AN INNOVATIVE PHYSICAL THERAPY APPROACH TOWARDS A COMPLEX CASE OF PIVD WITH VARICOSE VEINS

2021 ◽  
pp. 2881-2884
Author(s):  
Chaitanya Ajay Kulkarni
Keyword(s):  
Varicose Vein ◽  
Varicose Veins ◽  
Lumbar Disc ◽  
Lower Limbs ◽  
Complex Case ◽  
Herniated Disc ◽  
Prolonged Standing ◽  
Pedal Edema ◽  
Ayurvedic Treatment ◽  
Grade 3

PIVD is the protrusion from the nucleus pulposus through the rent within the annulus fibrosis. L4-L5, L5-S1 discs are most commonly affected in 95 percent of lumbar disc herniation. As we grow older the discs which are present in our vertebral column, become less flexible and begin to harden, making it more susceptible to tears. The herniated disc may be caused by a single undue strain or injury. However, as disc degeneration progresses with age, a few people may suffer herniated discs from more minor activities or twists. The patient was a 38-year-old female who presented with a complaint of pain in the neck & back which was 8 on Vas, pain in both limbs ( upper & lower) which was 7 on Vas, Numbness present in Upper limb fingers, Stiffness in all joints along with pedal edema. The patient also had a varicose vein on both lower limbs grade 3. She was admitted to the hospital because she was not able to even get up from the bed due to pain. She was working in a mess for 8 years the work included prolonged standing, bending down, lifting heavy weights, and sitting on the floor for a long period. Due to pain, she was not able to continue her work. Ayurvedic treatment along with physiotherapy treatment was going on. The patient had the same complaints before 12 months she was relieved by physiotherapy. The patient had three laser sessions done for a varicose vein but was not relieved before 1 year. According to the clinical presentation and Radiological findings the patient was diagnosed with PIVD. This case study shows that regular exercise, traction, back strengthening exercise, use of modalities such as IFT, and following proper ergonomics would reduce the symptoms associated with PIVD and varicose veins

scholarly journals A COMPARATIVE CLINICAL STUDY ON THE EFFECTIVENESS OF UDVARTANA WITH SIRAVYADHA IN THE MANAGEMENT OF SIRAJAGRANTHI (VARICOSE VEIN)

2020 ◽  
Vol 08 (11) ◽  
pp. 5021-5030
Author(s):  
Neethu Dev ◽  
Santosh Kumar J ◽  
SubhashRai N
Keyword(s):  
Varicose Vein ◽  
Varicose Veins ◽  
Signs And Symptoms ◽  
Lifestyle Changes ◽  
Lower Limbs ◽  
Prolonged Standing ◽  
Comparative Clinical Study ◽  
Upward Direction ◽  
Group A ◽  
Group B

Varicose vein of the lower limbs is one of such clinical condition that hampers the beauty of the legs. It is a very common condition, affecting up to three in 10 adults. Varicose veins affect up to 25% of women and 15% of men. By the age of 50, nearly 40% of women and 20% of men have significant vascular problems. The lifestyle changes, obesity, occupational pattern of prolonged standing and pregnancy are considered to be significantly contributing to this situation. Siravyadha, which is one among the types of Sasastra Rak-tamokashana is mentioned in the treatment of Sirajagranthi in our classics. It is considered as Ardha Chikitsa of Shalyatantra and is said to provide immediate results. Udvartana which is having Vatakapha-hara Twakprasadana and Siramukhavivechana property is said to be effective in Sirajagranthi. Also, the procedure is done in Pratiloma (upward) direction which results in Dridikarana of angas by toning them and relieves the symptoms of varicose vein. Hence an effort was made to evaluate the effect of Sira-vyadha by Vrihimukha Sastra and Udvartana with Kolakulathadi Churna in the management of Sira-jagranthi (varicose vein), this study was planned with the following aims. Objective: A detailed study on Sirajagranthi and its Management. To study the effect of Udvartana with Siravyadha in Sirajagranthi (varicose veins). To study the effect of Siravyadha in Sirajagranthi (varicose veins)., To compare the effi-cacy of both in Sirajagranthi (varicose veins). Method: The outcome of the study is evaluated clinically on a minimum of 60 patients with Sirajagranthi, divides 2 groups A and B. Group A received Udvartana for 7days and then Siravyadha on 8th day. Group B received Siravyadha for 1 day and followed by Pathya for 7days.The duration of study was 28days in both the groups and observations were made on be-fore and after the treatment (0th, 8th and 28th day). Data obtained was statistically analysed and interpreted. Results: The results were assessed based on the relief obtained to the subjective and objective parameters and was taken for consideration for the study and were found statistically significant on all the parameters (p<0.05). Conclusion: From the study it is evident that effectiveness of Udvartana along with Siravyadha is more significant in reducing the signs and symptoms of Sirajagranthi.

