Constant feeling of constriction (as if in a vice) and as if there was a burn on both legs, starting from the foot. Especially strong in the ankle area. A feeling of pain and heaviness in the calves is a dangerous symptom Causes and effects

Over one year old

Are your sneakers always laced the same way? But in vain! Replacing the usual “crosses” with a more intricate pattern can be not only fun, but also useful. Want to know why? Let's figure it out.

Usually such experiments are undertaken for the sole purpose of making an impression. Indeed, a pair of bright, colored laces that seem to “stitch” the sneakers with intricate stitches and loops look amazing. But few people know that by passing them through the holes in different ways, you can solve many problems that arise during training. Here are some of them.

Situation: shoelaces keep coming undone

What to do? First, try replacing them. “This happens most often with synthetic round laces,” says the sports doctor Evgeniy Belyanushkin. - Whereas flat cotton ones will be much more “obedient”. To be on the safe side, tie them with a double knot. Alternatively, you can pass their ends in parallel through the upper holes: one through both penultimate holes, the second through the last. It will be more difficult for you to put on your sneakers, but the problem will be solved.” Durable lacing will protect you from possible injuries and even falls.

Situation: bruises appear on the big toes, nails turn black

What to do? The best thing to do is change your sneakers, since they are almost certainly too small for you. “You need to buy sports shoes by size,” comments Elena Palaguta, instructor of group programs “World Class Zhitnaya”. “These are not leather shoes—don’t expect them to stretch over time.” When you try on a pair you like, try to determine what the gap is between the tip of your big toe and the toe of the sneaker, recommends Evgeny Belyanushkin. — The distance should be 0.5-1 cm. Otherwise, the finger will constantly hit the toe of the sneaker, pressing against it forcefully while moving downhill - for example, while jogging or on a “path” operating in the “hills” mode " Hence the darkened nails and bruises.” To make your position easier, try loosening the lacing a little - this will add at least a little free space to your fingers.

Situation: Your heels slip during cardio training

What to do? And, again, choose shoes that fit. “If your sneakers are too big, you can partially correct the situation by wearing fairly thick cotton socks underneath them,” explains sports doctor Evgeniy Belyanushkin. Did not work? Try using the locking lacing technique. To do this, guide the laces from the bottom as usual. But leave the two upper holes on each side free and “do some magic” with them. Take one of the ends and first pass it through the last hole from the inside out, then through the one underneath it, inward. Repeat with the second tip to create a loop on both sides. Pass the ends through the opposite loops, tighten well and tie.

Situation: sneakers squeeze your toes too much

What to do?“This is not such a rare situation,” says Elena Palaguta. - Sports shoes vary in size, but not in fullness - as a result, girls with wide feet suffer because their sneakers are too tight for them. As a way out of this situation, you can try to choose a model with a fairly wide toe. When purchasing, turn over the pair you like, look at the sole, and it will immediately become clear to you how spacious it will be. Please also note that during training the foot will swell and enlarge slightly.” Have you already bought your sneakers and need to “work with what you have”? Try loosening the lacing. It should securely fix the shoe on the foot, but not squeeze the legs, like in a vice. You can also use the partial lacing technique. From the lowest hole to the third, run the lace along the inside of the sneaker, bypassing the second. Then, up to the ankle, follow the usual pattern.

Situation: feet cramp - they hurt

What to do? First, try lacing your sneakers less tightly. By forcefully tightening them, you deprive the foot of the opportunity to move normally, pinching blood vessels, squeeze small seeds, of which there are many. Perhaps the following scheme will solve the problem. Pass the laces, as usual, through the two pairs of lower holes, and out through the third. And then run each tip in “stitches” along its side. At the top, tighten the laces again crosswise and tie. “However, it is not a fact that this will solve the problem,” says Evgeniy Belyanushkin. — Feet often cramp with flat feet. In this case, it is more important to replace the insoles in sneakers with anatomical ones. Initially, they are the most common in sports shoes and cannot provide the necessary support for the foot with a lack of shock-absorbing properties.”

