Chronic Venous Insufficiency

Chronic Venous Insufficiency (CVI) is one of the leading causes of swollen feet, ankles and legs.

    Someone with CVI may experience:

  • Ankle swelling
  • Tight feeling calves
  • Heavy, tired, restless or achy legs
  • Pain while walking or shortly after stopping

EnlargedVeinAndDamagedVeinThere are several things that can cause CVI. Ultimately, long-term blood pressure in the leg veins that is higher than normal can causes CVI. If the valves in the veins are damaged blood can pool in the lower extremities and cause varicose veins. Sitting or standing can stretch the superficial vein walls and damage the valves in the veins which keep blood from flowing back down the legs.

DVT happens when a blood clot (thrombus) blocks the blood flow back to the heart out of the deep veins or perforating veins, which connect the deep veins to the superficial veins. Deep vein thrombosis (dvt) can also cause CVI, because it blocks the flow of blood back to the heart and elevates the pressure inside the veins.

    Factors that increase your risk of CVI include:

  • Family history of varicose veins
  • Being overweight
  • Not exercising enough
  • Being pregnant
  • Smoking
  • Sitting or standing for long periods of time

CVI can be diagnosed by your physician by taking your patient history and physical exam. The physician may also measure the blood pressure in your legs and examine any varicose veins you may have. To confirm a diagnosis of CVI, the physician will usually order a duplex ultrasound or a venogram. A duplex ultrasound uses sound waves to measure the speed of blood flow and visualizes the structure of the leg veins. A venogram is an x-ray that uses a dye (contrast) which enables the physician to see the veins.

ChronicVenousInsufficiencyChronic venous insufficiency is usually not considered a health risk; your physician will try to decrease your pain and disability. In mild cases of CVI, compression stockings or compression socks may alleviate the discomfort and swelling. Physicians usually use a 20-30mmHg compression stocking or a 20-30mmHg compression sock for this. The stockings will not make the varicosities go away, but is the least invasive treatment.

More serious cases may require sclerotherapy, ablation, or surgical intervention such as stripping to correct the problematic vein. This is usually done by a vascular specialist or vascular surgeon. During sclerotherapy a chemical is injected in the affected vein or veins and a scar will form from the inside of the vein. During ablation a thin, flexible tube (catheter) with an electrode at the tip will heat the vein walls at the appropriate location to seal the vein. When a vein stripping is done one of the saphenous veins is removed. The physician will make a small incision in the groin area and usually another in the calf below the knee. The veins associated with the saphenous vein will be disconnected and tied off and the vein removed. There are other surgical procedures which are done to improve your leg health. After one of the above procedures 20-30mmHg compression stockings are usually put on and you are told to wear them for a certain length of time. Some physicians will tell their patients on their follow-up visit that it is no longer necessary to wear the compression garments. For me, this is where I have some concerns. If the real underlining cause of CVI (such as family history of varicose veins, being overweight, not exercising enough, smoking or sitting or standing for long periods of time) has not been corrected why would you not continue to wear compression stockings to keep from developing CVI again.

Compression stockings and socks have come a long way in the last few years. They no longer look like the garments our grandparents wore. They look like ordinary stockings and socks. The stigma of wearing compression garments is past.

Here’s to feet, ankles, and legs that are no longer swollen,

Vanda
www.supporthoseplus.com

Chemotherapy and Deep Vein Thrombosis

In a newsletter last month I did not mention one of the conditions which can lead to Deep Vein Thrombosis (DVT)…I probably missed more than one. A wonderful customer reminded me and I thought it was important enough that we should revisit this.

Our customer wrote: In one of your recent blogs, you listed conditions that cause blood clots, but one cause was not on the list: chemotherapy.
During chemo, I developed classic signs of marked bilateral calf pain. The symptoms appeared neither suddenly nor gradually (I know, big help!). Thank goodness I didn’t let the pain go unaddressed, and when after my oncologist examined me, he asked if I wanted an ultrasound, I agreed. However I don’t think he believed anything was wrong.
During the ultrasound of my legs, even before I stepped down from the procedure table, not only had the techs told me I had blood clots, but they insisted I be wheel-chaired back to my doctor’s office in the same complex. I received immediate anticoagulation therapy.
By reporting this pain to my doctor, I saved my own life. Both the Coumadin and the compression stockings successfully cleared the clots; a repeat ultrasound last week showed no new clots, and the technician said “Your veins look beautiful!”
Who would have thought I would rejoice over my “beautiful veins”?
Thank you for fine service over the years. I encourage all women who are on their feet a lot to wear compression stockings, as I like to say they “hold up the world.” My leg pain–even clot free–is severe, and the stockings totally eliminate that pain.”

