I Don’t Need to Wear My Support Hose Any More?

I have so many customers e-mail me and tell me what good service we have provided them but, “I don’t need your support socks or support stockings any more”.  I know the daily drudgery of putting your garment on is not pleasant  but I accept it as a part of my life. I would be thrilled for them but, I know in most instances the problem has not gone away. The evil monster “edema” has in some way been hidden away. If you have had a vein stripping or venous closure, why did you get the varicose veins in the first place? Has that problem been eradicated or is it still present waiting to create more varicose veins?

If you bought stockings just for foot or knee surgery to keep the swelling down, has all the edema gone away or are you experiencing the edema on days when you are on your feet too long. The compression garments would be of great help to keep the edema under control on those really busy days.

If your physician requested you to wear 20-30mmHg compression, perhaps stepping back to 15-20mmHg compression would give your legs that little bit of extra support to keep them feeling great all day.

“Walk, walk, walk” is some of the best advice I can give you. Walking stimulates that calf pump that helps that blood get back to the heart. If you wear your support socks while you walk, that calf pump is enhanced. Walking also helps you maintain a healthy weight which keeps your legs healthy.

Let us help you find a way to put your support hose on

Your day does not have to start with struggling to put on your support stockings

If you are still struggling getting the compression socks or compression stockings on, take a look at our stocking donners and doffers. Support Hose Plus has stocking donners for everyone! Be sure to watch our website…our most popular donner, the Doff N’ Donner will be back soon!

So get those support stockings or support socks out of the dresser drawer and get them on your legs and get moving.

Please call one of the SupportHosePlus.com Certified Fitters for assistance with the selection and ordering of stocking donners.

Vanda
www.supporthoseplus.com

Arterial Ulceration – Venous Ulceration…What Are They?

This week I want to write on two very important circulatory diseases of the lower extremities… Arterial Ulcers and Venous Ulcers. I am writing this so you can be aware of these diseases should you ever see these problems in your legs or the legs of a loved one. Education of diseases of the extremities is very important because it provides you with more knowledge so you may recognize problems in a timely manner. This article is not meant to take the place of your physician’s help with your leg health.

An ulcer on the lower extremity is a break in the skin resulting in a wound. It is thought to be caused by a poor circulatory system. While, as a patient, it is not important for you to diagnose a venous ulcer or an arterial ulcer, it may be important for you simply to understand the difference between the two and to know what to do to keep from getting ulcers.

Arterial and Venous refers to origin of the ulcer. When a venous ulcer forms, the veins in the leg have become stretched and the valves have become incompetent and leak. This results in excess fluid in the tissues of the lower extremity and slows down oxygen and nutrients being transferred to the tissue so the skin can perform one of its most important functions, that of repairing itself.

Venous insufficiency is high blood pressure of the deep and superficial veins of your lower extremities! It is not the venous insufficiency or high pressure in the vein or veins that causes the venous ulceration, but the most likely cause of the venous ulceration is that there was a thrombus or a clot in the veins of the leg at some time. That clot becomes encased in plaque, the body thinks the ulceration has been healed and does not work to continue restoring normal tissue. The end result is tissue begins to die.

Venous Ulcer

Venous Ulcer

Venous Ulcer

  • For lower extremity edema you should elevate the legs and discourage rubbing, picking, pulling or scratching of the skin.
  • If the legs are not elevated, the edema may get so bad the fluid will not have anywhere to go and will seem to come out of every available hole – even out of the pores of the skin themselves.
  • The legs may even look as if they will pop if you blow on them, then the next day they are weeping copiously.
  • The next thing that happens is the skin starts to come off in patches and pretty soon…you guessed it, voilà a venous ulceration.

Arterial ulcers are caused, basically, not by the veins failing to remove excess fluid, but by the arteries failing to supply enough oxygen and nutrients to keep the tissues alive.
Arterial wounds are generally more difficult to treat and often more painful, particularly when lying down (e.g. in bed at night).

Often the primary diagnosis of an Arterial Ulcer is Peripheral Arterial Disease (PAD). This diagnosis is not a diagnosis to be taken lightly and needs skilled and consistent care to avoid severe complications.