Do not hide the ends of the laces inside the sneakers. When you put them under the tongue, they put pressure on the foot; when you “put them” on the sides, they get hidden under it or rub. If they are too long, just trim them.
Be sure to tie the ends. If instead you again simply put them inside the sneaker, then this is not only inconvenient, but also dangerous. As you move, the lacing will become looser, you will begin to curl your toes trying not to lose the shoe, and eventually you may get injured.
Tighten the laces not only at the top, but also along the entire length. Pull them up each time you pass them through the next pair of holes.

In contact with

One of my friends, who works as a pharmacist, once complained that, when putting on summer shoes, she could hardly squeeze into her last year’s shoes. “You know,” she told me, “I understand everything: what else can a lady like me expect if she crossed Balzac’s age not yesterday, but on her feet every day for a whole shift. So I completely justify the swelling and fatigue. But when, because of the purple bruises on your legs, you can’t put on a skirt or squeeze into your favorite shoes - I, as a woman, simply cannot ignore this!”

Actually, there is no need to ignore this. Moreover, don’t you think that all these symptoms are the lot of ladies whose age is described by the correct phrase “a little over thirty,” but whom we are all accustomed to seeing in a blue cambric robe at the entrance. Be that as it may: in fact, most of the symptoms of chronic venous insufficiency (which we also know as varicose veins of the lower extremities or simply varicose veins) are familiar to many of us. Even if you are actually a little over thirty and you are an office worker who spends all his time at the computer; if you are a young loader or pregnant; if you, as we say in Ukraine, are a “grand wife” or a slender beauty wearing a 20-centimeter stiletto heel, sooner or later the majority can still feel unpleasant symptoms of this disease.

Another thing is that many simply do not want to admit to themselves their problems, or sometimes sincerely explain all these phenomena in the same way as my friend - the consequences of age, work characteristics, fatigue. We are so used to optimistically reassuring ourselves that everything will go away on its own or that the problem can be solved using simple cosmetics.

Swelling and heaviness in the lower extremities after a hard day, which creates the feeling that the legs are being squeezed from all sides in a vice? - Just think! Well, what did you want at the end of the working day?!

Syndrome restless legs manifested by a burning sensation, tingling sensation, internal tension and not allowing us to work or rest in peace? Night cramps in the calf muscles? - Come on, it doesn’t happen to anyone!

Unsightly purple capillary network that gradually appears and covers the ankle, and then rises up the shin, showing up as veins bulging at the surface? - Well, this is what we all have in our family! I'll need to buy some foot cream later!

Constant heaviness and fatigue of the legs, making itself felt even in the morning, when, it would seem, the whole body should rest and recover after a hard day? Almost permanent swelling, due to which you have to spend a good 5-10 minutes to squeeze into shoes, and because of which the feeling of lightness of gait is completely forgotten? Protruding veins, dry and flaky skin on legs, dark dark spots and bruises?.. And then we understand that we should probably go to the pharmacy...

The usual story

However, in order to somehow reassure those affected this problem, it should be noted that chronic venous insufficiency is not at all a disease of modern civilization. We have found references to this problem almost since the advent of writing. For example, during Ancient Egypt mention of varicose veins veins of the lower extremities are found in the Ebers papyrus, which is more than 3,500 years old. It also mentions the first attempt at his treatment. The famous Greek surgeon and obstetrician Pavel Eginsky, long before Friedrich Trendelenburg, proposed the application of ligatures and surgical removal varicose veins. IN Ancient Rome in the medical treatise De Medicina, a Roman physician named Celsius described methods for ligating and removing varicose veins, as well as possible complications. Thanks to historical notes Today we can say with certainty that the first historical figure who underwent phlebectomy was the Roman tyrant Gaius Marius. After he had one leg operated on, he, tormented by pain (after all, anesthesia did not exist at that time!), refused to substitute the other one, and declared: “I see that the treatment is not worth the pain.”