There are several reasons blood clots form in cancer patients who are on chemotherapy. I will try to address a few of them here.

Patients with cancer may have a higher number of platelets and clotting factors in their blood, possibly because cancer cells produce and release chemicals that stimulate the body to make more platelets. Platelets are very small, special blood cells that are involved in clot formation. They cluster together to form a plug to stop bleeding. They also produce other chemicals to help the blood clot and repair the leaking blood vessel.

Clotting factors are proteins made naturally by the body. They combine with platelets to help form blood clots and prevent bleeding. If you have more platelets and higher amounts of clotting factors than normal in your body, your blood is more likely to clot.

When chemotherapy kills cancer cells, the cells can release substances that cause an increase in blood clotting (coagulation). Specific types of chemotherapy drugs are more likely to cause a blood clot than others. A cancer patient’s doctor should explain to them if the drugs they are having increase their risk of getting a blood clot. Doctors are very clear that the benefits of the chemotherapy far outweigh the risks for developing a blood clot and patients should keep taking it. But patients should know the symptoms of a blood clot just in case.

Surgery and chemotherapy can both damage the walls of blood vessels. This will increase your risk of developing a blood clot.

The blood normally has proteins that are anticoagulants in it that help to thin the blood. If you have cancer you may have lower levels of these proteins.

Sometimes cancer or treatment can make a patient feel very ill and too tired and weak to move around as usual. Being inactive increases the risk of clotting because the normal movement of the leg muscles helps to pump the blood back up to the heart.

Just in case, cancer patients should be aware of the common symptoms of a blood clot:

  • Pain, redness and swelling around the area where the clot is
  • The area around the clot may feel warm to touchIf these occur, the cancer patient should not wait to see if it goes away. The symptoms should be reported to the physician or the physician’s nurse immediately.To help prevent clots:
  • Talk to your physician. (I have many oncologist around the country who want their cancer patients in some kind of compression.)
  • Take short walks as often as possible
  • If you can’t move around much, do simple leg exercises every hour, such as bending and straightening your toes and making figure 8’s.
  • Drink plenty of water to stay hydrated

With the advancement in medicine, cancer is being diagnosed earlier, and there are many cancer survivors. As some of you know my husband, Rod, is a cancer survivor. He wears his support socks every day and is doing quite well. We don’t want other cancer survivors to have to deal with DVT or worse. Advise you friend, family member, or loved one to talk to their oncologist about wearing support socks.

Vanda
www.supporthoseplus.com

DVT and Pulmonary Embolism Associated with Factor V Leiden and Other Clotting Disorders

In our last newsletter we discussed the fact that the news anchor, David Bloom, had developed a Deep Vein Thrombosis (DVT) which broke loose and became a Pulmonary Embolism which took his life. David had many risk factors such as prolonged immobility, dehydration as well as long-haul flights to Iraq which probably contributed to the development of David’s blood clot. David had a silent risk factor which he did not know about. He had Factor V Leiden – an inherited blood coagulant disorder that can increase a person’s risk of DVT. Factor V Leiden is the most common inherited clotting disorder in the United States.This disorder is present in 2% to 7% of Caucasians, less often in Hispanics and rarely in Asians and African-Americans. It accounts for 20% to 40% of cases of DVT.  Factor V Leiden is usually a hidden disorder, until someone in the family, someone who is athletic and healthy develops a DVT. Screening for Factor V Leiden is not usually done unless there are several members of the family who develop clots or one person develops several. Blood clots from Factor V Leiden can occur anywhere. The factor can increase the risk of heart attack, stroke, miscarriage, or gallbladder dysfunction.

There are other inherited conditions which can cause blood clot formation. These include:

  • Prothrombin gene mutation
  • Deficiencies of natural proteins that prevent clotting (such as antithrombin, protein C, and protein S)
  • Elevated levels of homocysteine
  • Elevated levels of fibrinogen or dysfunctional fibrinogen
  • Elevated levels of factor VIII (this is still being investigated as an inherited condition) and other factors including factor IX and XI
  • Abnormal fibrinolytic system

There are other conditions that increase a person’s risk of developing blood clots and do not necessarily indicate a genetic risk. However, you may want to have a serious discussion with your physician about testing for these factors if you have:

  • Several members of your family with blood clots
  • Abnormal blood clotting at a young age (less than 50 years old)
  • Blood clots in unusual locations or sites, such as veins in the arms, liver, intestines, kidney or brain
  • Idiopathic blood clots (no clear cause)
  • Blood clots that reoccur
  • History of frequent miscarriages
  • Stroke at a young age

Just as it is important for you to know your risk factors for DVT, it is important for you to be aware of blood clots in your family history and their cause and wear your support stockings or support socks.

