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Abstract
Purpose this study was carried out to investigate the effect of pneumatic compression therapy versus low level laser therapy on postpartum varicose venis ,. Martial and Methods: Thirty post-partum females complaining from varicose veins participated in this study. These patients would be randomly distributed by two equal groups(A&B). group (A): 15 patients were treated with pneumatic-compression therapy three times per week for 4 weeks. group (B): 15 patients were treated with low level longer therapy three times per week, for 4 weeks. Assessment done by Doppler ultra-sound device. Results: The current study proved that IPC has significant effects on venous blood flow based on the following physiological effects. IPC increases the velocity of venous return and reduces the amount of blood inside the veins at any time through stimulation of endothelial cell production of nitric oxide and creates shear stress on the walls of blood vessels, which is the probable physiologic mechanism for enhanced nitric oxide production. Increased nitric oxide production inhibits platelet aggregation and neutrophil adherence, both of which play important roles in the creation of secondary hypoxic injury. Nitric oxide is also a neurotransmitter that can influence vascular tone, thereby increasing blood flow. Conclusion: In the present study, effects of pneumatic compression therapy and low level laser therapy were investigated.Thirty postpartum females complaining from varicose veins will participate in this study. They were selected randomly from Gynecology & Obstetrics Department and outpatient clinic of El-Monera General Hospital.These patients were randomly distributed into two equal groups in number by closed envelope method: groups (A&B). group A (pneumatic compression therapy group): Consist of 15 patient, they received pneumatic compression therapysession for 30 min.group B (Low level laser therapy group): Consist of 15 patient, theyreceived Low level laser therapy session for 20-35 minutes,(7 to10 point depend on the severity of lesion), for 4 weeks.Evaluation was done by Doppler Ultra-Sound device