Which is best for reducing appearance of varicose veins on thighs, diosmin or horse chestnut extract?

For less than 3 mo.: diosmin seems more popular with users. Both can cause itching nausea and diarrhea. If you need to use one or the other for more that 3 months, see your MD to make sure you aren't having any adverse effects

Neither: Both horse chestnut extract (active ingredient aescin) and diosmin seem beneficial for chronic venous insufficiency, where decreased tone in the leg veins cause lower leg swelling. Varicose veins, however, require procedures to remove or close the unsightly veins. Prevention includes weight loss, activities improving blood flow & leg muscle tone, avoiding prolonged standing & crossed-leg sitting.

Vein evaluation.: There is no medical evidence to document that horse chestnut will improve the appearance of varicose veins. Homeopathic supplements such as horse chestnut, escin, diosmin and bioflavonoids are just that-supplements. They are not 1st line treatment for varicose veins. It would be prudent for you to have a venous evaluation by a vein specialist.

Medication for veins: Various medications and herbs have been felt to be beneficial for varicose and spider veins. Called venotonics, they generally reduce inflammation and increase the tone of vein walls. Lots of foreign research on diosmin details antiinflammatory properties. Horse chestnut extract and rutin are reputed to increase venous tone. Appearance improvement is minor. Sclerotherapy injections work best.

Neither: varicoses vein are dilated vein because a problems in the valve all the treatment aimed at improving circulation and blood flow to prevent further deterioration of the disease and prevent complication herbs medication stocking will improve the symptoms but will not make dilated vein disappear injection laser high frequency and surgery will destroy the vein and improve appearances