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

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                                                

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

Diabetes Effects on Veins

November is National Diabetes Awareness Month and I thought I would take a few minutes to discuss the effects of diabetes on veins. Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches, and other foods into energy needed for daily life. High blood sugar can damage blood veins and lead to blocked veins which can impair circulation. With poor circulation, small cuts or scrapes are more difficult to heal and can lead to venous ulcers. High blood sugars can also cause nerve damage which can make it tough for a diabetic to feel a blister or sore spot that is developing. Prevention of blisters and sore spots in and on the feet is paramount for diabetics.

As we age one of the changes we experience is the formation of varicose veins. Varicose veins is now the 10th leading chronic condition of people over the age of 64. People with diabetes have an even greater challenge because changes in the blood make blood clots in the deep veins of the legs more likely to form. These are called deep vein thrombosis or DVT and can travel to the lungs and become a pulmonary embolism. Patients with Diabetes have a 1.5 times increased risk of DVT or Pulmonary embolism. Good news for diabetics over 50…diabetics who are less than 50 years old have this higher risk of DVT or Pulmonary embolism.

Foot Care Tips

  • Check your feet each day.
  • Make sure your feet stay clean and dry.
  • Cut or file toenails with the shape of the toe, smoothing out all sharp edges. (Support Hose Plus suggests you see a Podiatrist regularly)
  • Moisturize dry skin with a good lotion or cream
  • Avoid injury to the feet. Have corns, calluses, or ingrown toenails treated by a professional.
  • Wear well-fitting, soft shoes.
  • Check shoes daily for things that might damage your feet.
  • Keep your blood glucose under control
  • Wear well-fitting socks, with a non-irritating toe seam, made of material that wicks moisture away from the skin.

Selecting the correct pair of socks for the diabetic is crucial. Some diabetics may require a higher compression such as a 15-20mmHg or 20-30mmHg, but other diabetics just need the foot care the Jobst SensiFoot can provide. Jobst has designed the SensiFoot Diabetic Socks especially for the diabetic’s unique needs. The SensiFoot combines comfort with the protection needed from diabetes related foot problems.

SensiFoot Knee High, Crew and Mini Crew from SupportHoseStore.com

SensiFoot Socks have:

  • Non-irritation toe seam
  • Multi-fiber yarns that separate the SensiFoot Socks from other socks
  • Non-constricting yarns
  • Anti-bacterial and anti-fungal finish

We just happen to have SensiFoot Diabetic Socks on sale right now… Buy 3 pair get one of like kind free while supplies last! The free pair will appear in your cart, but You must choose the size and color of your free selection in your cart!

Remember, being compliant with wearing your Jobst, Mediven, Sigvaris, or Juzo compression stockings and support hose (in the compression necessary for your diagnosis) is the key to keeping your legs and body healthy whether you are diabetic or not.

Thanks for shopping at SupportHosePlus.com,

Vanda

Venous Insufficiency and You

It has been a very long time since we have discussed the major diagnosis of people who wear compression hosiery or compression socks … Venous Insufficiency. I thought it might be a good time to revisit this malady, its causes and treatment.

One of the first signs you may experience in venous insufficiency is tired, heavy legs, discoloration or swelling. You may experience minor pain. These symptoms may be the result of insufficient blood flowing back to the heart. As the blood pools or congests in the legs, the veins become insufficient. They expand to accommodate the volume of blood in the lower leg and even appear to meander. Up to 13 million people in the U.S. suffer from chronic venous insufficiency (CVI).

Competent Vein

Competent Vein

Most leg problems are caused by age, obesity, sedate lifestyle, standing or sitting for long periods of time, past surgeries, pregnancy, or heredity. You must remember the heart is a one-way pump. The heart pumps blood from the heart through the arteries to the various parts of the body. The veins have the arduous task to return the blood to the heart along with waste and metabolic residue. The movement of the blood toward the heart can be a challenge. Gravity forces the veins to work harder to return the blood to the heart. The veins have little one way valves that work with the leg muscles to pump the blood back to the heart.  In a normal vein, one way valves are located ever 2 – 5 cm to aid in the proximal flow toward the heart. When calf muscles relax, the valves close to prevent blood from flowing backward into the lower part of the veins. These valves are fragile and can be easily damaged. The contraction and relaxation of the calf muscles work as a “secondary pump” to move the blood. Many things can happen that interrupts this blood flow. The valves in the veins may be injured

Contraction of the calf muscle

Relaxation of the calf muscle

Relaxation of the calf muscle

so they do not close completely and allow the blood to remain in the lower leg. Fortunately, the compression provided by your support stockings or compression socks assists the muscles to close the valve properly and to pump the blood back to the heart. When blood remains in the lower extremities, it does not pick up the waste products of cellular metabolism and transport them to the liver for detoxification and to the kidneys for disposal. These waste products remain in the lower extremity and when a small scratch occurs it may not heal and it can become a deep wound or even cellulitis.