This is the last in this series of March is DVT Awareness Month. We hope you have enjoyed it. If you have missed any, they are all here on our blog, Ask Vanda  just scroll down to view. We would love to have you leave a comment about a DVT you have experienced or about a risk you have from a factor deficiency.

Vanda
www.supporthoseplus.com

March is DVT Awareness Month 2013 – What You Can Do To Prevent DVT

The CDC (Centers for Disease Control) is in the 3rd year of a program designed to raise awareness of DVT to women and their families. This year the CDC is focusing on the danger of DVT around trauma and surgery. The program targets women because they are at high risk and because they are very involved in decisions for the entire family. The program makes it clear that Deep Vein Thrombosis can be fatal and urges people who develop symptoms to seek help immediately.

If you anticipate a surgical procedure, you may want to ask if the hospital or physician offers preventive measures such as support stockings and anticoagulant therapy. Do they teach exercises or activities to reduce the risk of DVT? After surgery, as soon as your physician recommends increasing your mobility, do so to help prevent DVT.

According to a study from Oxford University patients recovering from surgery are at a high risk of DVT for much longer than previously thought. In this study it was found the likelihood of a patient to need hospital treatment for a DVT was 70 time higher than the norm. For those who had day surgery, the risk was 10 times higher than the norm. The danger was highest in the third week post-op, but continued for around 12 weeks.

DVT is not limited to women or men nor is age a limiting factor. A DVT can strike people from all walks of life with little warning. So keep your friends or loved ones health – tell them about DVT and how to prevent it by wearing compression hose and following a few tips…

  • Maintain a healthy weight.
  • If you smoke, quit.
  • Exercise your legs regularly when sitting or laying for long periods of time… This can be as simple as making figure 8’s with your feet or just walking for a few minutes
  • When sitting, stretch your legs and change position frequently.
  • Take a deep breath frequently.
  • Elevate your legs whenever possible.
  • Be careful about chairs and leg rests that compress the calf or behind the knee.
  • Avoid excessive alcohol intake (it dehydrates the body).
  • Drink plenty of water.
  • Wear loose, non-binding clothes when traveling.
  • If you have family members with multiple DVT’s and they have been diagnosed as having a clotting disorder, consider being tested yourself.
  • If you are having surgery, discuss the possibility of DVT with you physician. Many physicians are happy that you are proactive.
  • If you are pregnant, wear compression stockings during your pregnancy and for 6 weeks postpartum.
  • Above all…wear compression stocking or support socks to increase your circulation.

If you have had a DVT and would like to share your experience, please scroll to the bottom and leave a comment as a guest.

Spread the word…Most DVT’s are preventable,

Vanda
www.supporthoseplus.com

March is DVT Awareness Month 2013

I find it very interesting that we all fear diseases such as cancer, AIDS and even being in an auto accident, but few of us have a fear of Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE). We really should. Blood clots from deep vein thrombosis (DVT) and Pulmonary Embolism (PE) cause more deaths than breast cancer, AIDS AND motor vehicle accidents combined. DVT’s are preventable.

There are certain people and certain times in our lives when we have increased risk of DVT. The most common risk factors include:

  • Prior family history of DVT’s
  • Diabetics
  • Cancer
  • Travel – especially long distances with little or no movement
  • Over 40 years of age
  • Over weight or obesity
  • Smoking
  • Surgery
  • Post-partum

Blood clots are usually formed in the deep veins of usually lower extremities (although it can occur anywhere in the body). When this happens, a piece of the clot can break loose and travel through the blood stream to the lung. This is a potentially life-threatening complication of DVT.

The symptoms of DVT may not be noticeable. There may be some pain in the muscle, some swelling, sudden onset of discoloration (bluish, purplish or reddish skin color) and that part of the body may feel warmer. This is not the time to wait. You should visit your primary care physician immediately.

Symptoms of PE can be dramatic. There may be shortness of breath, chest pain (which may become worse with a deep breath), unexplained cough (with or without blood) or unexplained rapid heart rate. This is the time you should go to the emergency room immediately!