The ancient Indian manual on surgery “Sushruta Samhita” (270 BC) describes a technique for cleansing trophic ulcers using meat fly larvae in combination with tight bandaging of the limb. First, Hippocrates, and then Avicenna, described a direct connection between chronic venous insufficiency and the occurrence of ulcers. Only in 1628 did William Harvey discover the circulatory system and describe the valves in the venous vessels of the lower extremities, and in 1676 R. Weissman (surgeon-sergeant to the British King Charles II) established that dilation of the veins could be a consequence of valve insufficiency. At the same time, for the treatment of patients with chronic venous insufficiency, compression stockings. In 1868, I. Ge and A. Spender independently discovered that trophic ulcers may be a consequence of deep vein thrombosis.

Causes and Effects

Today we are well aware that chronic venous insufficiency is a consequence of a violation of the outflow of blood from the veins of the lower extremities and an inevitable companion of a person, our retribution for walking upright. However, what contributes to this? To explain this phenomenon, there are many theories. According to the first, this is facilitated by hemodynamic disturbances and insufficiency of the valves of the venous system. The pressure of blood from the arteries, contraction of the leg muscles during movement and the presence of valves in the veins prevent reverse current blood. It is believed that it is the inability of these valves to perform their function that causes disruption of venous blood flow, leads to overstretching of the veins, and an increase in the lumen of the vein further aggravates the work of the valve, which can no longer completely close it. The downward flow of blood increases, and stagnation occurs with thrombosis and swelling.

According to the second theory, chronic venous insufficiency develops due to the fact that blood flow is obstructed by emerging blood clots, the formation of which is facilitated by changes in the vascular wall, disturbances in the blood coagulation system and a slowdown in blood flow.

Those who support the third theory believe that chronic venous insufficiency develops due to the congenital weakness of the elements of the venous wall. According to the fourth, the main cause of the development of chronic venous insufficiency is neuroendocrine disorders, the fifth is immunological disorders and allergic reactions.

However, be that as it may, varicose veins of the lower extremities are by no means a harmless disease. And it creates not only cosmetic problems: congestive dermatitis and hyperpigmentation of the skin due to impaired trophism, swelling and constant fatigue of the legs, which affects not only our gait, but also our mood and performance, not to mention bruises, and subsequently intractable and difficult-to-heal trophic ulcers. So is it worth waiting for all these “delights” or is it better (to paraphrase the words of the Roman commander) to say that the future complications and the pain experienced are worth the treatment? Moreover, now we have access to means that can quite simply, painlessly and effectively help us with this, and this is the season when it is so important to take care of the beauty of our feet.

Make a choice

What is necessary for this assistance to be effective, and for your feet to be rewarded with a pair of new shoes or to be shown without embarrassment, modestly peeking out from under your skirt? Just the right remedy that will help get rid of the purple mesh on the feet, bruises and swelling, which will also worsen with the arrival of the summer heat, and at the same time the dry skin that accompanies varicose veins of the lower extremities. And all this - !

What allows us to make a choice in favor of this drug? Of course, first of all, these are properties heparin, which is the active ingredient of this product. Thanks to heparin, LIOTON 1000 GEL provides not only an increase in the tone of the vein wall and improves lymphatic drainage, such as troxerutin or products based on horse chestnut. Due to its direct anticoagulant properties, heparin has a positive effect on the rheological properties of blood. It reduces its viscosity, promotes the “resorption” of blood clots, binds and inactivates biologically active substances that damage the endothelium. It also reduces the ability of the endothelium to adsorb blood clots, inhibits the pathogenic effect of platelet factors, and restores the potential of cell membranes.

The anticoagulant effect of heparin is not its only merit in the fight against bruises and spider veins. It blocks many enzymes (for example, plasmin, trypsin, hyaluronidase) and inflammatory mediators, reduces the number of platelets and activates macrophages. Thanks to this, heparin is known for its anti-inflammatory and wound-healing properties, reduces the severity of pain.

However, the therapeutic effect of LYOTON 1000 GEL depends not only on the properties of heparin, but also on its concentration, as well as the ability to easily overcome skin barriers due to its gel form.

