treating chronic venous insufficiency. It is an anti-inflammatory herb that has been found to promote normal tone of the vein wall, thereby improving circu- lation through the veins. Benefits can include reduced leakage of the capillar- ies and a reduction in lower leg swell- ing. While horse chestnut extract is not regulated in the U.S., it is available as a supplement, and it is a popular treat- ment in Europe, where it is considered an effective alternative for compression stockings. Studies support the potential of horse chestnut extract, and it appears to be safe and effective when used properly. However, additional research of these findings is required, and proper processing of supplements is critical to avoid toxicity and side effects. 4. Gotu kola, also called centella asiatica, is a trailing plant native to Asia. Its many uses include the treatment of venous insufficiency and the healing of wounds. Gotu kola stimulates the production of collagen, a protein found in the fibrous tissue of blood vessels. Studies have reported its effectiveness in healing vein walls and tissues. Its benefits include reduced swelling and improved circulation and vascular tone. Further studies are needed to under- stand more about gotu kola. It is cur- rently available in supplement form and in topical form to treat wounds. 5. Red vine leaf extract, also called
grape leaf or folia vitis viniferae, has undergone studies that support its potential for the treatment of venous insufficiency. The antioxidants in red vine leaf can strengthen blood vessels and reduce inflammation, and it is used to maintain leg circulation and improve tired, heavy, aching legs. It is most commonly used in France and the U.K. Comprehensive safety studies on red vine leaf have not yet been performed, but it is a registered over-the-counter medication in some European coun- tries. It is widely available in capsules. 6. Butcher’s broom is the common name for ruscus aculeatus, a berry- producing evergreen shrub found in the Mediterranean. It is recognized for its positive effect on blood flow. Re- cently, European interest in the herb has focused on its potential for treatment of
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varicose veins, and it has been approved as a treatment for chronic venous insuffi- ciency by Germany’s regulatory commission for herbal therapies. Research con- ducted with butcher’s broom has shown decreases in leg swelling, pointing toward its efficacy. Comprehensive safety studies, however, have not been reported.
Alternative treatments Elevation is a simple, yet powerful, tool that can help improve blood circula-
tion in the veins and provide some relief to venous symptoms. In some cases, elevation of the legs can alleviate pain or swelling that is the result of early stage venous disease. Elevation of the legs above the heart for a period of three minutes, several times throughout the course of the day, can encourage blood flow from the legs and decrease the pooling of blood. A vein specialist can guide patients on the most effective elevation techniques. Regular movement to prevent long periods of sitting or stagnancy is recom- mended for the prevention of venous disease and for easing its symptoms. Exercis- es for the feet, toes, and ankles, (tapping the toes and flexing the feet, for example) can help blood flow in the legs if done several times a day. Because venous disease has a strong genetic component, prevention can help those with a family history to avoid blood clots and ward off symptoms. Important components of prevention include maintaining a healthy weight, exercising regu- larly, and quitting smoking.
Dr. Cindy Asbjornsen is the founder of the Vein Healthcare Center in South Port- land, Maine. Certified by the American Board of Venous and Lymphatic Medicine, she cares for all levels of venous disease, including spider veins, varicose veins and venous ulcers. Dr. Asbjornsen is the only vein specialist in Maine to be named a Fellow by the American College of Phlebology. You can contact Dr. Asbjornsen at 207-221-7799 or
info@veinhealthcare.com. See ad on page 12.
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