scholarly journals Review on effect of long term standing posture on varicose veins and its management

2019 ◽  
Vol 7 (01) ◽  
Author(s):  
Prashant Kumar Sing
Keyword(s):  
Varicose Vein ◽  
Varicose Veins ◽  
Early Stage ◽  
Signs And Symptoms ◽  
Lifestyle Changes ◽  
Physiological Changes ◽  
Standing Posture ◽  
Prolonged Standing

The lifestyle changes, obesity, the occupational pattern of prolonged standing and pregnancy are considered to be significantly contributing to this situation known as Varicose veins wherein veins become enlarged and twisted. Incidence of varicose vein is more in people belonging to the occupation that involved prolonged standing. Varicose vein can be co-related to Sirajgranthi as described in Ayurvedic texts. Ayurved formulations are said to be effective in the management of Sirajgranthi (Varicose veins) Sirajgranthi, treated at an early stage or allows proper maintenance of signs and symptoms reduces the complications and support a better quality of life. In this article we have tried to analyse the anatomical and physiological changes due to long term standing.

scholarly journals Lower Limb Varicose Veins's Clinical Profile and Management

2020 ◽  
pp. 1-5
Author(s):  
C. Z. Perdeshi ◽  
Kustub A. Kulkani ◽  
Revendra N. Yadav ◽  
Mayur Nagwakar ◽  
Niten H. Patil
Keyword(s):  
Varicose Vein ◽  
Lower Limb ◽  
Varicose Veins ◽  
Clinical Manifestations ◽  
Clinical Profile ◽  
Lower Limbs ◽  
Study Results ◽  
Common Technique ◽  
Age Range ◽  
Made In

The lower limbs’ venous system has the pressure of posture, and blood has to be pushed against gravity into the heart cavity. This issue is generally approached either by a cautious approach or by surgical interference, all of which are constrained. Attempts to study different clinical manifestations of varicose veins are being made in the present study. The overall number of 50 varicose vein patients was analysed and the study results were reported. Varicosity veins of the lower limb is a fairly normal pathological entity. In the 20-50 age range, the condition is more common. The main modality of the procedure is surgery. The most common technique performed is Saphenofemoral flush ligation with stripping. 

A review on hetus of varicose veins

2019 ◽  
Vol 7 (4) ◽  
Author(s):  
Shruti Mani ◽  
M. V. Mokashi
Keyword(s):  
Quality Of Life ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Early Stage ◽  
Signs And Symptoms ◽  
Physiological Changes ◽  
Prolonged Standing ◽  
Life Style Changes

The life style changes, obesity, occupational pattern of prolonged standing and pregnancy are considered to be significantly contributing to this situation known as Varicose veins wherein veins become enlarged and twisted. Incidence of varicose vein is more in people belonging to the occupation that involved prolonged standing. Varicose vein can be co-related to Sirajgranthi as described in Ayurvedic texts. Ayurved formulations are said to be effective in the management of Sirajgranthi (Varicose veins)Sirajgranthi, treated at an early stage or allows proper maintenance of signs and symptoms reduces the complications and support a better quality of life. In this article we have tried to analyse the anatomical and physiological changes due to long term standing.

scholarly journals ANATOMICAL ASPECT OF SIRAJA-GRANTHI WITH SPECIAL REFERENCE TO VARICOSE VEINS: A REVIEW

2021 ◽  
Vol 12 (3) ◽  
pp. 139-142
Author(s):  
Manisha Kishanrao Dawre ◽  
Snehal Shivaji Jadhav ◽  
Divya Deepak Varma
Keyword(s):  
Special Reference ◽  
Saphenous Vein ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Lower Limbs ◽  
Physiological Changes ◽  
Common Condition ◽  
Contributing Factors ◽  
Surgical Practice

Varicose vein is a very common condition in surgical practice in which vein become dilated, elongated and tortuous. The changing lifestyle, occupational pattern, pregnancy, obesity are noteworthy contributing factors for the varicose veins. This condition affects lower limbs especially saphenous vein and their tributaries. In Ayurveda varicose veins can be correlated to Siraja granthi. In Siraja granthi vitiated Vata dosha enters in sira and constrict them, make them tortuous. Also decreases pulsation in the sira. In this article we have tried to evaluate the anatomical and physiological changes in Siraja granthi (Varicose veins).

