![]() Causes Of Spider Veins & Treatment Options.Norman Chideckel MD: Cosmetic Vein Treatments.Top Hospitals in NYC for Vascular Surgery.Norman Chideckel: Vascular & Venous Procedures When is Ambulatory Phlebectomy The Best Option To Treat Veins?.Do Vascular Surgeons Work on Blood Clots?.Vascular Surgeons & Hospital Affiliation.When Does Chronic Vein Disease Require Surgery?.Vein Removal Requiring Minimally Invasive Surgery.Varicose Veins Causes, Symptoms, and Treatment Options.Spider Veins: Causes, Treatment, and Prevention.Sclerotherapy: A Minimally Invasive Treatment for Vein Issues.Endovenous Laser Treatment (EVLT): An Advanced Option for Varicose Veins.Venous Ulcers: Causes, Prevention, and Treatment.Compression Stockings: How They Work and Who Can Benefit?.Radiofrequency Ablation (RFA): An Alternative to Traditional Vein Stripping Surgery.Please call us to schedule a Telemedicine appointment. It is best in these cases to use a lesser degree of pressure, following the adage “something is better than nothing at all”. In these situations, insisting on the appropriate pressure to manage an issue may not be doable, and as such the stocking will not be used leading to potential problems. This is an issue in the elderly or people with limited mobility due to arthritic changes. Lastly, placing the appropriate stocking on the leg may pose a challenge, as the higher degree pressured stockings are more difficult to place. Another potential problem of placing stocking on after the leg is been dependent is that swelling may start to occur, and the stocking may then cause skin irritation. Some people notice that their legs feel uncomfortable with the stocking, and this most likely occurs because they put the stocking on after the legs have been dependent for a good period of time. The ideal situation would be to put the stockings on before getting out of bed, but this is impractical, and it would be fine to put them on after showering, but first sit down and elevate the leg. To prevent this and also to obtain the maximum benefit from the stocking, I recommend placing stocking on the legs when they are elevated. I have been often asked-don’t these stockings stop my circulation? Of course the answer is that they do not, but people may notice an impression on the skin from the elastic band at the top of stocking. ![]() Another exception would be in someone who has varicose veins of the calf and lower thigh, such that the upper portion of the calf high stocking may cause an irritation to these veins, and they would be benefited by wearing a thigh-high stocking. There are exceptions though to this rule, for example – a woman who is pregnant would benefit from pantyhose, to reduce the pressure on the lower extremities by the enlarging uterus. As such there is no generalized benefit in wearing a stocking above the level of the knee. This prevents blood flow and fluid from pooling at the area of the ankle. ![]() These stockings function by a squeezing of the “muscle pumps” of the calf, which are the muscles of the forefoot and calf. With support stockings, the size is usually determined based on shoe size. The sizing of a compression stocking is determined by measuring the circumference of the ankle, and of the mid-calf. The goal is to use the lowest degree of pressure that will be of benefit. The appropriate grade level of stocking is determined by symptoms, and physical exam findings. The pressure in the stocking is measured in mmHg, with support hose at 8–15 mmHg, and compression hose in various pressures depending on the grade (15–20, 20–30, 30–40, and 40–50mmHg). ![]() The appropriate grade level of stockingįirstly, the stockings are graduated gradient stockings, meaning that the pressure is higher at the ankle, and lower at the level of the calf just below the knee. The questions often asked are which stocking are appropriate for me, and what is the difference between these stockings. They also prevent swelling of the lower extremities, and energize the legs during daily activities. Support or compression hose aid in vein blood flow return from the lower extremities.
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