Thus, LIOTON 1000 GEL contains 1000 IU of heparin per 1 g of gel, which is several times higher compared to other similar drugs heparin for topical use. Due to this it is achieved high pressure diffusion, which causes a high concentration of the drug in tissues, as well as its higher absorption compared to forms containing 500 IU per 1 g (Stüttgen G., Panse P., Bauer E., 1990).

And the gel form itself ensures good penetration of heparin through the skin into soft tissues, which deserves no less attention. Thus, the previously used fatty bases (pork fat or petroleum jelly) were devoid of osmotic activity, which means they practically did not absorb exudate and released it very poorly. medicinal substances, and favorable conditions were created on the skin for the development of microorganisms. With the advent of polyethylene oxide bases, high efficiency of drugs was achieved, but their diffusion was predominantly unidirectional. Such products absorbed liquid too well, which often led to tissue dehydration and local irritation. Finally, the emerging form, such as a gel, allows not only to easily and more completely release medicinal substances, but also to actively transfer them through the skin to those lesions that require treatment, taking with them exudate, dead cells and microorganisms. LYOTON 1000 GEL was created on such an alcohol-water gel base. It significantly surpasses heparin-containing ointments in terms of characteristics and ensures better penetration of heparin into the corresponding layers of the skin (Zesch A., 1976), and, having high content active substance, promotes even faster achievement of high concentrations of heparin in soft tissues(Stüttgen G., Panse P., Bauer E., 1990).

...Hurries to our aid

Who can benefit from LIOTON 1000 GEL? For those who are concerned about diseases of the superficial veins, such as chronic venous insufficiency and related complications (phlebothrombosis, thrombophlebitis, trophic ulcers); consequences of previous operations, in the presence of bruises and inflammation, as well as injuries and bruises, subcutaneous hematomas and sprains. Thanks to its properties, LIOTON 1000 GEL helps to gradually suppress pain (in 90% of patients), reduce the severity of edema (86%) and the size of the seals (80%), a feeling of heaviness, as well as erythema (Navrátilová Z. et al., 2000; Bihari I., 2001; Daróczy J., 2002).

Of course, all this could not go unnoticed either by specialists, who have been widely recommending LIOTON 1000 GEL for many years, or by the patients themselves. For the convenience of the latter, at the beginning of 2011, the Berlin-Chemie company introduced an additional 30 g package to the previously existing packaging of the drug. This means that LYOTON 1000 GEL has become even more convenient to take with you on trips, in case of unforeseen injuries and bruises, which are not uncommon during work on personal plots, the season of which has just started or for a short period of time active rest during the May holidays.

Chronic venous insufficiency- the disease is far from seasonal. However, it is with the beginning of spring that most of those who are concerned about this problem realize that the capillary network and blue swollen veins are so unaesthetic!

That is why at the beginning of 2011, for the convenience of patients, in addition to the already existing LIOTON 1000 GEL 50 g, the Berlin-Chemie company introduced another form to the pharmaceutical market of Ukraine - LIOTON 1000 GEL 30 g. This helped the LIOTON 1000 GEL brand as a whole in the summer of 2011 d. demonstrate an increase in the volume of pharmacy sales, both in monetary and in kind terms (Fig. 1 and 2). LIOTON 1000 GEL is not far behind in 2012. Thus, according to the results of the first quarter. this year, the volume of retail sales of this brand showed active dynamics, increasing by 25% compared to the same period of the previous year! (Fig. 3) At the same time, the volume of pharmacy sales of the competitive group (C05B “Medicines used for varicose veins” and C05C “Capillary stabilizing agents”) during the same period decreased by 4% (Fig. 4). Such a positive trend demonstrated by the LIOTON 1000 GEL brand allows us to look optimistically at its future and call its market tomorrow promising.

