A natural remedy for varicose veins
Varicose veins affect millions of Americans, causing not just cosmetic concerns but also leg pain, heaviness, and swelling. While compression stockings and surgical interventions are common treatments, many patients seek natural approaches first.
Horse Chestnut Seed Extract
Horse chestnut seed extract (Aesculus hippocastanum) has been shown to have significant effect when used orally for symptomatic treatment of chronic venous insufficiency. A Cochrane systematic review of 17 clinical trials found it effective for relieving leg pain, tiredness, tension, and swelling.
How it works
The active compound escin (also spelled aescin) reduces edema by decreasing vascular permeability. It inhibits the enzymes that break down capillary walls, helping veins maintain their integrity. The extract also has anti-inflammatory properties that reduce pain and swelling.
Dosing and safety
Standardized extracts typically contain 50mg of escin, taken twice daily. Only use preparations that remove esculin, a toxic component of raw horse chestnut. Avoid if pregnant, breastfeeding, or taking blood thinners. As with any supplement, consult your physician before starting.
At My Doctor Medical Group, we integrate evidence-based natural approaches with conventional medicine. If you're troubled by varicose veins, we can help you explore all your options—from lifestyle changes to supplements to surgical consultation when appropriate.
References: Jones RH, Carek PJ: Management of varicose veins. Am Fam Physician 2008;78(11):1289-1294. Pittler MH, Ernst E: Horse chestnut seed extract for chronic venous insufficiency. Cochrane Database Syst Rev 2006.