scholarly journals A clinical study of varicose veins and their management in patients attending the surgical department of a tertiary hospital

2021 ◽  
pp. 65-68
Keyword(s):  
Varicose Vein ◽  
Varicose Veins ◽  
Tertiary Hospital ◽  
Lower Limbs ◽  
Outpatient Department ◽  
Surgical Department ◽  
Institutional Ethics ◽  
Venous Ulcers ◽  
Clinical Presentations ◽  
Ethical Clearance

Varicose veins are abnormally dilated, tortuous and elongated veins that occur in the lower limbs. The patients usually present to the surgical outpatient department with various clinical presentations such as, dilated veins, venous ulcers over the legs, pigmentation of the skin and lipodermatosclerosis to name a few. Venous doppler is a very important investigation that must be done in a cases of varicose veins.The surgical treatment involves sapheno-femoral junction flush ligation with stripping of the varicose vein. Several other modalities are also available today such as, sclerotherapy and endovascular laser ablation (EVLA). The objective of this study was to determine the clinical profile of the patients who presented with vari-cose veins and to determine the treatment that was offered to them to treat the varicose veins. This study was carried out from September 2015 to August 2018. A total of 62 patients were studied. The statistics were analy-sed using SPSS package 20.0. Ethical clearance was obtained from the institutional ethics committee. The presence of dilated veins was the most common complaint with which patients presented to the surgical outpatient department. The most common surgical procedure that was performed was the sapheno-femoral junction flush ligation with stripping of the varicose vein. This study shows the importance of diagno-sing a case of varicose veins and to determine as early as possible the treatment modality that should be offered to the patient.

5-year experience with varicose vein laser surgery

2012 ◽  
Vol 153 (47) ◽  
pp. 1863-1869
Author(s):  
Imre Bihari ◽  
George Ayoub ◽  
András Bihari
Keyword(s):  
Recurrence Rate ◽  
Varicose Vein ◽  
Lower Limb ◽  
Laser Surgery ◽  
Laser Energy ◽  
Varicose Veins ◽  
Lower Limbs ◽  
High Recurrence Rate ◽  
Complication Rates ◽  
Saphenous Veins

Introduction: The incidence of varicose veins in the lower limb is relatively frequent in Europe including Hungary. Aim: Authors report their 5-year experience in varicose vein laser surgery focusing with regards to recurrence and complication rates. Patients and methods: Surgery was performed on 647 lower limbs in 546 patients with an age between 17 and 80 years. They were overweight in 4.6 % of cases. The diameter of treated saphenous veins was between 4 and 31 mm. Indications for surgery were recurrence in 9.1% of cases and crural ulcer in 4.0% of cases. Laser fibre was introduced into the varicose saphenous stems and then 980 nm, later 1470 nm wavelength laser was delivered while the fibre was step-by-step pulled-out. Following the learning period laser energy was raised from a mean of 28 J/cm to 164 J/cm because of high recurrence rate. Results: During the learning period the recurrence rate was 13.8% while it was 1.9% thereafter. Pulmonary embolism occurred in two cases, which could have been avoidable. Further minor complications were also noted. Conclusions: Varicose vein laser surgery can be recommended because the recurrence rate is very low, major complications can be avoided and minor complications are temporary. Orv. Hetil., 2012, 153, 1863–1869.

scholarly journals Analysis of a Series of Patients with Varicose Vein Recurrence

2012 ◽  
Vol 40 (3) ◽  
pp. 1156-1165 ◽  
Author(s):  
W Lv ◽  
X-J Wu ◽  
M Collins ◽  
Z-L Han ◽  
X Jin
Keyword(s):  
Varicose Vein ◽  
Surgical Intervention ◽  
Varicose Veins ◽  
Femoral Vein ◽  
Postoperative Recurrence ◽  
Lower Limbs ◽  
Preoperative Imaging ◽  
Superficial Femoral Vein ◽  
Recurrent Varicose Veins ◽  
Imaging Results