The moral to this story is you need to get exercise to make those calf muscles pump (you might want to consider walking or a stationary exercise pedal and wear your compression stockings or support socks. If you are in the very early stages of venous insufficiency, a mild medical compression (15-20mmHg) may be adequate. Something like the Mediven forMen or the pretty Mediven Sheer and Soft. If you have moderate Venous Insufficiency, you might consider in a 20-30mmHg compression Jobst forMen  or the new women’s Jobst soSoft and if your Venous Insufficiency has progressed further, you might consider, upon your physician’s recommendation, 30-40 mmHg the Sigvaris Sea Island Cotton  or Juzo Dynamic (Varin).

If you have venous insufficiency, and have experienced the difference a pair of support hose or support socks can make in your daily life, please scroll to the bottom and leave a comment as a guest.

Thanks!
Vanda

Wear the Right Socks or Stockings with the Right Shoes

Socks are high on the list of everyday items we take for granted. Socks can make a huge difference in the health and comfort of everyday life. Socks and stockings can make a difference to not only to those with venous insufficiency, but also to those with diabetes and arthritis. People who wear the wrong socks can develop blisters, infections, and a bundle of assorted other maladies of the foot. Compression socks and stockings have many properties to keep the foot healthy; including increasing the circulation and keeping the feet dry. All have moisture–wicking ability. They wick the moisture from the inside of the sock to the outside to keep the foot nice and dry. Many socks have extra padding and cushioning which decreases shear and friction to the foot.

There has been a great misconception that cotton socks were best for the feet, but several studies have shown that although the cotton absorbs the moisture well, cotton does not wick the moisture away from the foot. Cotton when wet, looses its cushion, stretches out, and wrinkles causing blisters. More durable synthetic blended fibers wick moisture away from the foot and maintain the cushioning affect.

No other part of the body has more sweat glands per square inch than the feet. Wet feet can lead to maceration, sometimes skin that experiences long periods of maceration becomes vulnerable to fungal and bacterial infection. As opportunistic organisms affect the area, it may become itchy or develop a foul odor. What’s more, because the skin is so much softer, it’s also more susceptible to injury from rubbing or friction. The solution is to keep the feet dry.

Jobst Mens CasualWool is an excellent fiber to regulate moisture as well as temperature. Synthetic fibers has very good insulation qualities as well as its ability to absorb moisture. There are many other products which are used in the wicking and anti-fungal and antibacterial properties of socks. Among them are silver. Even in ancient times these silver was used as anti-fungal and antibacterial materials. Silver is woven into the garments and does not wash out.

SigvarisHighTech


Along with the myth of wearing cotton socks, we have the myth of wearing white socks. It was thought that the dyes used in the garment could leach and harm already compromised feet. While white socks do allow those who have diabetes or neuropathy to keep a closer eye on their feet, the dyes of today are greatly improved.

The fit of stockings and socks can and is most important. Loose fitting socks as well as socks that fit too tight can be equally detrimental. Loose fitting socks in shoes can cause wrinkles and sores. If you have shoes that were fit with thin socks, don’t try to switch to a thicker sock thinking you can give your feet a treat. This can make the shoe fit to tightly and decrease circulation.

Care of the legs is equally important as care of the feet. Good circulation in the legs is critical to healthy legs and feet. Compression stockings help in control of venous insufficiency. The stockings increase the blood flow by assisting the venous valves and help decrease edema.

So wear the right socks or stockings with the right shoes.

Remember, support socks and support stockings can make great stocking stuffers.

Hang the Stockings by the Chimney with Care and

MERRY CHRISTMAS FROM OUR FAMILY TO YOURS

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

What a Difference a Compression Stocking Can Make!

 On Wednesday, May 25th I had a complete knee replacement and I would like to share my experience with you. I had put off my surgery for over year which caused extensive damage to the joint, and resulted in severe pain and difficulty walking. By the time I made my decision to have the surgery I was using a cane because I was afraid my knee would give out and I would fall. Probably the only way I was able to go so long was because I wore my 20-30 mmHg support pantyhose every single day.

My surgeon was awesome! I discussed my belief that everyone who has any type of knee surgery should come out of surgery with 20-30 mmHg thigh high support stockings on their legs not TEDS. TEDS are for patients in bed (non-ambulatory). Once the patient is able to go to the bathroom, a TED stocking does not have enough compression to increase the circulation and and keep the leg from swelling. The less swelling a patient has, the shorter the recovery period and the less likely they will develop a blood clot or other complications. He agreed with me, but said most patients were not willing to purchase the stockings and bring them to the hospital for their surgical procedure. Well, you know what I did! I went into surgery with one 20-30 thigh high stocking on my good leg and the other stocking attached to my bed waiting for the completion of surgery for it to be put on my surgical leg. Once again I will say my surgeon is awesome! It took one hour to replace the knee joint! I was in recovery for 2 – 2 1/2 hrs. During my surgery, they gave me a femoral nerve block. I was told they last about 48 to 72 hrs. Control of pain following surgery is a major step to recovery. The earlier a patient can move and start physical therapy, the shorter the length of hospital stay and the lower the risk of complications such as thromboembolic disease (blood clots) and infections related to hositalization. When I awoke in my room I was experiencing some pain, but a Norco (acetaminophen and hydrocodone) took care of the pain. Soon I was up to go to the bathroom and start walking using my walker that I had brought with me. When I was in bed I was on my CPM machine (a continuous passive motion machine constantly moves the joint through a controlled range of motion which is increased over time). Using a CPM machine helps insure you regain the full range of motion in your knee. I was also soon introduced to my “take home physical therapy”. The medical staff gave me no time for rest–ha! ha!

