Let’s Talk About Compression Hosiery

So you have gone to your Physicians because you are having trouble with your legs. Your Physician told you that you need to purchase some support hose.The Physician may have told you what compression of hose to purchase, depending upon the severity of your leg problem.I have outlined the various leg diseases and the compression that is generally recommended for that problem.Compression hosiery comes in 4 basic compressions; 8-15mmHg (millimeters compression mercury), 15-20mmHg, 20-30mmHg, and 30-40mmHg. The compression is an average compression exerted at the ankle and lessens as you go down the leg towards the toes, and lessens as you go up the leg toward the heart.This is the principle behind a “gradient compression”.

All the compressions discussed here can be viewed in various styles by going to: SupportHosePlus.com

8-12mmHg and 12-16mmHg compression are used as a preventative measure to help your legs remain healthy. If you are experiencing tired, achy legs at the end of the day, this compression may be for you.

15-20mmHg and 16-20mmHg compression is a moderate medical compression. If you have mild varicose veins, minor swelling or edema, or post-sclerotherapy, this compression may be the compression of choice for you.

20-30mmHg is a firm compression and your doctor is normally the person to make the decision that you need this compression. If you have moderate varicose veins, moderate edema, post-sclerotherapy, post-surgical or have had a healed venous ulceration, then this compression may be for you.

30-40mmHg compression is an extra firm compression.If you have severe varicose veins, severe edema, lymphatic edema, active venous ulcerations, manifestations of PTS (post-thrombotic syndrome); CVD/CVI (Cardio-vascular disease/insufficiency); orthostatic hypotension; Post-surgical or post-sclerotherapy then your physician may recommend this compression for you. These are general recommendations. Your physician is your best source for information.

There are higher compressions that may be recommended by a Physician.We, at supporthoseplus.com, require a doctor’s prescription for a higher compression or for a “custom hose” that is design just for you.

The reason for the maximum compression at the ankle is simply; you want to have a gradient compression hose which stimulates the blood flow towards the heart.If the compression were the same all the way up the hose, then we would not have the stimulation of the blood flow.The hose work with the muscles in your legs and the valves in your veins to assist in pushing the blood back toward the heart.Most leg problems are caused because the valves in your veins have become damaged and do not open and close properly.This damage could have been caused by an accident, obesity, heredity, or not maintaining an active life style.Exercise, including walking is the best thing you can do for your legs.I have included pictures of what a healthy valve and a damaged valve look like.

EnlargedVeinAndDamagedVein

Basically, there are four leading manufactures of support hose: Jobst, Mediven, Sigvaris and Juzo. We started our web site with just the Jobst hose, as it is the number one physician recommended hose in the USA. We now have the Mediven hose available for your review.And we will add the other manufacturers as time permits. (Vanda and I are just two people.)You can order the Sigvaris or Juzo hose by calling our toll-free number 1-844-472-8007. Each manufacturer has their unique features, such as active socks, petite hose, UltraSheers, opaque, travel, and diabetic. No matter what your size, we can fit you with the correct hose.

In addition, there are many “generic” and “private label” hose on the market.I know they cost a lot less, but is the health of your legs worth it?In my opinion by staying with one of the leading manufacturers you are getting a true “gradient compression” hose.They cost more; you only have one pair of legs so let’s try to keep your legs remaining healthy!

Vanda, and  along with our team sincerely appreciate all of your support for us. Many of our customers have ordered 10, 15 or even 20 times since we started SupportHosePlus.com nearly 5 years ago. Please feel free to call if we can assist you in any way (1-844-472-8807).

A Big Texas THANK-YOU,

Vanda, Rod and the Support Hose Plus Team.

Chronic Venous Insufficiency

Early intervention could prevent future complications

Up to 13 million people in the U.S. suffer from chronic venous insufficiency (CVI). If not treated, CVI can result in a venous stasis ulcer.

Risk Factors

  • Increased age
  • Prior deep vein thrombosis (DVT)
  • Family history of DVT
  • Sedentary life style
  • Obesity
  • History of leg trauma
  • Cardiac Disease
  • Multiple pregnancies

Venous Stasis Ulcer

Clinical Manifestations

  • Varicose veins
  • Leg pain
  • Distal leg edema
  • Inflammation
  • Induration (The process of becoming extremely firm or hard)
  • Skin pigmentation
  • Stasis dermatitis
  • Ulceration

Gradient compression hose can help control venous insufficiency and prevent venous ulcerations. When venous ulcerations do occur, they can take a very active role in the healing of the venous ulceration.

Noninvasive Treatment of Varicose Veins and Venous Insuffeciency

By JON SENKOWSKY, MD FACS

Venous disease is a health problem that affects almost everyone. Despite the fact venous disease has been acknowledged since the time of Hippocrates, hundreds of years B.C., innovative technology and significant diagnostic advances in treating venous disease are only now emerging in the field of vascular surgery.

Venous disease occurs for the simple reason that veins are always working against gravity. Veins in the legs carry blood from the leg to the heart. In order to cover this long distance efficiently, veins contain valves that allow blood to move up the leg, and not down. If these valves become destroyed, blood pools in the lower portion of the leg causing leg swelling, varicose veins and other venous problems. Typical symptoms include heaviness in the legs, swelling, development of varicose veins, and even skin damage, dry skin, and brownish pigmentation at the ankle level leading to ulcers.

Another more serious symptom includes blood clots in the legs. Indeed, recent reports indicate people who frequently fly in airplanes are at risk of developing blood clots, which can break free and cause pulmonary emboli. This situation appears to be minimized by the use of hose (see the Travel Socks section of the Support Hose Store web site).

The majority of people with venous disease have chronic problems with their legs. The most effective treatment can be found by making an accurate diagnosis; determining if blood clotting is present; and identifying whether any venous valve disorders are present. Valve disorders often indicate venous reflux, or pooling of the blood located in the deep veins of the muscle or on the surface veins underneath the skin. (The surface veins, when enlarged, are actually varicose veins.) By utilizing a machine called a Duplex Scan, a noninvasive and painless diagnostic test, all these questions can be answered.

Perhaps the simplest and most well known treatment for venous disease is the compression garment. Compression garments can be used to prevent the complications of venous disease. These are essentially tight hose or wraps that control the swelling in the leg by forcing the blood into the deeper veins. It is important to use gradient compression hose, obtained from a reputable manufacturer, such as Jobst, in order to get the right fit and avoid problems. The compression garments force the same amount of blood into a smaller volume of veins, resulting in more efficient removal of the blood from the lower extremities. A variety of different hose products, both knee high, thigh high, and waist high, and a variety of different strengths and colors, are now available from Jobst at Support Hose Plus. Other techniques, such as lymphedema wraps and pumps can be used in order to decrease the swelling associated with venous disease (see the lymphedema section of The Support Hose Plus web site).

New techniques in the treatment of varicose veins are emerging. An accurate diagnosis with ultrasound and physical examination are essential for the correct care of varicose veins. Hose are the mainstay of treatment, and are available at www.supporthoseplus.com, or by calling 1-844-472-8807 to speak to a certified fitter.

Dr. Senkowsky is a Board Certified vascular surgeon in private practice in Arlington, Texas. He is a Fellow of the American College of Surgeons, and a member of the American Society of Vascular Surgeons.

Compliance is Crucial to Management of Venous Stasis Ulcers

Ulcers are wounds or sores that will not heal or keep returning. They may or may not be painful. The leg is usually swollen and may burn or itch. There may also be a rash, redness, brown discoloration or dry, scaly skin.Venous ulcers are located below the knee and are primarily found on the inner part of the leg, just above the ankle. Continue reading