on the vessels.

The active substances of the drug Ginkor-fort are also components of plant origin, which have a complex effect on the condition of the vessels. It increases blood flow to the heart muscle, thereby relieving tension in the lower extremities.

These medicines have long been used in the treatment of venous pathologies and have good feedback, because they contribute to the normalization of blood flow and accelerate the process of removing toxins from the body. Medicines are available both in tablet form and as topical agents.

Currently, Angionorm herbal remedy has received good reviews, the main active ingredient of which is licorice root and rose hips and hawthorn. It must be said that licorice root has long been known in folk medicine for its lymphostatic properties and is actively included in formulations for the treatment of venous pathologies. Licorice root is rich in vitamins and microelements, it contains potassium and calcium salts of glycyrrhizic acid, flavonoids, carbohydrates, organic acids, proteins, steroids, lipids, and other useful elements. That is why many medicines are made on the basis of licorice.

Comprehensive protection

The action of angioprotectors is aimed at protecting the vascular wall by increasing the resistance of the endothelium to the effects of negative factors in the form of toxins and other harmful substances. Also, angioprotectors significantly increase the elasticity of blood vessels, preventing their fragility. These medicines also have a vasodilating effect, they contribute to the enrichment of tissues with oxygen and improve tissue nutrition. This group includes Actovegin, Trental, Tanakan, Curantil, Venitan.

Antigarants are used to prevent the formation of blood clots.

Enzymes are enzymes whose action is aimed at counteracting the occurrence of blood clots and clots, removing edema, to a certain extent they have anti-inflammatory and immunostimulating effects. In addition, enzymes, such as Wobenzym, as part of complex therapy, enhance the action of angioprotectors and phlebotonics, and enzymes also have a pronounced lymphatic drainage effect. Among this group are homeopathic remedies, such as the drug Lymphomyosot. Enzymes are usually prescribed after the end of the course of taking angioprotectors, since increased lymph flow with weakened vessel walls can lead to increased edema.

The use of antigaregants in the complex drug therapy of lymphostasis of the lower extremities prevents the formation of blood clots and is prescribed to prevent thrombus formation. Previously, Aspirin was mainly used for these purposes, but now there are more modern drugs who don't have that many side effects: Cardiomagnyl, Aspirin Cardio, Trental, Kardogrel.

Diuretic drugs of this group can be used only in emergency cases and strictly as prescribed by the attending physician, since excessive removal of fluid from the body provokes its movement into the vascular bed, which is fraught with additional complications. In addition, for example, a diuretic, such as Furosemide, which is often used for these purposes, is dangerous due to its ability to remove potassium from the body.

In the treatment of lymphostasis of the lower extremities, antibiotics may be prescribed in case of infection soft tissues: erysipelas, lymphangitis, bacteremia. Antibacterial drugs are taken both in the form of tablets, and in the form of intravenous or intramuscular injections.

All drugs used to treat lymphostasis of the lower extremities are aimed at stopping this process, so anti-inflammatory therapy is necessarily present in the prescribed complex. First of all, non-steroidal anti-inflammatory drugs (Diclofenac or its numerous analogues) are prescribed, which can be taken in various dosage forms, including for topical use in the form of ointments and gels. Also, for external use in lymphostasis, an ointment or cream Butadion, Reopirin or another drug is prescribed. In some cases, with pronounced symptoms of tissue sclerosis, the attending physician may prescribe the use of steroid hormones.

Antihistamines (Suprastin, Claritin, Erius or another agent) are recommended for erysipelas with lymphostasis, since they can minimize the effect of histamine on the contractile activity of lymphatic vessels.

Immunomodulators (eleutherococcus, succinic acid, and others) increase immunity weakened during illness and positively affect the condition of the walls of blood vessels.

For external use, creams and ointments are prescribed.

As an additional drug therapy, drugs such as:

• Ascorbic acid and B vitamins are medicines for increasing tissue trophism.
• No-shpa, Galidor - to improve peripheral circulation.
• Complamin, Trental, Solcoseryl - to improve microcirculation.
• Preparations of hyaluronidase action (Lidase, Ronidase).

The effectiveness of drug treatment of lymphostasis of the lower extremities depends on a properly designed scheme of complex treatment, in which medicines plays a leading role. The patient must understand that refusal to take medications can lead to irreversible consequences and the development of many complications, such as impaired leg mobility, and even death. Which drugs to prescribe and according to what scheme to treat, the attending physician decides. The most positive effect in the treatment of lymphostasis can be achieved by combining drug therapy with other methods.

Doctor surgeon phlebologist, coloproctologist

Do you have varicocele?

Do you have varicose veins or hypertension? Find out by taking our express tests.

Didn't get everything you wanted? Our doctor is ready to answer any of your questions for free!

What is lymph stasis, causes, symptoms and treatments

Disturbances in the work of the lymphatic system lead to the accumulation of lymph in the tissues and interstitial space. Lymph stasis is not just cosmetic defect, but a serious threat to the body.