Would you believe, on Friday afternoon – 48 hours after my surgery, I was on my way home. Of course I was still wearing my stockings. Once home I continued my CPM (6 hours a day), wearing my stockings (after 2 or 3 days I changed back to my trusty 20-30 pantyhose which I could put on myself) and my take home physical therapy!

Some where about two weeks post surgical the walker went by the wayside and I picked up my trusty cane (still wearing my support pantyhose). By week three I was walking around the house without my cane and only used it when I went out. I was a bit late starting my physical therapy with a therapist– I started that in week four. By week six post surgical I was walking normal. Oh, did I say On June 6th, 11 days post surgical, I was back at work most of the day!

I suppose there is a moral to this story:

  • Keep your pain under control
  • Use your CPM machine
  • Do all your physical therapy
  • Wear your 20-30 compression stocking from surgery all through recovery period

Even now I have moderate daily swelling, but it does not hurt and has gone away the next morning. That is to be expected. What a difference compression stockings have made!

If any of you have comments about how compression stockings have made you recovery from surgery easier please scroll to the bottom of the blog entry to leave a comment.

DVT and Pregnancy

March is DVT awareness month and while we have written many posts on DVT awareness, this year we would like to take a different approach. Many of our customers and blog readers are not of child bearing age, but you do have children and even grandchildren that are and their welfare is very important to all of us.
Maternity Support Hose

Pulmonary Embolism (PE) is the leading cause of maternal mortality (death during or shortly after pregnancy) in the United States. A Pulmonary embolism is a blockage of the main artery of the lung or one of its branches by a substance that has traveled from else were in the body through the circulatory system. Usually this is due to blood clot from the deep veins in the legs, a process termed venous thromboembolism.

During pregnancy and up to six weeks after birth, the mother is at risk of venous thrombosis (blood clot). A Deep Vein Thrombosis (DVT) is a blood clot that usually occurs in a deep vein and found most often in leg or pelvis. On the average, one to two women in every 1000 pregnancies will experience a blood clot.

For young pregnant women who develop a DVT, this may be the first sign of thrombophilia. Thrombophilia is a natural tendency to develop blood clots especially when other risk factors are involved. Many times there is a family history of blood clots and can be passed down through generations.

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

It is of utmost importance that any person who show the listed signs above seek immediate medical attention.

Although only a few women are affected by blood clots during pregnancy the problems that are created can last throughout their lives. Varicose veins are more common after a DVT. Most blood clots can be prevented by wearing compression stockings (support hose). These support hose help improve the blood flow, keep the swelling down and prevent the risk of problems in the future. Once an individual has experienced a blood clot, the likelihood of additional blood clots occurring is significantly increased. Support stockings should be worn to help prevent the occurrence and recurrence of blood clots.

We encourage you to see your physician regularly and wear your compression stockings daily for overall circulatory health.

Vanda

Jobst Maternity            Mediven Maternity

Don’t forget your support hose are made to last 4 to 6 months.

If they have become easier to put on, it is time to replace them.

Shop at SupportHosePlus.com for the Best in Compression Garments

Or call us at 1-844-472-8807, and one of our Certified Fitters will be happy to help you.

February is American Heart Month

SHP BeKindToYourHeartHello All,
Support Hose Plus would like to remind our friends and customers that February is American Heart Month. Heart disease is the leading cause of death for both men and women in the United States. Approximately every 25 seconds an American will have a coronary event, yet many cases of heart disease can be prevented. Most insurances cover cardiovascular blood test which can help your physician determine if you are at risk of cardiovascular disease. Because high blood pressure and high cholesterol can damage your heart and blood vessels, adults should have their blood pressure and cholesterol checked regularly. Optimal blood pressure is less than 120/80 mmHg. Adults should start having their cholesterol checked at age 20 and then at least once every 5 years. You may need blood test more frequently if you have risk factors for heart disease.  Some children may need their cholesterol tested if they have a strong family history of heart disease. Your physician may determine you need other blood tests.

Although the adult heart weighs only about 10.5 ounces, it is the strongest muscle in the body. It pumps 5000 – 6000 quarts of blood through the body each day! Even when our heart is strong, the valves in our veins sometimes become damaged with age (venous insufficiency) and the heart needs a little assistance getting the blood back to the heart. That’s where support socks and hose come in; they work in conjunction with the calf muscles to provide pressure on the veins which forces valves in the veins to open and close, thus moving blood upward and back to the heart.

We encourage you to see your physician regularly and wear your compression stockings daily for overall circulatory health.

Vanda and the Support Hose Store Team

Don’t forget your support hose are made to last 4 to 6 months.
If they have become easier to put on, it is time to replace them.

Thanks for shopping at SupportHosePlus.com,

Vanda
Customer Service
1-844-472-8807