More to come next week,

Vanda
http://www.supporthoseplus.com

What Compression Should I Choose?

Before we discuss what compression to choose, let’s look at how the compression helps control edema and makes our legs feel better. The muscles of the legs act a pump to assist the heart in the return blood flow from the extremities. When veins and valves of the legs become damaged or incompetent, compression stockings provide a little extra “squeeze” to help reduce the diameter of distended veins and help the valves to close. When this happens, the blood flow is increased. The “squeeze” is measured in mmHg compression.

If your physician has not suggested compression of support hose (compression stockings or support socks) to purchase, it can be very confusing. A garment with too little compression for your diagnosis may not contain the swelling. On the other hand, I have clients purchase 30-40mmHg compression because they want to be certain of getting rid of their swelling. Once they receive their purchase, they are even more frustrated because they are not able to don the garment. The correct compression, correct size, and style are some of the secrets to being a successful support hose (compression stocking or support sock) wearer.

For someone with little or no swelling, an 8-15mmHg compression may give the gentle message they desire.

For someone with mild swelling or to prevent varicose veins, a 15-20 compression may give them support they want.

For someone with moderate swelling, a 20-30mmHg compression may give them all the “squeeze” they need.

Here are some guide lines we follow when fitting a new client:

  • 8-15mmHg compression is generally used for
    • Minor ankle, leg and foot swelling
    • Those who want just a little gentle massage to help their tired, fatigued legs
    • A client who is very elderly and has serious heart problems or is not able to don a higher compression
  • 15-20mmHg compression is used for
    • Minor varicose veins
    • Travel (when there is no other leg problems)
    • Prevention of varicose veins during pregnancy
    • Post Sclerotherapy
  • 20-30mmHg compression is used for
    • Moderate to severe varicose veins
    • Moderate swelling (edema)
    • Post Sclerotherapy
    • Prevention of recurrence of venous ulcerations
    • Superficial Thrombophlebitis
    • Post surgical
    • Management of Neuropathy
    • Travel
    • Prophylaxis during pregnancy
    • Burn scar management
    • DVT (Deep Vein Thrombosis) prevention
    • Healing of joint replacement
  • 30-40mmHg compression is used for
    • Severe varicose veins
    • Severe edema
    • Lymphedema
    • Management of active venous ulcerations
    • Prevention of recurrence of venous ulcerations
    • Prevention of Post-Thrombotic Syndrome
    • Management of PTS (Post-Thrombotic Syndrome)
    • Orthostatic Hypotension
    • Post Surgical
    • Post Sclerotherapy
    • Burn Scar Management.

For our returning clients, are you having problems such as your garment not containing your edema or your garment is rolling, pinching or otherwise not fitting properly? Call our Certified Fitters at 1-844-472-8807. Your problems could be due to wrong compression, wrong size, or wrong garment. For example a knee high 20-30mmHg from one manufacturer does not fit the same as the same garment from another manufacturer. Even different styles of garments from the same manufacturer (such as casual compared to dress) can fit different.

In conclusion a properly fitting compression garment of the proper compression and correct style can make your legs happy!
Our goal at SupportHosePlus.com has always been to help you improve the quality of your life!

Vanda

Opening Ceremonies for the 2012 Olympics

The Opening Ceremonies for the 2012 Summer Olympics in London are only 4 days away!

It was just last week I realized I have not encouraged you, my readers, if you are traveling to the Summer Olympics in London, to wear your support socks. As with any long distance travel, it is imperative that you wear compression socks or compression stockings. I cannot imagine any of our Olympic Coaches here in the US allowing their potential Olympic Champions to travel with out their support socks. Just think how terrible it would be after all their years of hard work, to be so close to their goal and develop a DVT (Deep Vein Thrombosis, a blood clot in a deep vein of the leg) and not be able to compete for their Olympic Medal. Just think how terrible it would be for all of you who have planned the trip of your dreams to be unable to enjoy it because you develop a DVT. Wear your support stockings when you travel! (If you don’t normally wear support hose or support socks try the Jobst Travel Socks.)