PAD does not necessarily result in the arterial ulcer, but occurrence of an ulcer on the lower extremity is a risk factor in the diagnosis of PAD. The older a person becomes, the easier it is to have a small injury (just a scrape, a bump) and because the arterial circulation itself is already compromised, the area never heals properly. A hard substance called plaque forms at the site of the injury and the body thinks it has healed the wound. Now, people normally will bump their thigh and get a bruise, but the injury is not always the site where the ulcer forms, but rather below the area of the injury. The lower extremity is already compromised, you get hurt above the feet or ankle, plaque encases that injury which decreases the circulation even further. The artery is now moving even less oxygen and nutrients to the lower extremity and the tissue begins to die. That is harsh, but there is no better way to put it. It isn’t that I want to frighten you, but to keep on instructing you in what to do to prevent this from happening if at all possible!

arterialulcer

Arterial Ulcer

With arterial insufficiency you must never elevate the leg. With arterial insufficiency compression is usually not used. This is totally opposite for Venous Ulcers.

Arterial Ulcer

  • When Arterial Ulcers are present skin is pale, shine, taut, and thin
  • Swelling is not usually noted when arterial ulcers are present.
  • The legs should not be elevated with arterial ulcers. In fact the legs feel better when they are down.

 

Arterial Ulcer

  • May be found on tips of toes, between the toes or on the outside (lateral side) of ankles
  • Most likely are perfectly round, smooth edges
  • May or may not have swelling (edema) of the lower extremities
  • Lower extremity may be cool to touch, skin is pale shine, taut, and thin
  • Minimal drainage
  • No odor
  • Skin on lower extremities often tight, hard, shiny
  • Skin is often cool or cold to touch
  • There may not be any hair on the toes or on the legs
  • There may be pain with walking (claudication)
  • Faint to absent pedal (foot) pulse

Venous Ulcer

  • Found on the inside of the ankle (medial side), above the ankle bone
  • Shallow and Superficial
  • Can be small or large, but the edges are NOT A PERFECT CIRCLE
  • Almost always there will be edema (swelling of the leg) and in fact, edema is usually the FIRST thing you will find
  • Wet all the time, and depending on how long the patient legs are kept dangling will determine how much drainage there will be
  • May have an odor
  • Usually there is no pain with walking, per se, but the patient will say it hurts to stand up. Once they are up and start walking, the pain subsides

It is really surprising; I talk to many people that have never heard of support stockings or support socks. They have no idea that compression socks or compression stockings can make their legs feel better and keep venous insufficiency under control. My best advice is to wear them!! I do…every single day!

There is such a thing as having Venous Insufficiency and Arterial Insufficiency. In cases such as these, the physician may have the patient wear a light compression stocking or compression sock. Remember, your physician is your best source of information. We are here to educate you and assist your physician in his job so that you may have healthy legs.

 Here’s to your Healthy Legs,

Vanda
www.supporthoseplus.com                                                

April is Foot Health Month

Your feet are the most working part of your body. It is estimated that the average person walks about 115,000 miles in their lifetime – enough to walk around the world 4 right-foottimes. The human foot is an amazing and complex structure. The foot contains 26 bones (about 1/4 of all the bones in the body). Your feet support your body and help maintain balance. Walking is the best exercise for your legs as well as your feet and provides the lowest impact on your joints and bones. Walking provides the exercise needed to maintain your weight, and reduce the risk of diabetes for non-insulin dependent individuals. Walking also helps in maintaining your mental well being. While walking, you can assist your venous circulatory system by wearing your support socks or support stockings. We have many fine socks available to assist you at Support Hose Plus.

To Keep Your Feet Happy:

  • Check your feet regularly for sores, cuts, or bruises
  • Wash your feet regularly and be sure to dry them completely
  • Keep your toenails trimmed regularly and straight across, but not too short
  • Always wear your support stockings every day to assist your venous system and protect your feet

Your physician is your best source of information.
Please talk to your physician about any symptoms or problems you are experiencing with your legs or feet.

Healthy feet are happy feet!

Vanda
www.supporthoseplus.com