Therapeutic Role of Cold Leg Pack Combined with Neutral Foot Immersion with Epsom Salts In The Management of Varicose Veins: A Retrospective Case Series

Varicose veins are a common venous disorder resulting from valve incompetence and venous reflux, leading to pain, swelling, and heaviness in the lower limbs. Conventional therapies often focus on compression or surgical correction, but may be invasive and costly. This case series evaluates the effect of a combined naturopathic hydrotherapy protocol - cold leg pack (20 minutes) followed by neutral foot immersion with Epsom salts (15 minutes) - in patients with mild to moderate varicose veins. Six patients attending the Outpatient Department of Alva’s College of Naturopathy and Yogic Sciences were treated daily for one month. Outcome measures included the Aberdeen Varicose Vein Questionnaire (AVVQ), Venous Symptom Questionnaire (VVSymQ), and Numeric Pain Rating Scale (NPRS). All patients reported improvement in leg pain, heaviness, and oedema. Mean AVVQ, VVSymQ, and NPRS scores decreased by more than 50% after intervention, indicating better venous tone and microcirculatory balance. The therapy was well-tolerated, cost-effective, and easy to administer. Findings suggest that cold leg pack combined with neutral foot immersion using Epsom salts can serve as a useful adjunct in the integrative management of varicose veins, warranting larger controlled studies to validate these outcomes.