Thanks for shopping at SupportHosePlus.com,
Vanda

Prevent Travel Related DVT

Prevent Travel Related DVT by Wearing Support Socks and Stockings

Summer time has arrived and many people are going on vacation. Some are traveling to England for the Summer Olympics. The occurrence of travel-related vein conditions is increasing. The lack of movement during travel can cause symptoms such as heavy legs, leg pain or swollen feet and ankles. During travel, blood circulation in the lower extremity is reduced. This leads to a major risk of developing phlebitis and blood clots or even worse the blood clots travel to the lungs, resulting in pulmonary embolism which can be deadly. Any type of travel which involves longs periods of sitting whether it is by car, bus, train or plane can put you at risk of deep vein thrombosis (DVT). This risk goes up the longer you sit. For example if your travel lasts for more than 5 hours, you are four times more likely to develop a DVT. Another interesting bit of information, both unusually tall, and short individuals, are particularly vulnerable to develop DVT. Most seats used for travel are designed for safety with fairly rigid metal frames. The metal bar at the front edge may compress the popliteal vein and result in venous stasis (decreased circulation) which can lead to DVT.

Symptoms of DVT do not usually develop immediately after travel, but more typically within three days of arrival. Symptoms may manifest themselves as long as 2 weeks after a long trip. Roughly about 600,000 people in the United States are affected by DVT each year. About 100,000 die as a result of DVT. DVT kills more people every year than AIDS, breast cancer and traffic accidents combined! You should know the symptoms of DVT so you may become your own activist and recognize when you should seek medical attention.
Be smart travel with Jobst Travel Socks

    Things You Can Do To Prevent DVT Are:

  • Wear comfortable, loose clothing
  • Get up and walk once every hour or two
  • Make figure eights and circles with your feet while seated
  • Breathe deeply frequently
  • Drink plenty of water (Avoid excessive alcohol intake – it dehydrates the body)
  • Elevate your feet when possible
    DVT Symptoms:

  • Pain in the leg or pelvis region
  • Tenderness and swelling of the leg
  • Discoloration of the leg (reddish)
  • Areas of the leg or pelvis region that feel warm to the touch
  • Whole leg may swell

Symptoms of DVT can be similar to other conditions, like a pulled muscle and can delay accurate diagnosis. Some people may have no symptoms. Wearing compression stockings during travel has been proven to reduce heavy feeling legs, swollen feet and ankles as well as the likelihood of developing DVT.

Note: If you have an existing venous conditions, currently having swelling or are at risk for DVT, see your doctor before long distance travel. He/she will prescribe a garment in the appropriate compression.

Just remember to wear support socks or support stockings when you travel and continue to wear them for the next day after your arrival at your destination to make sure your legs return to normal size. Encourage friends or family who are traveling with you to do the same. (They may not know about the dangers of Travel Related DVT.)
Happy and Safe Travels,
Vanda

March is DVT Awareness Month

Following our theme of New Year’s Resolution for a Healthier You, I would like to remind you that March is DVT (Deep Vein Thrombosis) Awareness Month. A DVT is a blood clot that forms in the deep veins of the legs. The DVT, although serious, can be treated by your physician. DVT’s are most common in sedentary situations such as being bed ridden for long periods of time. If the one way valves in the veins are damaged or the blood flow impeded, a DVT can form in the lower leg or thigh. When a blood clot is formed, it can cause permanent damage to the vein walls and the one way valves. The blood clot, left untreated, can be life threatening. A piece of the clot can break loose and cause a pulmonary embolism (obstruction of the pulmonary artery causing stoppage of blood flow to the lungs) sometimes resulting in death. Please remember, a DVT can be treated. If you are experiencing pain, redness, heat, or skin discoloration in your leg consult a physician for treatment immediately. Also, seek professional advice on preventable measures, including the amount of compression to wear in support stockings. 

   Age is not a limiting factor in DVT. DVT can strike men and women of all ages and walks of life with relative little warning. So keep a friend or loved one healthy tell them about DVT and how to prevent it by wearing compression stockings and compression hose and following our tips… 

  • Exercise your legs regularly when sitting or laying for a long period of time. This can be a simple as making figure 8’s with your feet, or walking for just a few minutes.
  • When sitting, stretch your legs and change position frequently.
  • Breathe deeply frequently.
  • Elevate your legs whenever possible.
  • Be careful about leg rest that compress the calf or behind the knee.
  • Avoid excessive alcohol intake (it dehydrates the body).
  • Drink plenty of water.
  • Wear loose, non-binding clothes when traveling.
  • Wear compression stockings or support socks.

   In 2008 the acting Surgeon General, Dr. Steven Galston, issued a Call to Action to urge all Americans to learn about and prevent DVT. Deep vein thrombosis affects up to 600,000 people yearly and results in death of 100,000 American a year from pulmonary embolism.