The role of the lymphatic system in the human body

As part of the immune system, the lymphatic system performs several important functions:

• secondary absorption and return to the blood of the protein;
• transport of metabolic products from intercellular spaces;
• The lymph nodes protect the body from external "threats" (bacteria, viruses, protozoa);
• V small intestine fats are absorbed into the lymph;
• lymph provides physiological activity of connective tissue, maintains the balance of fluids and protein in the body

Symptoms of lymphostasis

Edema on different parts of the body appears due to different circumstances: a long road, hot weather, alcohol abuse or kidney pathology can cause fluid stagnation in the body.

However, if the edema becomes chronic and takes on catastrophic proportions, you should consult a specialist, perhaps we are talking about lymph stagnation.

Most often, limbs suffer from stagnation of lymph: hands swell or fluid stagnates in the legs. Lymphostasis is characterized by unilateral accumulation of lymph, i.e. one arm or one leg swells, and the other retains its normal size. In addition to the limbs, the face, chest, abdomen, and internal organs suffer.

Swollen tissues are squeezed blood vessels, the nutrition of organs is disturbed, discomfort and pain appear. The internal connective tissue grows, which further exacerbates the situation. Subcutaneous blood vessels are not visible, the limbs (or other parts of the body) are greatly thickened.

Lymphostasis is of two types:

• congenital - a genetic disorder, the signs of which may not make themselves felt until the child begins adolescence and associated hormonal changes;
• acquired - develops at any age, as a response to external or internal influences, disorders, pathologies.

Causes of lymph stasis

Secondary lymphostasis can provoke:

• neoplasms of the lymphatic system;
• injuries affecting the lymph nodes;
• limitation of physical mobility (paralysis, severe illness);
• removal of lymph nodes, breast surgery;
• excess body weight;
• obstruction of the lymph nodes;
• severe infectious diseases;
• constriction of blood vessels

How to treat lymphatic congestion in the legs

Treatment of lymphostasis is aimed at restoring the normal outflow of lymph and further normalizing the functions of the limbs.

1. One of best practices, allowing to disperse stagnant lymph, is a massage. The combination of manual and underwater shower-massage leads to the activation of the circulatory and lymphatic systems, normalization water balance, strengthening and increasing the elasticity of the walls of blood vessels. During an underwater shower-massage, the patient is massaged with a directed jet of water with a pressure of several atmospheres. The patient is in the bath.
2. Physiotherapeutic procedures are shown - magnetic and laser therapy;
3. Patients with sufficient physical activity are recommended to visit the pool;
4. Drug treatment includes drugs:

• normalizing blood circulation
• immunomodulators and vitamin complexes
• venotonics (increase the tone of the venous walls)
• with anti-edematous action
• lowering blood viscosity
• strengthening the walls of blood vessels

1. IN daytime you must wear compression stockings or use an elastic bandage;
2. In the daytime, it is recommended to lift the edematous limb and keep it extended (on a support) for minutes, to put a folded blanket or a dense roller under it during sleep.

Exercises to normalize the outflow of lymph

A set of exercises can be performed at home. A prerequisite is the use of compression underwear or a bandage from an elastic bandage for the duration of the lesson. No need to rush and overload your legs. The duration of charging is minutes, it is advisable to repeat the exercises twice a day.

• "Bike". Starting position - lying on your back, legs raised above the floor and bent at the knees. Alternately straightening and bending the legs, the patient imitates cycling.
• "Frog". Starting position - lying on your back, legs bent, feet firmly pressed to the floor. The knees are spread apart, trying to reach the floor as much as possible with the feet, do not tear the back and feet off the floor.
• Lateral leg swings. Starting position - lying on your side. The lower leg is straight and extended. The upper leg is raised by 45 0, then smoothly retracted back, behind the back, after - the starting position, and in the same way forward. The muscles do not tense, the exercise is performed at an average pace, without jerking. 10 repetitions are performed for each leg.
• Starting position - lying on your side. Bend the top leg at the knee and pull towards the chest. Then return to the starting position. Perform repetitions on each leg.
• Foot movement. Starting position - lying on your back, feet slightly raised above the floor. Pull your toes towards you - away from you, perform rotational movements with your feet in both directions, tilt your feet to the right and left.
• Starting position - lying on your back, legs straight. Alternately pull your legs forward. This exercise helps to relax the calf and femoral muscles, release blood vessels, and normalize the microcirculation of fluids in the body.
• Starting position - lying down, pelvic support against the wall, legs raised at an angle of 90 0. It is recommended to lie with your legs up for minutes daily to relieve severe swelling.
• Starting position - lying on your back, legs straight. Bending your knees, pull them to your chest, then return to the starting position.
• "Compass". Starting position - lying on your back, legs straight. Alternately take your legs to the side, without lifting them off the floor and without bending them at the knees.

Lymphatic gymnastics with Oksana Rogova is a simple practice that helps the body cleanse itself of toxins and toxins. Stimulates the flow of lymph to move into the zones of filtration and purification.

