Dr. Sergio Capurro will be holding his Phlebotherapy (TRAP) courses in Genoa and Milan this year, too.
During the courses, he will explain the new pathophysiological vision of varicose “disease” underlying his rational, non-mechanistic phlebological treatment.
TRAP (Three-dimensional Regenerative Ambulatory Phlebotherapy) treats the hemodynamic hypertension of the venous circulation in the lower limbs that gives rise to varicose veins and telangiectasias.
In TRAP, dilated vessels are regarded as the effect of the disease and constitute an escape valve for the underlying hemodynamic hypertension, which is due to the valvular incontinence of the perforating veins. When the leg muscles contract, blood is driven towards the right atrium of the heart. If the valves are incontinent, some of this blood reaches the superficial venous circulation, dilating the veins and capillaries. As the entire venous circulation is connected, the incontinence of several valves can cause the weakest vein to dilate, giving rise to a single large varix. Clearly then, it is irrational to remove or close varices (escape valves) if we are unable to correct the valvular incontinence of the veins responsible (perforating veins); the remedy lies in reducing the lumina of these dilated or dilatable veins and strengthening their walls.
As has been shown by post-mortem anatomical studies, the saphena is innocent. Indeed, many people are born without valves in the saphena, and yet they do not develop varicose disease (From CRPUB.ORG Phlebotherapy section).