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Tag Archives: Peripheral Artery Disease Treatment in Pune

Home remedies for Varicose treatment

Varicose veins occur when a person’s veins of the leg become swollen and enlarged. In some people, they can cause pain and discomfort while performing daily activities. A range of home treatments may help to reduce the appearance and pain of varicose veins. The doctor may suggest a patient some of the home remedies to be followed for a faster recovery. Around many adults will experience varicose veins at some point in their life. There are several medical treatments for this condition, though a person may also wish to try natural home remedies to relieve their symptoms.

What are varicose veins?

Varicose veins can develop when small valves in the veins start becoming weak. These valves usually stop blood flowing backward through the veins, and when they are damaged blood can accumulate in the veins. This causes twisted and swollen veins that also become visible very easily.

Varicose veins can be noticeable because of their dark blue or purple appearance, sometimes they also often bulge out from underneath the skin.

Varicose vein trea

Ten home treatments for varicose veins

1. Exercise

Regular exercise encourages better blood circulation in the legs, which helps to push along the blood that has accumulated in the veins. Exercise also helps to lower a person’s blood pressure, which is another contributing factor to varicose veins treatment.

A small number of exercises help to get the calf muscles working without excessive strain. Effective, low-impact exercises include:

  • swimming
  • walking
  • cycling
  • yoga

2. Compression stockings

Compression stockings are available from most pharmacies and can help by applying pressure to the legs. This aids the muscles and veins to move blood toward the heart.

3. Plant extracts

Horse chestnut extract, Aesculus hippocastanum L., may help to reduce leg pain, heaviness, and itching in people with chronic venous insufficiency, which is a major cause of varicose veins. Aesculus hippocastanum L. is available to purchase in health stores and online.

4. Dietary changes

Foods that are high in potassium include:

  • almonds and pistachio nuts
  • lentils and white beans
  • potatoes
  • leafy vegetables
  • some fish, such as salmon and tuna.

Foods that are high in fiber include:

  • nuts, seeds, and legumes
  • oats, wheat, and flaxseed
  • whole-grain foods.

People who are overweight are more likely to experience varicose veins.

5. Eat more flavonoids

Flavonoids improve blood circulation, which will keep the blood flowing, and make it less likely to pool in the veins. They also help to reduce blood pressure in the arteries and can relax blood vessels, all of which can reduce varicose veins.

Foods that contain flavonoids include:

  • vegetables, including onions, bell peppers, spinach, and broccoli
  • citrus fruits and grapes, cherries, apples, and blueberries
  • cocoa
  • garlic

6. Herbal remedies

According to the National Institute of Health, taking grape seed extract, Vitis vinifera orally may help to reduce swelling in the lower legs and other symptoms of chronic venous insufficiency, though there is currently limited evidence for its effectiveness.

7. Choose non-restrictive clothing

Wearing tight-fitting clothes can restrict blood flow. A person may find that their circulation is improved by wearing loose-fitting clothes that do not restrict the blood supply to the lower body.

Wearing flat shoes instead of high heels may also help with varicose veins in the legs.

8. Keep the legs elevated

Keeping the legs elevated, ideally at the same height as the heart or above it will help to improve blood circulation. This reduces the pressure in the leg veins and gravity will help the blood to flow smoothly back to the heart.

9. Massage

Gently massaging the affected areas can help to keep the blood moving throughout the veins. A person can use gentle massage oils or moisturizers for optimal effects.

It is crucial to avoid pressing directly onto the veins, however, as this may damage fragile tissues.

10. Keep moving

Avoid sitting for long periods of time. If a person has to sit for long periods of time for work, they should aim to get up and move around or change positions frequently to keep the blood flowing smoothly.

Avoid sitting with crossed legs, as this can further restrict blood flow to the legs and feet, which may add to circulation problems.

Dr. Advait Kothurkar is a Vascular Surgeon in Pune. He has returned from UK in 2006 and has been practicing in Pune. Being attached to a number of Hospitals in the city as a Vascular Surgeon, he manages all referrals, emergency and elective successfully manage links Bypass Elective and for Trauma.

Panel Consultant for:

1. Sahyadri Specialty Hospital – Karve Road

2. KEM Hospital

3. Deenanath Mangeshkar Hospital

4. Sancheti Hospital

5. Hardikar Hospital

6. Lokmanya Group of Hospital

7. Bharti Vidyapeeth Hospital.


Valuable Tips for Varicose Veins



If you are suffering from varicose veins, then a part of your everyday activities can have a direct impact on its severity. It involves the food you eat and the clothes you wear.  The type of clothes you wear affect the varicose veins undeviatingly. You might have known that compression garments give welfare to the pain produced by varicose veins but what about the other garments you wear. However the clothes are not the reason behind you suffering from varicose veins, but if you have this difficulty, then some materials can worsen your condition. Don’t panic! There is no requirement to change or replace the whole dresser, you just have to bring 1-2 new clothes and stock up any of the old ones.