It is also articular gymnastics, due to which synovial fluid is released in the joint capsule, but without compressive load on the joint.

Synovial fluid is not only a lubrication of the joint, but also a nutrient medium for cartilage. Promotes regeneration, healing and cleansing of the joints. Recommended to be done daily.

See more lymphatic drainage techniques from osteopath, teacher of the School of Osteopractic Alexander Smirnov.

Edema on the face

Puffiness of the face, bags under the eyes cause dissatisfaction, especially among the fair sex, but serious congestion threatens health and requires treatment.

Edema intensifies in spring and summer. The condition may return to normal in the morning during sleep, but after waking up, swelling returns.

Lymphatic drainage massage will help get rid of lymphostasis of the face, aimed at normalizing the outflow of lymph, increasing skin tone, and improving complexion.

It is important to eat right, do not abuse fatty salty foods, alcohol, quit smoking.

Hand lymphostasis

Stagnation of lymph in the upper limbs can occur against the background of:

• operations to remove the mammary gland (oncology);
• hand injuries (dislocation, fracture, burn);
• transferred infection;
• radiation therapy;
• obesity

Medicines for the treatment of lymphostasis:

1. Venotonics - relieve swelling, stabilize lymph flow and blood circulation, strengthen the walls of blood vessels. This group of drugs includes angistax, detralex, venarus, aescusan and others.
2. Anticoagulants are substances that thin the blood and reduce its viscosity. I prevent the formation of blood clots.
3. Diuretics

Restoration of lymphatic drainage with folk remedies

Traditional medicine recipes to eliminate edema and normalize lymph flow:

• Onion compress. Bake 1-2 large onions in the oven, chop with a press or meat grinder, mix with 1 tbsp. l. birch tar. The mixture is applied to the affected areas of the body under a compress for 2-3 hours.
• Mix 0.25 kg of peeled minced garlic and 0.35 l of honey. Place the mixture in a glass dish and keep in the dark for 10 days. Take on an empty stomach, 3 times a day for 1 tsp.
• 2 tbsp. l. dried plantain leaves pour 0.5 liters of boiling water, leave overnight. Strain in the morning, drink in small portions throughout the day, on an empty stomach.
• Stir 1 tsp. apple cider vinegar and 1 tsp. honey in 0.2 liters of boiled water and drink in the morning on an empty stomach. Means to be taken daily.
• Mix 1 tbsp. l. crushed dried blackcurrant leaves and rose hips. 2 tbsp. l. collection, pour 0.3 liters of boiling water, leave for 25 minutes, strain, drink in the morning on an empty stomach;
• 1 st. l. dandelion juice, mixed in a ratio of 1: 1 with liquid honey, drink 3 times a day;
• Pour rye flour with hot water and knead a thick dough. After half an hour, add kefir to the flour, so that you get a mass that resembles thick sour cream in consistency. It is applied to the affected area of ​​the body under a bandage. The compress can be left overnight.
• For the treatment of lymphostasis of the extremities, baths with the addition of decoctions of a string or chamomile are shown.

Professional help

If you have symptoms of lymphedema, you should contact a vascular surgeon or phlebologist. After examining and listening to complaints, the specialist can refer to the following examinations:

1. General and biochemical analysis blood;
2. General urine analysis;
3. Ultrasound of the pelvic organs and abdominal cavity;
4. Ultrasound of the heart and ECG.

Additional examination methods are:

1. Lymphoscintigraphy. Determines the patency of blood vessels, the state of the valves, the nature of the lymphatic outflow.
2. Lymphography. Determines the shape and number of blood vessels, their permeability and permeability of the lymph.
3. Dopplerography of vessels. Determines the state of venous and lymphatic edema.
4. CT scan.

Lymphatic drainage is used to remove stagnant lymph. It not only affects the lymphatic system, coordinating its work, but also contributes to the expansion of blood vessels, relieving muscle spasms.

During hardware lymphatic drainage, a low-voltage electric current acts on the body. Subcutaneously injected useful material(nutritious, moisturizing, stimulating), which normalize the water-salt balance, disperse the lymph throughout the body, removing swelling.

Vacuum lymphatic drainage allows you to influence a specific area of ​​the body, eliminating lymph stagnation and swelling.

Avoid stagnation of lymph: not being able to get rid of metabolic products, the body accumulates them in the intercellular space.

Lymph stagnation is fraught not only with edema, but also with a malfunction of the immune system, intoxication and weakening of the body.

A healthy lifestyle, balanced diet and movement are the best prevention of disorders of the lymphatic system.

Which specialist should I contact with stagnation of lymph under the eyes?

According to WHO statistics, lymphostasis is currently diagnosed in 10% of the population of our planet. The progression of this pathology to the development of elephantiasis generates physical and psychological suffering for the patient and almost always leads to disability. That is why the prevention and treatment of lymphostasis is currently receiving increased attention from phlebologists and lymphologists around the world.

What it is?