The name of such an ancient joint disease, known since the time of Hippocrates, as gout, translated from Greek means “foot in a trap.” And there is an explanation for such a flashy name, since most often the joints of the toes, or more precisely, the first toe (where it is “attached” to the foot), suffer from gout. The development of this chronic disease there is a violation of purine metabolism, accompanied by an increase in blood levels uric acid and deposition of its salts (urates) in soft tissues. IN pathological process Other joints (elbow, knee, ankle, hand and fingers), kidneys and urinary tract may also be involved. Frequent companions of gout are diabetes, atherosclerosis, hypertonic disease. The disease is more common among men over 40 years of age and women after menopause. Heredity, a sedentary lifestyle, and overweight, taking diuretic medications, acetylsalicylic acid. Previously, gout was called the disease of the rich or the master's disease and was even considered a sign of genius. Such famous people suffered from it historical figures like Alexander the Great, Michelangelo, Cromwell, Ivan the Terrible, Peter I, Pushkin, Turgenev, Maupassant, Stendhal, Columbus, Newton, Darwin... However, scientists have not identified any convincing connection between gout and genius.

Heavy holiday food, alcohol intake, hypothermia or injury precede the first attack of gout - gouty arthritis, which usually manifests itself at night or early in the morning with sudden and intense pain, swelling, redness and a feeling of heat in the joint, an increase in body temperature to 39 - 40 ° C. Symptoms in most cases develop within one hour, but their duration can range from two to three days to several weeks (if left untreated). Another similar attack may occur within a few months or even years, but with each subsequent “attack” the time interval between attacks decreases and the disease affects an increasing number of joints.

To diagnose gout, the doctor needs to assess the nature of the complaints, examine the patient and perform a biochemical blood test to determine the level of uric acid, and in some cases it may be necessary to perform an X-ray examination of the joint.

Unfortunately, it is impossible to completely get rid of gout, but it can be effectively controlled with medications that prevent the formation of uric acid and speed up its elimination from the body.

So, if you have gout or have hereditary predisposition, take these recommendations seriously:

Change your diet - eliminate or significantly limit consumption table salt, young varieties of meat, meat by-products and rich broths, fatty varieties of fish, meat and canned fish, legumes, mushrooms, caviar, tomatoes, smoked meats, marinades, cauliflower, asparagus, sorrel, chocolate, strong tea, coffee, cocoa;

Include whole grains, eggs, vegetables, berries, fruits, low-fat dairy products, white chicken, and lean fish in your diet;

Completely eliminate the consumption of alcoholic beverages (especially beer and grape wines), stop smoking;

Regularly monitor the level of uric acid in the blood;

Maintain a normal weight, but remember that a sharp decline body weight can lead to exacerbation of the disease;

Maintain sufficient drinking regime- drink at least 2 - 2.5 liters of free liquid per day (in the absence of kidney and heart diseases), give preference to fruit, berry, vegetable juices and alkaline mineral waters;

During an attack of gout, try to provide maximum rest to the affected joints, do not injure them with clothing or shoes;

Don't wear tight and uncomfortable shoes because it can cause injury thumb feet, which gout “loves” so much;

Lead an active lifestyle, do exercises for your joints every day, go to exercise more often fresh air and go for walks.

No. 41 562 Vascular diseases 02/14/2017

Consultation with a lymphologist April 10, 2016 Varicose veins of the lower extremities, stage 2 CVI. Left: C1.2, 3, S, Ep, As, p Pr, 1.4, 5.18, Lll Right: C1.2, 3.4a, S, Ep, As, p Pr, 1.4, 5.18, Lll Consultation with a lymphologist 26 10. 2016 Postthrombotic disease of the right lower limb. Varicose veins of the lower extremities. CVI 2 st. The recommended Wessel Due F and Angiovit did not bring relief. The dynamics are negative. What to do? Thank you.

Irina Grigorievna, Moscow

ANSWERED: 02/15/2017

To adequately assess the situation, knowing only the diagnosis is not enough. It is necessary to know the state of blood flow. To do this, it is necessary to perform CDS of the superficial and deep veins + iliac veins and preferably the pelvic veins. Based only on the information presented, we can only say with certainty that the pathology you have cannot be cured by prescribing the medications you indicated, because they are used only as an addition to the main (basic) therapy.

