General measures
- Frequent movement, even during working hours, especially when working a lot in one and the same body position.
- Avoiding long periods of standing and sitting – walking and lying down is good.
- Wearing elastic stockings that do not constrict
- Frequent elevation of the legs
- Variceal bleeding: application of a compression bandage with an eccentric pressure pad over the source of bleeding (usually sufficient; if necessary, a transfer is required).
- Nicotine restriction (refrain from tobacco use).
- Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
- Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program.
Medical aids
- Compression stockings, these come in the following different compression levels:
- Light compression
- Medium compression
- Strong compression
- Very powerful compression
Compression stockings must be fitted precisely and should always be put on in the morning before getting up, when the legs are not congested.Contraindications for compression stockings:
- Arterial circulatory disorders of the legs.
- Decompensated heart failure (heart failure with water retention in the tissues (edema) or shortness of breath (dyspnea), which already occurs at rest)
Nutritional medicine
- Nutritional counseling based on nutritional analysis
- Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
- A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
- Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
- High-fiber diet (whole grains, vegetables).
- Selection of appropriate food based on the nutritional analysis
- See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
- Detailed information on nutritional medicine you will receive from us.
Sports Medicine
- Endurance training (cardio training) and strength training (muscle training).
- Preparation of a fitness or training plan with appropriate sports disciplines based on a medical check (health check or athlete check).
- Detailed information on sports medicine you will receive from us.
Training
- An important part of the treatment of venous disease is the detailed education of the patient. To this end, important tips on conservative therapy are given.