Lymphostasis is a defeat of the entire lymphatic system and a violation of the outflow of lymph. It simply stops circulating and accumulates in the tissues. That is why the legs swell a lot, and the skin becomes very dense over time. The problem does not go away on its own and develops into a more serious form, when a person can hardly move due to a strong thickening of the legs.

In the people, this phenomenon is called elephantiasis because of the external similarity with the limbs of this animal. A similar stagnation of lymph can develop on one leg or two, and also touch the hands. From an aesthetic point of view, such a sight is very unpleasant, and it is quite difficult to hide it. On the Internet you can see photos that show examples of this disease.

Causes of lymphostasis

The development of lymphostasis can be due to a number of factors, with the exclusion of which the development pathological process can be prevented or lead to permanent regression.

The causes of the development of the disease may not have a direct connection with the lymphatic system, but indirectly have a pathological effect through adjacent organs or systems.

Symptoms of lymphostasis, photo

Each of the stages of lymphostasis of the lower extremities has its own symptoms (see photo).

There are three levels of development of pathology:

1. Mild swelling (lymphedema). Puffiness is regular, disappears in the morning, after rest, increases from physical activity. Connective tissues do not grow, the skin is pale, easily palpable, forms a fold on palpation. In cold weather, it can completely disappear. At this stage, there are no irreversible changes.
2. Irreversible swelling (fibridema). Puffiness does not go away, pain appears, the skin is dense, a trace of pressure remains on palpation, the legs get tired easily. At the site of the lesions, convulsions occur, the skin does not gather into a fold, the skin gradually darkens.
3. Elephantiasis. The connective tissue under the skin grows strongly, the skin is bluish, rough, stretched. Edema hurts a lot, the leg resembles the limb of an elephant, thickening more and more. Ulcers, necrotic processes, inflammation appear. The limb is gradually deformed more and more, the joints do not bend.

Lymphostasis of the legs can develop primary or secondary. Primary lymphedema is characterized by malfunctions of the lymphatic system caused by congenital malformations of the lymphatic tract and affects either one or both limbs. Primary manifestations lymphostasis appear already in childhood and progress in the future.

Secondary lymphostasis develops as a result of trauma to the legs or the development of acquired diseases of the initially correctly formed lymphatic system.

Diagnostics

When determining therapeutic tactics, it is advisable to conduct an extended examination of the patient, which includes:

1. The most reliable method for diagnosing disorders of lymph transport in the lower extremities is MRI (magnetic resonance imaging);
2. Ultrasound (ultrasound examination) of the pelvic organs and the entire abdominal cavity;
3. Duplex scanning of the vessels of the arms and legs;
4. Ultrasound of the heart, ECG;
5. BAC (biochemical blood test) with mandatory determination of proteins and liver enzymes (ALT, AST);
6. X-ray examination (lymphography);
7. Radioisotope diagnostics (lymphoscintigraphy);
8. UMC (general urinalysis).

It is likely that all these diagnostic measures not only indicate the development of lymphatic edema, but also find the cause of these disorders.

Treatment of lymphostasis of the lower extremities

All conservative methods of treatment are used only at the first stage of the disease, when structural changes in the connective tissue and skin have not yet begun. How lymphostasis will be treated depends on the cause that caused it. First of all, it is necessary to eliminate the etiological factor (for example, in the presence of a pelvic tumor that compresses the lymphatic vessels, its removal is required).

• cut nails neatly and in a timely manner;
• when performing a massage, do not resort to kneading techniques;
• you can’t wear shoes with lacing or high heels (heels increase the load on the legs and thereby worsen the lymph flow, and lacing can pull soft vessels and tissues, which will also affect the development of this disease);
• it is strictly forbidden to visit a sauna, a bathhouse or sunbathe (thermal exposure dilates blood vessels, including lymphatic ones, which negatively affects lymphatic and blood flow in the lower extremities);
• treat the slightest damage to the skin (including insect bites) with antiseptic solutions;
• avoid static loads and heavy lifting (long sitting or standing);
• you can’t sit cross-legged, which, by the way, is the favorite position of every woman, because in this way you impede blood flow and lymph flow in the pelvic organs and legs;
• abandon tight-fitting clothing and tight underwear (first of all, they squeeze the lymph nodes, and skin friction leads to trophic disorders);
• use special oils when taking a bath, and after water procedures, be sure to wipe the skin of the legs with lotions and creams without preservatives and fragrances, which will not only protect it, but also soften it, having a positive effect on the protective barrier;
• it is forbidden to walk barefoot outside the house (there is a high probability that the skin of the feet will be damaged and ulcers will form that will not heal well);
• use powder (baby powder, talcum powder) with heavy sweating of the legs, which reduces the risk of developing trophic disorders and sweating).

Treatment of lymphedema at home should be comprehensive, including medication and compression therapy, special massage, careful foot care, diet, sports and therapeutic exercises.

