Comprehensive treatment with the use of gravitational therapy was carried out in 56 patients aged from 19 to 68 years. By the method of serial sampling, patients were grouped into 2 groups I-III stages of lymphedema. The first group of patients with primary lymphedema of the lower extremities - 16, the second group of patients with secondary lymphedema - 40. In the examination and treatment of patients, in combination with known methods, gravitational therapy was used. Clinical improvement of the manifestations of the disease, positive changes in the lymphatic drainage, microcirculation, condition of the soft tissues of the lower extremities, mainly in patients with stages I and II, confirmed by computed tomography, triplex scanning, thermography, ultrasound examination of the inguinal lymph nodes and soft tissues, hydrophilic McClura test and Aldrich. It has been established that the use of gravitational effects in combination with contractions of the gastrocnemius muscles stimulates external and internal factors of lymphatic drainage and increases the effectiveness of complex treatment of patients with lower limb lymphedema. However, the low effectiveness of the method of gravitational therapy in patients with primary lymphedema was noted.

Взаимосвязь анатомических особенностей строения магистральных вен с клиническими проявлениями патологии венозной и костно-суставной систем нижних конечностей mouth -30 (10,2%) patients or doubling -24 (8,2%). Vienna Leonardo was detected in 10 (3,4%) and vienna Giacomini in 23 (7,8%) patients. Patients with C3 and C4 classes CVI nontraumatic strain were detected in 59 feet (68,6%) and 51 (79,6%),1%) and 21 (32,8% 2016; 9: 4: 270-274. The purpose of the study In order to optimize diagnostic and treatment tactics of patients with chronic venous insufficiency (CVI), we evaluated the anatomical features of the main veins and changes in the musculoskeletal system (ODS) of the lower extremities. Materials and methods The study involved 293 patients with CVI and concomitant pathology ODS. Doppler ultrasound was performed with angioscanning and clinical analysis of movements, which included podometrics, goniometer and functional electromyography digital fotoplantography. Results and their discussion It was found that 156 (53,2%) patients have typical anatomy of the venous system. In 147 (50,1%) found the relative failure of the valve of common femoral (OBV), thigh (PkV) or tibial veins. In 23 (7,8%) patients showed a doubling of the superficial femoral vein (PBV) with a total diameter 16,3 ± 2,5 mm. Dilatation of deep vein recorded in 31 (10,6%) patients. PBV transposition was observed in 13 (4,4%) patients. The subcutaneous venous system most frequently detected Y-shaped division of the great saphenous vein (BPV) at the

According to modern data, there are no signs of chronic venous disease in only 15.9% of people. Observing the clinical data of recent years, there is a tendency to increase the number of people with venous diseases and, unfortunately, the number of young patients is increasing (there are data that schoolchildren of the senior classes have signs of varicose transformation in 10-15%). Polymorphism of matrix metalloproteinase-12 is a key link in the pathogenesis of varicose veins.We conducted surveys of 50 patients. The average age is 43.7 ± 15.9 years, of them women 32, men 18 people. All patients with the class C2-C6 varicose veins (CEAP-classifier) ​​were divided into two groups by the method of serial sampling: group I (n = 20) - with relapse of varicose veins; Group II (n = 30) - patients treated with varicose disease for the first time. The only exception was patients with deferred vein thrombosis. Ultrasound diagnosis of the main veins of the lower extremities and genomic analysis of blood samples of patients was used.The obtained results confirm that in patients of the I group the MMP-12 gene occurs in 80% of cases (homo- and heterozygous variation), whereas in group II only in 33.3% of cases. The Pearson consensus criterion is 10.4 (the critical value of the criterion is 6.63). The significance level of this relationship corresponds to p <0.01. The statistical significance of the frequency of recurrence of varicose disease and the MMP-12 gene was established using the Spearman rank correlation coefficient, which is equal to 1,000 (criterion value is 0.398). Dependence of signs is statistically significant, with p <0.05