Clarification question

date	Question	Status
28.02.2012	Good afternoon Question about vaccinations. The child will be 4 years old in a month. In the maternity hospital they only gave me a vaccination against tuberculosis. In 2.6, we received 3 vaccinations against polio (3 vaccinations with an interval of 30-45 days). In January of this year (20.01.12), we received the 4th vaccination against polio and DPT-M (first vaccination). Questions: 1) the 5th polio vaccination should be done a month or 2 months after the 4th vaccination; 2) Should DPT-m (2nd vaccination) be done a month after the first or after 5 years? 3) there is no vaccination against...
09.11.2012	doctor! The children were examined by 6 doctors - everyone has different opinions!!! child 2 years old - October 22, then temperature 37.1-37.8, has had fever for three days, snot, red throat. Two no. Afterwards again 38.5-38.2. and again 3 days. Green snot started flowing and is still flowing without stopping. Accepted antibiotic - suprax, isofra in the nose, miramistin in the throat. On the fifth day, antib again the temperature was 37.1-39.2. and so on to this day. Tested for mononucleosis - all negative. Lymph nodes are slightly enlarged. Blood - leukocytes 7, hemoglobin 104, neutrophils segm 4, pal...
24.01.2013	Hello, I am 22 years old, for about seven years I have been experiencing an enlargement of one saphenous vein on my leg, under the knee. Usually it doesn’t bother me, my legs don’t swell, I just can’t squat for more than a couple of minutes. And recently it began to drag on for almost a week and sometimes it was as if a sharp knife was cutting into it sharply. I went to a vascular surgeon and wrote varicose veins. Expansion in the basin of the GSV, varicose veins. Disease of the lower extremities CVI stage 2. I prescribed class 2 tights and Antistax tablets. And the operation is scheduled...
03.04.2013	Hemolytic disease, newborn according to ABO, icteric form. Risk of IUI. First degree cerebral ischemia, acute period. Thank you in advance
22.05.2013	Good afternoon I have been suffering from gastritis for many years (there were different diagnoses: peptic ulcer duodenum, erosive gastritis, superficial, atrophic). No one checks the acidity - so I don’t know whether it is increased or, on the contrary, decreased. But I suffer from heartburn. Can your stomach hurt due to prolonged stress? How and with what to treat? Recently I took tests - total blood protein was low -59. Cholesterol, on the contrary, is increased -5. 8. I eat mostly monotonously due to a bad stomach and it’s impossible...
02.07.2013	Good afternoon I ask you to help me with advice, I have been suffering from neurosis and VSD for 2.5 years already, as part of this there were various symptoms and, of course, examinations, according to the results of which, everything was normal, but 4 days ago I woke up because it was terribly difficult to breathe, as if someone was sitting on my throat and on my chest and solar plexus, I got scared, but chalked it up to the heat, then it seemed to go away, but breathing was a little difficult, and last night it became difficult to breathe again and until now, the sensations are difficult to convey, it seems as if...

Atherosclerosis of the arteries

Violation of water-salt metabolism

When water-salt metabolism is disrupted, the concentration of potassium in the blood serum decreases. This chemical element is responsible for the processes of excitation in cells and the transmission of neuromuscular impulses. The result is a contraction disorder muscle cells, including the lower extremities. Causes of potassium loss may include:

Diseases occurring with profuse diarrhea.
Conditions accompanied by profuse vomiting.
Uncontrolled use of diuretics.

As a result of dehydration, the following appear:

chest pain, rhythm disturbance;
decrease in blood pressure;
feeling of thirst;
spasms of the lower extremities;
pain and heaviness in the calf muscles;
violation motor function, up to the development of paresis and paralysis.

A critical decrease in potassium levels in the blood can lead to fatal outcome as a result of cardiac dysfunction.

Cramps in the calves, which often occur at night, may indicate a lack of magnesium in the body. Usually, taking this element can eliminate the problem.

Excessive exercise

When tired and overtrained, heaviness in the legs occurs as a result of excess accumulation of lactic acid and does not require treatment. Discomfort in the calf muscles associated with diseases requires careful diagnosis and the prescription of complex therapy.