1. The diet for lymphostasis should be low-calorie and practically salt-free, since salt, which retains fluid in the body, only contributes to the progression of edema. The food of patients with lymphostasis should be rich in vegetable and animal proteins, polyunsaturated fatty acids. You should limit the use of sweets, bakery and pasta, some types of cereals. But the use of fresh fruits, vegetables and dairy products is only welcome.
2. Drug treatment consists of taking pills. Troxevasin, Detralex and Venoruton Forte tablets will help normalize lymph circulation. To improve peripheral circulation, no-shpu and teonikol are prescribed. Trental will help restore blood microcirculation.
3. With lymphostasis, sessions of lymphatic drainage massage are mandatory, which combines deep massaging of the lymph nodes with rhythmic and gentle stroking of the outer skin. After the massage, which lasts about an hour, it is recommended to apply a therapeutic bandage.
4. Compression therapy is reduced to wearing special compression underwear with distributed pressure or to regular dressings of the affected limbs. For dressings, you can use an elastic bandage or special products from medical knitwear. By promoting the outflow of lymph, these measures help to significantly reduce swelling.
5. Patients with lymphedema are very useful sessions of physiotherapy exercises, swimming and Nordic walking.

Drugs for lymphostasis

It should be noted that the drug treatment of lymphostasis of the legs contains a wide range of drugs that normalize lymph and blood flow, reduce the permeability of the walls of blood vessels, and also increase their elasticity:

• diuretics - are prescribed with caution under the supervision of a physician;
• antiplatelet agents (thinning the blood) - trental, chimes;
• enzyme preparations (wobenzym, phlogenzym) - stimulate the immune system, fight edema, have anti-inflammatory and fibrinolytic effects;
• phlebotropic agents (detralex, troxevasin and troxerutin gel) - improve tissue microcirculation, increase vein tone, restore lymph flow;
• homeopathic remedy - lymphomiazot, which stimulates metabolism, improves lymph flow and enhances the elimination of toxins from the body;
• benzopyrones (coumarin) - reduce high-protein edema, thin the blood, activate proteolysis due to the activation of macrophages; calcium dobesilate is also prescribed, which is similar in action to benzopyrones;
• angioprotectors (drugs from horse chestnut extract) - normalize the tone of the lymphatic vessels and veins, reduce the permeability of the vascular wall, which reduces the intensity of edema (escusan, venitan, aescin);
• solcoseryl - reduces swelling of tissues, has a regenerative effect, increases the tone of the vascular wall (stimulates the formation of collagen in the walls of blood vessels);
• antihistamines - recommended for relapses of erysipelas and suppress the inhibitory effect of histamine on the contractile activity of lymphatic vessels (see all antihistamines);
• immunomodulators (succinic acid, tincture of eleutherococcus, licopid) - stimulate the immune system, strengthen the vascular wall;
• antibiotics and anti-inflammatory drugs for trophic skin disorders (ulcers, eczema, erysipelas);
• vitamins (ascorbic acid, vitamin E, PP, P) - strengthen the vascular wall, reduce vascular permeability, have an antioxidant effect.

Compression underwear

Medical jersey - salvation for patients with pathologies of the blood circulation and lymphatic system.

Products have a number of advantages:

1. Functionality. Treatment of lymphedema is effectively carried out with medical knitwear. Stockings, socks, sleeves not only delicately compress the affected, dilated areas of the lymphatic or blood vessels, but also provide support for the limb.
2. Convenience. It is unlikely that everyone has the skills of bandaging with an elastic bandage or the basics of lymphatic drainage massage. A compression stockings(stockings, sleeves, stockings) everyone can put on.
3. Beauty. Treatment of lymphedema, edema can be fashionable and stylish. Knitwear is made in different colors, stylish design. It can be worn instead of the usual underwear under ordinary clothes.

It is necessary to choose medical knitwear only according to individual standards. They are removed by a surgeon, a medical consultant. For a positive effect on stagnation, swelling, long-term use, wash stockings or sleeves daily.

Kinesiotherapy

The method involves a combination of lymphatic drainage massage and exercise therapy. According to the rules, first, a lymph flow-improving massage is performed using a special technique for 15 minutes, and then 15 minutes of charging follow. The course of treatment is 14 procedures.

Massage

With lymphostasis, this is the basis of treatment. Hardware and manual effects on the deep layers and large blood vessels are equally effective. It will not be possible to massage an arm or leg on its own with swelling. The study of stagnation begins from the inguinal region or armpit area, which is physically difficult for the patient to do himself. With a tendency to the accumulation of lymph and interstitial fluid, swelling, take a course of massage from a specialist.

After the first session, after 1 hour, you will replace that the affected limb has decreased in size, pleasant “goosebumps”, tingling can go through the body. This is a signal that stagnation of fluid and lymph, swelling subsides. During the session, the massage therapist covers the arm or leg with a ring of fingers, slowly warms up and works out the deep layers of tissues. Lymphostasis of the lower extremities or hands can be worked out with a massage brush or roller. And strengthen the vessels, and remove stagnation, swelling. Plots with large varicose veins, trophic ulcers and other violations of the integrity of the skin bypass. If during the session there is discomfort, then the session is stopped.