As you know, compression clothes have been an excellent choice to fight against varicose veins, but other tightly fitted clothes such as Spanx, bands, tight elastic socks, girdles, and hard to believe, skinny or tight jeans create injury to the people who suffer from venous disorders.

1.High Heels- Wearing high heels regularly can get your veins and leg appearance in problem without harming your health. People who use high heels regularly do have bigger possibilities to suffer from varicose veins and spider veins than those who avoid it, as it becomes your natural way of walking.

2. Avoid wearing Skinny Jeans frequently- You might love your skinny jeans, and it certainly looks great on you, but do you know that skinny or too tight clothes can harm your blood circulation and get your pelvic region at danger

Peripheral Artery disease

Peripheral Artery Disease or Peripheral vascular disease (PVD) is a slow-growing circulation disorder.

Peripheral artery disease is most often caused by an accumulation of fatty deposits in the arteries. Peripheral artery disease is a major risk factor which causes heart attack and stroke. Peripheral artery disease is a form of arterial insufficiency, means blood flowing(circulation) through the arteries (i.e. blood vessels that carry blood away from the heart) is decreased. Some people over the age of 50 are believed to suffer from peripheral artery disease. Men are most likely to develop PAD than women. People who smoke are most likely to develop Peripheral artery disease.

Other names that have been used to denote Peripheral vascular disease include:

  • Atherosclerotic peripheral artery disease
  • Hardening of the arteries
  • Peripheral artery disease
  • Poor circulation
  • Vascular disease
  • PAD

Surroundings related to PVD that affect the veins include Deep Vein Thrombosis (DVT), varicose veins, and chronic venous insufficiency. Lymphedema is also a clear example of Peripheral Vascular Disease which affects the lymphatic vessels. When PVD occurs in the arteries outside of the heart, it can also be referred to as Peripheral Arterial Disease (PAD).

peripheral artery disease


Symptoms and signs of peripheral artery disease include:

  • Numbness of the legs or feet.
  • Weakness, diminished size and strength of the calf muscle.
  • Coldness in the legs or feet.
  • Changes in the color of the feet; feet turn pale when they are elevated, and turn dusky red in the dependent position.
  • Hair loss and thickening of the toenails.
  • Poor wound healing in the legs or feet.
  • Painful ulcers, gangrene in areas of the feet where blood supply is lost(typically in the toes).

Risk for peripheral artery disease :

  • High blood levels of the cholesterol and triglycerides
  • Low blood levels of the “good” HDL cholesterol
  • Cigarette smoking
  • Diabetes mellitus (both type 1 and type 2 diabetes)
  • High blood pressure (hypertension, tension, mental stress) or a family history of hypertension
  • A family history of atherosclerotic disease
  • Chronic renal failure
  • Overweight or obesity

How is peripheral artery disease diagnosed?

Doppler ultrasound – It is a form of ultrasound (measurement of high-frequency sound waves that are reflected off of tissues) that can detect and measure blood flow. It is used to measure blood pressures behind the knees and at the ankles.

Duplex ultrasound – Is a color assisted non-invasive technique to study the arteries. Ultrasound probes are placed on the skin overlying the arteries which can accurately detect the accurate position of artery stenosis as well as measure the degree of obstruction.

Angiography – It is an imaging procedure to study the blood vessels of the extremities, similar to the way a coronary angiogram provides an image of the blood vessels supplying the heart. It is the most accurate test to detect the location(s) and severity of artery obstructions, as well as collateral circulations.

Magnetic resonance imaging (MRI) angiography uses magnetism, radio waves, and a computer to produce images of body structures and has the advantage of avoiding X-ray radiation exposure.

Computed tomographic angiography (CT) – It is another non-invasive test that images the arteries of a patient’s abdomen, pelvis, and legs. This test is specifically useful in patients with pacemakers or stents.

Treatment of peripheral artery disease includes

  • Terminating Smoking eliminates a major risk factor for diseases to progress, and it lowers the incidences of pain at rest and amputations. Controlling Smoking also is important to prevent heart attacks and strokes.
  • A healthy diet can help lower blood cholesterol and other lipid levels and may also help control blood pressure.
  • Keep other risk factors, such as diabetes, lipid levels, and blood pressure under control by changing your diets, regular exercise, meditation.


  • Antiplatelet medications
  • Anticoagulant medications
  • Cholesterol-lowering drugs
  • Cilostazol (Pletal)
  • Pentoxifylline (Pentoxyl, Trental)
  • Drugs to control hypertension

Dr. Advait Kothurkar is a Vascular Surgeon in Pune. With one of the largest Peripheral Vascular Surgical and Endovascular experience in the country, treating thousands of patients with vascular disease, Dr. Kothurkar offers balanced patient care with an emphasis on minimally invasive therapies. Under the leadership of Dr. Kothurkar, Pune’s most respected figure in vascular surgery nationally & internationally. Consult Dr. Advait Kothurkar for the treatment of Peripheral Artery Disease.