OBJECTIVE: Varicose veins of the lower extremities is a common clinical condition. Although surgical treatment is often successful, the recurrence rate remains high. This retrospective study evaluated the reasons for postoperative recurrence of varicose veins by analysing ultrasonography and venography findings in patients with recurrent disease. METHODS: A series of consecutive cases of recurrent varicose veins of the lower limbs was reviewed. Data collected included clinical characteristics, symptoms and vascular imaging. RESULTS: The study included 109 legs with recurrent varicose veins (92 patients): 101/109 legs (92.7%) showed perforating vein insufficiency and 86/109 (78.9%) showed reflux of the superficial femoral vein, of varying degrees of severity. Residual saphenous vein was recorded for 82 legs (75.2%), while 19 (17.4%) had blocked iliac veins due to post-thrombotic syndrome. CONCLUSIONS: Several factors that may contribute to varicose vein recurrence have been identified. These include failure to ligate perforating veins and initial failure to perform the appropriate surgical intervention. Prevention of varicose vein recurrence after surgical correction requires a more extensive use of preoperative imaging, to tailor surgical intervention to suit individual patients.

scholarly journals Increase and Redistribution of Sex Hormone Receptors in Premenopausal Women Are Associated with Varicose Vein Remodelling

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Natalio García-Honduvilla ◽  
Ángel Asúnsolo ◽  
Miguel A. Ortega ◽  
Felipe Sainz ◽  
Javier Leal ◽  
...  
Keyword(s):  
Sex Hormones ◽  
Varicose Vein ◽  
Hormone Receptors ◽  
Varicose Veins ◽  
Progesterone Receptors ◽  
Premenopausal Women ◽  
Lower Limbs ◽  
Venous Disease ◽  
Adventitial Layer ◽  
Immunohistochemical Techniques

In chronic venous insufficiency of the lower limbs, data show that the clinical manifestation is varicose veins (VVs), and VV epidemiology suggests that sex hormones directly influence disease development through intracellular receptors. This study aimed to determine the presence and localization of oestrogen receptors (ERs), progesterone receptors (PRs), and androgen receptors (ARs) in both healthy and VV wall cells and their relationship with gender. In this study, samples from patients without a history of venous disease (CV) (n=18) and with VV (n=40) were used. The samples were divided by gender: CV women (CVw) = 6, CV men (CVm) = 12, VV women (VVw) = 25, and VV men (VVm) = 15. RT-qPCR and immunohistochemical techniques were performed, and increased ER and PR protein expression was found in VVw in all tunica layers. ARs were localized to the adventitial layer in the CV and were found in the neointima in VVs. mRNA expression was increased for ER and PR in VVw. AR gene expression was significantly decreased in VVm. The increase in the number of these receptors and their redistribution through the wall reinforces the role of sex hormones in varicose vein development.

scholarly journals Study of the Clinical Profile of Varicose Vein Disease

2021 ◽  
Vol 11 (8) ◽  
pp. 6-10
Author(s):  
Raunak Kumar Gupta ◽  
Dilip Kumar Acharya ◽  
Sanjay .M . Datey
Keyword(s):  
Varicose Vein ◽  
Varicose Veins ◽  
Clinical Profile ◽  
Lower Limbs ◽  
Economic Losses ◽  
Western World ◽  
Medical College ◽  
Long Saphenous Vein ◽  
Venous Diseases ◽  
Vein Disease

Introduction: Varicose veins are part of the spectrum of chronic venous diseases and include dilated, tortuous veins of lower limbs, spider telangiectasia and reticular veins. Varicose vein disease is a very common problem of the western world and mostly their patients come for treatment because of cosmetic reasons. Indian scenario is different as mostly patients from lower socioeconomic strata of the society come for complications like ulceration, dermatitis etc. of varicose veins come for treatment. This problem sometimes results in chronic absenteeism from work, economic losses and change of occupation in many individuals. Methods: This observational study was carried out from 1st January 2017 to 30th June 2018 in Sri Aurobindo Medical College and Postgraduate Institute, Indore. Clinical profile of 52 patients of varicose vein disease was studied. All the patients were thoroughly examined and the pertaining data recorded. This data was tabulated and compared with the available literature on this subject. Results: Fifty two cases of varicose vein disease were studied. The commonest age group affected with the disease was between 41 to 50 years. Male patients were more and comprised of 84.6% of total number. Sapheno femoral junction valve was incompetent in 73.1 % cases as compared to saphenopopliteal junction[34.6%].Obesity was an important factor in causation of varicose vein disease. Flush ligation at SFJ with stripping was the commonest surgical procedure carried out our center. Conclusion: It is found that varicose vein disease with its associated sequelae brings the patient for treatment in our scenario. Long saphenous vein is the commonly affected part of the superficial venous system because of incompetency of the valve at SFJ. Although various etiological factors can be attributed to varicose vein disease but occupation and obesity remain the main factors. Accurate assessment of problem and adequate surgery will prevent recurrence. Key words: Varicose veins, venous ulcers, recurrent varicose veins.

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