Ah, dealing with incompetent perforators can be a real drag, especially with the pain and swelling. I get it—this condition is basically like having a traffic jam in your veins, where blood just isn’t flowing the way it should due to weak vein valves. In Ayurveda, we often see this as a Vata and Pitta imbalance, contributing to poor circulation and inflammation.
Now, when it comes to treatments like Abhyanga, it’s indeed wonderful for improving circulation. Regular oil massages can indeed strengthen your veins and reduce swelling. Use warm sesame or mustard oil, massaging in an upward direction from foot to knee, preferably before bathing. It’s calming, helps with circulation, and the warmth indeed brings relief. And yes, Raktamokshana, bloodletting, traditionally helps in removing “excess heat” and stagnant blood, but maybe consult a qualified practitioner for that so it’s done safely!
Herbs like Punarnava are pretty great, known for reducing edema and improving kidney function, so they help with the swelling. Guggulu helps with inflammation and improving circulation too. I’d suggest taking a formulation like Triphala Guggulu as it’s quite balancing, but always get it checked by a practitioner first.
About lifestyle, avoid standing for too long; it really puts extra pressure on the veins. Elevate your legs whenever possible to help drainage. Gentle exercises, like leg cycling or walking, are helpful. Even foot exercises and stretches promote better vein health.
Regarding others’ experiences, some people have found noticeable relief within weeks, while for others, it might take months—it just depends on individual constitution and regularity of following the regimen. Adjust diet to include more Kapha reducing foods like bitter veggies and spices like cumin and coriander to ease the symptoms. Remember, Ayurveda is a journey. You’re not just fixing the symptom but aligning your whole system back to balance. Hope that helps and all the best on your healing journey!