    The CDC (Centers for Disease Control) is also concerned with DVT awareness. It has awarded a 5 year $1 million dollar grant to a non-profit program called “This is Serious”. This program is designed to raise awareness of DVT to women and their families. It targets women because they are at risk and because they are very involved in decisions for the entire family. The program makes it clear that DVT can be fatal and urges people who develop symptoms to seek help immediately.

   The 1st year focused on women and DVT and targeted women when they accessed hospital care. The 2nd (current year) targets the obstetric field, women have a greater risk for a blood clot when they are pregnant and the 6 weeks following delivery of the baby. The 3rd year will focus on trauma and surgery risks, 4th year will be on cancer and 5th year will expand the entire program to more sites.

   Be successful in keeping your New Year’s Resolution for a Healthier You by being more compliant in wearing your support stockings and support socks. The simple act of wearing your support stockings or support socks will help prevent a DVT. The effort is well worth the trouble when you find how much better your legs feel and how the compression stockings and socks can improve your quality of life! GOAL REACHED!

Be sure to tell your family and friends about DVT and how to prevent it,

Vanda

www.supporthoseplus.com

 

Wear Compression Socks or Compression Stockings at Night

Wear Compression Stockings or Compression Socks at Night?

Customers often ask us about wearing stockings at night. I thought that might be a good topic to address for this newsletter. First and foremost, follow your physician’s orders. If he or she does not specifically tell you to wear them 24 hours a day, ask. You never know unless you ask!

After most surgeries a 15-20 or 20-30 compression is appropriate 24 hours a day. Remember, the purpose of TEDS or compression stockings after surgery is to prevent DVT, a blood clot which may occur in a deep vein after surgery. The DVT is caused because of inactivity and/or poor circulation. Therefore you want to wear the stockings 24 hours a day (changing when you bathe) at least until you return to our physician for your first check-up after going home. At your first check you should ask the physician how long you should continue to wear the compression stockings. If you have been in TED stockings until now, it would be a good idea to discuss with you physicians switching to a gradient compression stocking and what compression he or she wants you in. Remember only your physician knows what other diagnosis you may have such as uncontrolled cardiovascular insufficiency or kidney problems for which too much compression can be a contraindicated.

When I was first post surgical, I was not used to wearing compression hose at night and sometimes in the middle of the night I would have to get up and pull them off for a little while. I just had to “get some air” on my legs. When I got up in the morning I would put the stockings back on. It is better at this point post surgery to wear your stockings for part of the night than none at all.

If you are not in a surgical situation, wearing compression stockings at night may not be appropriate, unless your physician recommends you do so. Compression stockings are manufactured to work with the muscles of the leg to increase the circulation. At night, the leg muscles move very little and wearing a 20-30 mmHg compression thigh high or greater can cause muscle cramps (much as a low calcium level can). If a 20-30 mmHg compression stocking were worn 24 hours a day/7 days a week for a prolonged period of time, it could cause muscular degeneration.

I mentioned in an earlier email that I was still experiencing mild swelling after surgery. Well, as someone who is supposed to be an expert in the field of compression stockings, I decided I had to get the swelling down. I doubled my stockings during the day. I put a 20-30 mmHg Sigvaris EverSheer (love the Sensinnov band) thigh high open toe on my surgical leg and then a pair of 20-30 mmHg Sigvaris EverSheer Pantyhose with open toe over it. The open toe on both garments allowed me to make sure my toes did not scrunched or turn blue (make sure I continue to have good circulation). That evening my leg (ankle, calf and knee) was a little smaller. So that night I removed only the pantyhose and slept in the thigh high. Next morning, my surgical leg was almost the same size a my other leg. So I doubled the garments again the next day and I had even less swelling in the surgical leg that evening. Now, I do not recommend this for everyone because others may have contraindications, but for me it works. When I start to get some extra swelling, on goes the extra stocking and down comes the swelling. Again, it is always a good idea to discuss this first with you physician.

Patients with “Nocturnal Restless Leg Syndrome” sometimes get relief by wearing a knee high 8-15 mmHg compression sock such as a Jobst SensiFoot at night. The premises being that the low compression is a very gentle massage to increase the circulation and help relieve the crawling, tingling or itching which causes them to have to move their legs.

Remember, there is a time and a place for everything.

If your physician gave you directions about wearing compression stockings after surgery, at night or you would just like to make a comment, please click here and scroll to the bottom of the blog entry to leave a comment.

Thanks for reading and leaving your comments,

Vanda