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134 THE EFFECT OF MICRO NEEDLING THERAPY ON THE QUALITY OF LIFE IN WOMEN BIOSCIENCE BIOTECHNOLOGY RESEARCH COMMUNICATIONS
Vahideh Riyahi and Bijan Goodarzi
More than 40 percent of women over 50 have the dis-
ease. Varicose veins are skin-deep dilated and zigzagged
veins due to structural defects and performance of the
saphenous veins or inherent weakness of the vein wall or
rarely due to the Artery - IV stulas. More than 20 mil-
lion adult Americans suffer from varicose vein disease
and the disease causes a sickly condition which results
in the reduction of a patient’s performance (Chung,
McCray et al. 2000). These veins are related to leg swell-
ing, pain, dermatitis, phlebitis and ulcers, Patients with
venous insuf ciency often complain of pain in their legs
that worsen with prolonged standing and relieved by
elevating the feet. On examination of the shank diam-
eter, edema, varicose veins and super cial veins with
erythematic, dermatitis, and hyper pigmentation can
be seen in the lower leg and the skin near the external
ankle might become ulcerous. Mostly, varicose veins are
asymptomatic and only regarding beauty aspects require
medical attention themselves. If symptomatic, the pain,
diffuse and non-speci c fullness and heaviness in the
legs, especially after standing a long time are probable.
Sometimes swelling in the ankles and feet can be seen
in the prominent vessels (Chung, McCray et al. 2000).
So far, various methods for reducing the symptoms of
varicose veins including pain in the legs after prolonged
standing or sitting, night pain and feeling of heaviness
in the legs are provided. Avoiding long time standing
or sitting position, avoiding long-time exposure of legs
in the sun and heat or prolonged contact with garter or
belt, avoidance of continuous wearing of strip (band)
or stockings, avoiding simple sugars and lipids and
the use of medications such as Flavonoid derivatives,
sodium morrhuate are among the methods of reducing
the symptoms of varicose veins (Stiegmann, Sun et al.
1988). Micro needling is a method recently used for skin
diseases. Micro needling is a device for general skin nee-
dling which has a comparable impact with laser treat-
ments and chemical peelings. This device can be used
exclusively or as a complement to other treatment meth-
ods. The disposable needles’ points are short and tiny,
it includes 12 micro needles that should be discarded
after each treatment. For treatment, needle penetration
depth must be between 25% to 2/5 mm set with a speed
of 25 beats per second and beat for 90 beats per seconds
which nally between 300 and 1,000 tiny holes in sec-
onds are created in the surface. Micro needling is used
to stimulate the skin to make natural collagen. Further-
more, treatment with this device helps penetration and
absorption of drugs to the skin, skin rejuvenation and
wrinkles, acne scars healing, improvement of body craze
and the overall appearance of the skin and shrinkage of
the size of the pores. Backlog and increasing the elastic-
ity of the skin, new collagen production, surface and
deep wrinkles reduction, improving crazes, and improv-
ing decrements of pigmented lesions’ penetration, mate-
rials, creams and vitamins to the skin after treatment
with micro needling can be named as the advantages of
micro needling (Van Stiegmann and Goff 1988).
The aim of this study is to examine the effect of micro
needling on the quality of life in the women suffering
from skin-deep varicose foot.
Hypotheses: A 20-week period of micro needling on
the surface varicose leg in women has no signi cant
effect on quality of life. A 20-week period micro nee-
dling on the surface varicose leg in women has no sig-
ni cant effect on quality of life.
RESEARCH METHODS
The study population included all women with varicose
veins in the age range between 40 to 60 years who have
gone to health centers for treatment. The sample con-
sisted of a total of 20 diagnosed women, of those, 10
patients were randomly divided into a control group and
10 other were selected as the experimental group.
After introducing the participants about the purpose
of the study, in the rst step, measuring pain intensity
was performed using questionnaires. After the initial
evaluation of samples, micro needling was conducted
for 20 weeks and every four weeks for a total of 5 ses-
sion meetings under the supervision of an expert. It
should be noted that the research subjects before the
study must not have experience in any use of micro nee-
dling. Moreover, the use of any antidepressant medica-
tions during the study will be banned and any treatment
with these drugs should be avoided for at least 7 days
before the study begins. The study regarding the lack of
any physical and psychological risks to the subjects will
be approved by sports medicine and orthopedic special-
ists.
Subjects who were 20 patients were divided randomly
into two equal groups. Group A: control group, includ-
ing subjects who during the 20-week study did not
have any therapeutic intervention. The second group,
the experimental group who used micro needling for 20
weeks and a session for each 4 weeks and a total of 5
sessions. In the present study to determine effects on
quality of life of micro needling in two stages: one day
before the beginning and one day after the end of the
second phase of the 20-week period micro needling was
measured using indicators mentioned.
Using deep micro needling (adjustable needle tip 2
mm) by a dermatologist every 4 weeks for 20 weeks and
a total of 5 sessions was performed on all the surface
varicose veins of the lower limb (Dhurat, et al. 2013) . To
evaluate the quality of life, questionnaire FAMAS, Ver-
sion 2 is used which includes 59 questions under the title