About the benefits of exercise therapy

In addition to massage for lymphostasis of the lower extremities, it is very important physical exercise. They are included in the treatment of this disease. Of course, it is necessary to develop a special complex that needs to be done 2 times a day. Classes should be given only a quarter of an hour. In this case, a compression bandage must be present on the sore leg.

What exercises can be included in the complex?

• Bicycle sore leg;
• Flexion and straightening of the toes;
• Rotation of the feet in different directions alternately;
• "Drawing" with the feet of the "eight".

The exercises are very easy, but the important rule is to do them daily.

Treatment with folk remedies

At home, for the treatment of lymphostasis (as an auxiliary medicine and only in the initial stages), various folk remedies. Without being able to describe them all, here are a few examples:

1. Apple vinegar. It strengthens the walls of blood vessels, eliminates edema and trophic changes. For rubbing, dilute vinegar with water in a ratio of 1: 2. Rub with massage movements from the feet to the hips. Then, after a short exposure, wash off the remnants of the solution and apply a cream with a strengthening effect on the skin.
2. Compresses help a lot. For example, baked onions mixed with pharmaceutical tar. The onion is baked, ground to a homogeneous mass and 2-3 tablespoons of tar are added. The finished mixture is laid out on a clean canvas. The tissue is evenly distributed over the site of local edema, fixed with a bandage and left until the morning.
3. Dandelion root - the product enhances lymphatic drainage and tones the vascular wall. Use an infusion of dandelion leaves, taking 0.5 cup on an empty stomach three times a day. To prepare the infusion, you will need 2 tbsp. tablespoons of dry dandelion leaves, they must be poured with 0.5 liters in the evening. boiled water. Ready infusion to drink throughout the next day, and in the evening prepare a fresh portion. You can also use dandelion roots, but they should be boiled in a water bath for 5-8 minutes. in the same volume of water. Ready broth to drink in the morning a glass before meals.
4. Decoctions from healing fees can be used in the form of night applications. As herbs, take St. John's wort, plantain, yarrow. Add 25 ml of medical alcohol, an aspirin tablet and an ampiox tablet to the prepared solution. I impregnate the gauze with the composition and apply it to the affected area of ​​the skin, put a cloth moistened with a cool salt solution on top and securely fix it with a bandage, leaving it overnight.
5. Natural herbs that have a diuretic effect have a therapeutic effect, contributing to the rapid elimination of leg edema. Mix a collection of nettle leaves, birch buds and rose hips in equal proportions and sweat in a water bath for 10-15 minutes. After filtering the infusion, drink half a glass three times a day 30 minutes before meals.
6. Traditional medicine and the active use of leeches did not bypass. With unexpressed edema, you can use 2-3 leeches per session. In more advanced cases, the number of leeches can be increased to 7-8 pcs. During the week, you can do two treatment courses. Hirudin contained in leeches not only perfectly thins the blood, but also strengthens the vascular wall, reducing fluid effusion in the tissue and, as a result, significantly reduces swelling of the legs.

In addition, one should not forget about other recommendations of doctors to patients who are brewing or have similar problems. They will have to exclude baths, saunas, solariums, fragrances and preservatives in the cosmetics used for their feet, give up high-heeled shoes, tight clothing that rubs the skin, avoid lifting heavy objects, standing or sitting for a long time (especially when cross-legged).

Operation

Question about surgical treatment is considered in case of severe congenital pathology of the lymphatic system, the absence of the effect of conservative therapy, progression of lymphedema, soft tissue fibrosis, frequent episodes of erysipelas, etc.

Types of surgery:

1. Dermatofasciolipectomy by the islet method - removal of altered skin areas along with subcutaneous fat, fascia, fibrosis. Preoperative preparation includes several sessions of liposuction necessary to get rid of subcutaneous tissue. Surgical intervention consists of excision of certain areas of the skin with underlying tissues affected by fibrosis. The resulting wound surface is closed with saved skin flaps or taken from a healthy area of ​​the patient's skin.
2. Tunneling is the artificial creation of special channels in the affected areas for the outflow of accumulated lymph into healthy tissues with further absorption into the lymphatic vessels. Temporary tunnels are made from spiral drains or special prostheses, permanent ones are made from a section saphenous vein or a spiral made of an inert material. It is indicated for the advanced form of lymphedema, which excludes the possibility of treatment by any of the above methods.
3. Operation with the creation of lymphovenous anastomoses. It is indicated for secondary lymphostasis, especially after radiation exposure on the lymph nodes or after their removal during a mastectomy. For the treatment of primary lymphostasis is ineffective. The intervention consists in isolating the vessels of the lymphatic bed and connecting them to a nearby vein using the finest microanastomoses.
4. Liposuction is the surgical removal of fibrous subcutaneous tissue by aspiration. It is carried out in the presence of moderate limited fibrosis.

