A varicose ulcer is formed as a complication of varicose vein. A vein is said to be varicose when it is dilated, lengthened and tortuous. A varicose vein is mainly seen in the leg but spermatic, oesophagal and haemorrhoidal veins may also be affected.
- SIGNS AND SYMPTOMS OF VARICOSE ULCER
- CAUSES OF VARICOSE ULCER
- PATHOPHYSIOLOGY OF VARICOSE ULCER
- DIAGNOSIS OF VARICOSE ULCER
- TREATMENTS FOR VARICOSE ULCER
- PROGNOSIS OF VARICOSE ULCER
- COMPLICATIONS OF VARICOSE ULCER
- VARICOSE ULCER AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF VARICOSE ULCER
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF VARICOSE ULCER
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF VARICOSE ULCER
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF VARICOSE ULCER
- AYURVEDIC PROGNOSIS OF VARICOSE ULCER
- CHIKITSA- AYURVEDIC TREATMENT FOR VARICOSE ULCER
- AYURVEDIC LOCAL TREATMENT FOR VARICOSE ULCER
- AYURVEDIC SAMANA TREATMENT FOR VARICOSE ULCER
- AYURVEDIC SHODHANA TREATMENT FOR VARICOSE ULCER
- COMMONLY USED AYURVEDIC MEDICINES FOR VARICOSE ULCER
- HOME REMEDIES FOR VARICOSE ULCER
- DIET AND BEHAVIOUR FOR VARICOSE ULCER
- YOGA FOR VARICOSE ULCER
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF VARICOSE ULCER
SIGNS AND SYMPTOMS OF VARICOSE ULCER
- Leg ulcer
- Skin rashes
- Redness
- Pus in the wound
- Aching pain in the calf region
- Ankle swelling
- Night cramps
- Itching sensation over the skin
- Dragging pain in the leg
- Pain may relive at night or elevation of the leg
CAUSES OF VARICOSE ULCER
- Congenital absence of valves
- The congenital paucity of valves
- Venous dilatation
- Wasting of muscles
- Any obstruction which hampers venous return- pregnancy, tumours
- Deep vein thrombosis
- Certain medications
PATHOPHYSIOLOGY OF VARICOSE ULCER
Due to the above-mentioned causative factors pooling of blood in the superficial veins and rise in intraluminal pressure occurs. Excessive dilatation occurs due to loss of elasticity, sacculation and elongation. When an elongated structure is placed between shorter lengths it becomes tortuous. Venous ulcers happen when there’s a break in the skin on the leg, usually around the ankle.
DIAGNOSIS OF VARICOSE ULCER
- EXAMINATIONS
- Inspection
- Palpation – cough impulse test, multiple tourniquet test, Trendelenburg test
- INVESTIGATIONS
- Venography
- Doppler ultrasound
- Duplex ultrasound
- Laboratory tests – to find out the underlying pathology
TREATMENTS FOR VARICOSE ULCER
- Conservative treatment
- Surgical interventions
- Treatment of underlying pathology
- Wound cleaning and dressing
PROGNOSIS OF VARICOSE ULCER
- Prognosis is based on the site of varicose ulcer, degree of symptoms and condition of the patient
COMPLICATIONS OF VARICOSE ULCER
- Septicaemia
- Osteomyelitis
VARICOSE ULCERAND AYURVEDA
- In Ayurveda,the varicose ulcer is known as “sirajanya dushtavrana”
NIDANA- AYURVEDIC CAUSES OF VARICOSE ULCER
- Excess consumption of ununctuous, cold food
- Excessive physical exercise.
- Suppression of natural urges.
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF VARICOSE ULCER
- Aching pain in the calf region
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF VARICOSE ULCER
Due to Vataprakopaka nidanas (causative factors which increase vata)such as, physical exertion, straining, for debilitated persons the vitiated vata enters the Siras (veins) causing the Sampeedana (Squeezing), Sankocha (constriction), and Vishoshana (the act of drying up) which produces round and protruded Granthi (cyst) in the Siras (Veins), manifesting Siragranthi (varicose vein). Vrana developed from siragrandhi is known as sirajanya dushta vrana.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF VARICOSE ULCER
- Toda – aching pain
- Sopha – oedema
- Vrana – ulcer
- Srava – discharge
AYURVEDIC PROGNOSIS OF VARICOSE ULCER
- Symptoms are manageable with Ayurvedic treatments
CHIKITSA- AYURVEDIC TREATMENT FOR VARICOSE ULCER
Ayurvedic local treatment for varicose ulcer
- Vranaparisheka
- Leeching
AYURVEDIC SAMANA TREATMENT FOR VARICOSE ULCER
- Guggulu tiktakam kashaya
- Sahacharadi kashaya
- Kaisore guggulu
- Kanchanara guggulu
COMMONLY USED AYURVEDIC MEDICINES FOR VARICOSE ULCER
Internal administration
- Guggulu tiktakam kashaya
- Sahacharadi kashaya
- Kaisore guggulu
- Kanchanara guggulu
HOME REMEDIES FOR VARICOSE ULCER
- Elevate the foot while sleeping
DIET AND BEHAVIOUR FOR VARICOSE ULCER
- Avoid food items that produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Avoid heavy exercises which further aggravate the conditions.
- Take proper rest.
YOGA FOR VARICOSE ULCER
- Nadi Shuddi Pranayam – calms the mind and gets relief from aches and pains
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Savasana – relaxes body and mind
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF VARICOSE ULCER
- Management of Venous Ulcer through Ayurveda: A Case Report
- A case study on the ayurvedic management of varicose vein
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