After any type of surgery, medication is prescribed. Each patient with lymphostasis, regardless of the stage of the process, is observed by an angiosurgeon. Courses of maintenance therapy in most cases are carried out throughout the life of the patient.

Prevention

To prevent lymphostasis of the lower extremities, it is recommended to follow the following rules:

• wear compression underwear;
• regularly visit the pool;
• refuse uncomfortable shoes;
• drink at least two liters of pure water daily;
• every day to make half an hour walking, cycling;
• care for the skin of the feet: cutting nails, removing dead skin, treating wounds, treating insect bites with antiseptics or boric acid - everything must be done in a timely manner.

Stagnation in the tissues, a violation of the outflow of lymphatic fluid will provoke the appearance of other serious diseases and restrict movement. How to prevent the development of pathology? If lymphostasis of the lower extremities has already been diagnosed, home treatment will help you quickly cope. The system of influence on risk factors should not be neglected in patients with a genetic predisposition or in remission.

What it is? Lymphostasis is the development in the body of stagnant lymph processes in the extracellular space of tissues. In addition to the characteristic localizations of the pathology of lymphostasis (in the limbs), other manifestations are also known. functional disorders lymph systems - in the tissues of the breast, face or scrotum.

According to statistics, more than 200 million people worldwide are subject to lymphostasis, and their main category is women (the age of Balzac's heroines). And the lion's share of violations of the lymph flow is due to localization in two or one lower limb (in almost 90% of cases).

The development of lymphostasis begins with pathological processes that disrupt the functions of small vessels of the lymph system (capillaries, collectors), which is manifested only by subtle swelling in the legs. Gradually, large vessels are involved in the process, leading to trophic changes in the limbs and an increase in their volume, manifesting as elephantiasis.

Genesis of development

Lymphatic outflow disorders can develop due to many reasons. The main ones are due to:

The main genesis of the development of the disease is the accumulation of lymphoid fluid in the intercellular structure of tissues, provoked by an increase in intra-lymphatic pressure caused by an imbalance in the formation and outflow of protein-rich lymph.

This process causes limited or widespread localization of tissue edema. With such edema in lymphostasis of the legs, you can successfully fight, since swelling does not cause thermodynamic (irreversible) tissue changes.

But, when changes in the form of protein destruction begin in the lymphoid fluid, fibrin and collagen fibers develop in the skin and fiber structure, muscle and fascial tissues.

The rapid growth of connective tissue leads to thermodynamic changes in the affected tissues, in the form of cicatricial neoplasms that inhibit blood flow, disrupt trophism, and provoke the development of inflammatory reactions. In accordance with the causative factor, two forms of lymphostasis are distinguished in the development of the disease:

1. Primary, conditioned congenital anomalies development of the ducts of the lymphatic system, with the manifestation of symptoms from early childhood, or in early puberty.
2. Secondary, characterized by the development of the disease due to various pathological conditions. In addition to lymphedema affecting the lower and upper limbs, this group also includes lymphostasis of the hand after mastectomy.

Symptoms of lymphostasis by stages and localization

lymphostasis, photo of symptoms after breast removal

In principle, the pathological signs of the primary and secondary forms of lymphostasis do not have any special differences. In the secondary variant, the symptoms of lymphostasis of the lower extremities manifest themselves in accordance with the severity clinical manifestations due to the stages of the disease:

1) The beginning of the primary stage of lymphostasis is marked by the formation of a persistent and growing edema during the day on the back of the feet. The skin is stretched and shiny. Light pressure leaves a depression, which soon straightens out.

In addition to a slight discomfort in the form of bursting, the patient does not feel. Pain symptoms absent - since the puffiness disappears by morning, patients have no particular concerns, and for medical care nobody rush. Although it is in this period that the treatment of lymphostasis gives the most effective result.

2) The signs of the second stage are characterized fibrotic changes in edematous tissues. The consistency of edematous tissues is dense, with pressure, pain is noted, a deep trace remains for a long time. The skin over the edema is hypersensitive and has an unattractive appearance.

Its surface is dry, covered with cracks and folds that do not level out when stroked. At this stage of lymphostasis, there are no clear symptoms of traffic disorders yet, but inflammatory reactions are noted that appear on the skin in the form of small hyperemic spots. Often there are muscle cramps.

3) In the third stage of lymphostasis, noticeable changes occur in the skin. It is cracked, dry, and severely stretched. Massive swelling is very noticeable, which visually increases the size of the affected limb. A diffuse red spot appears on the skin - evidence of the development of inflammation reactions and infection. Over time, obvious signs of trophic damage to the skin cover appear.

4) On the fourth last stage development of the disease, it is manifested by extensive signs of damage to the limbs, spreading to the lower leg and femoral zone. Pathological changes cover the joints and bones, causing their deformation.

The limb loses its original size, greatly increasing. In tissue structures, areas of induration (compaction) and fibrosis with an unnatural bluish tint are noted. In the absence of treatment of lymphostasis, warty neoplasms and oozing ulcers (trophic) may appear.

- often a phenomenon - the loss of part of the lymph nodes along with the tissues of the gland itself, its fiber and muscle tissue, does not stop the function of the lymphatic system, resulting in the accumulation of lymphoid fluid in the tissues, forming edema. Its excess can seep through the surgical sutures, which is often regarded by patients as the release of postoperative ichor.

Puffiness, after surgery, develops on the arm from the side of the pathological process. The symptomatology corresponds to the general signs that appear at different stages of lymphostasis.

The most terrible complication at the last stage of the disease is sepsis or the development of dense swelling (fibriderm) - this is an irreversible process that cannot be reversed.

In the vast majority, lymphostasis of the hand after mastectomy does not require treatment, it goes away on its own for six months. Facilitate the situation of self-massage manipulation, and special therapeutic exercises recommended by the doctor.

Treatment of lymphostasis - drugs and methods

Unfortunately, there is no single protocol for the treatment of lymphostasis today, although therapy is being carried out. Its purpose is due to:

1. Stopping the progression of the disease;
2. Normalization of metabolic processes;
3. Preventing the development of deep lesions and complications.

Treatment is individual and complex, due to the different genesis of the pathology. First of all, it begins with the elimination of the causative factor (sometimes by an operative method that eliminates neoplasms that impede the movement of lymph).

The use of drug therapy in the treatment of lymphostasis of the lower extremities is advisable only at the early stages of its manifestation, when there are still no structural changes in the tissue and skin structure, or as an addition to postoperative period. Its goal is to reduce the secretion of lymphoid fluid and restore its free movement with the help of various medications:

• Drugs that improve the processes of lymphatic circulation - "Detralex", "Venoruton", "Troxevasin".
• Normalizing blood circulation in micro-vessels - "Trental" and peripheral vessels - "Theonicol", "Drotaverine" or "No-shpy".
• Providing the withdrawal of lymph from the interstitial space - " Nicotinic acid"or" Coumarin.
• Means that ensure the normalization of metabolic processes and tissue traffic - Troxerutin, Hyaluronidase and Reopirin.
• Means that thin the blood - "Kurantila" and stimulate immune functions: "Succinic acid", "" and various vitamin complexes.
• Antibiotics, with the addition of erysipelas.

In addition to conservative treatment, physiotherapy methods are prescribed. therapeutic treatment in the form of electro, magneto, laser stimulation and pneumomassage. That allows you to speed up metabolic processes and normalize the flow of lymph through the system. Together with drug treatment lymphostasis, these procedures contribute to the normal restoration of lymphatic outflow and the strengthening of the vascular walls.

When therapeutic treatment fails, numerous surgical techniques are used. Of all the options, liposuction, lymphangiectomy, lymphatic drainage, and combinations thereof are the most commonly used.

In the treatment of lymphedema in the lower extremities, including the treatment of lymphostasis after mastectomy, along with drug therapy and physiotherapy, it is mandatory to bandage the extremities with an elastic band and use compression therapy (use of compression underwear).

How can you help yourself?

massage and compression underwear

Treatment of lymphostasis of the lower extremities at home is possible only at the initial stage of the development of the disease. Various methods of kinesiotherapy (active and passive) recommended by a doctor can be used - active kinesiotherapy in the form of therapeutic exercises selected by a specialist and passive techniques in the form of massage. Therapeutic massage can be carried out independently, or with the help of household members.

1) Massage should begin with light circular strokes of the limb only with upward movements. Since the lymphatic system does not have a valve apparatus, the movement of the lymph provides a pressure difference, and this is precisely the function that the hands should perform.

2) Then there are not too zealous kneading, patting and rubbing. Massage movements alternate with stroking actions.

3) Stroking and finishing the massage session.

Massage with lymphostasis is carried out in a course of two weeks, taking breaks between courses for 1-2 weeks. It should be remembered that exercise therapy exercises should only be done in compression underwear (stockings, leggings, golfs).

As an addition to treatment, it is possible to use traditional medicine recipes, in the form of compresses from cabbage leaves, plantain, birch and immortelle, brewed and infused for half an hour.

About food and diet

Treatment of lymphostasis will not be successful even at its initial stage, if the diet is not corrected, aimed at reducing the patient's excess weight, which aggravates clinical picture and restoration of normal processes in vascular system. For this, the diet recommended by the scientist M.I. Pevzner is suitable, the diet of which consists of a balanced and complete piranha, which has a beneficial effect on circulatory functions.

At the same time, you should abandon solarium procedures, visiting saunas and public baths, uncomfortable and tight shoes and clothes, avoid lifting weights, avoid situations where you need to stand for a long time, or sit in an uncomfortable position.

Treatment prognosis

The result of the untimely start of treatment of lymphostasis is disability. In addition, the timeliness of identifying the causative factor and adequate treatment can protect patients from the development of infectious processes, the prerequisite for which are erosions, ulcers and ordinary wounds on the edematous surface of the skin.

• Vitiligo - what is it? Photos, causes and treatment, ...