Sitting Can Be Dangerous For Your Health

car3It is the time of the year that I start thinking about vacations. One of the first things I plan for is not my wardrobe, but my compression stockings. They can save my life. Vacations can be a particularly dangerous time for DVT because the extended time spent in an airplane, car, or train can increase your risk for Deep Vein Thrombosis (DVT). Air travel is the notorious culprit for causing DVT.  In an airplane you are sitting crammed between two other travelers. The air on the plane is dry, and the pressure is decreased with lower oxygen levels. The passenger’s legs are bent in the same position for hours and the seat you are sitting in for your safety is constructed with a fairly ridged metal frame which is cutting into the back of your legs compressing the popliteal vein and slowing down the blood returning to your heart. At this point you are a prime candidate for developing a DVT. Any situation in which the leg is bent at the knee for prolonged periods with little or no activity may lead to the reduction of blood flow and increase the risk of blood clots.

Risk factors which can increase your risk of DVT include:

  • Injury to a vein, often caused by:
    • Fractures
    • Severe muscle injury
    • Major surgery (especially of the abdomen, pelvis, hip, or legs)
  • Slow blood flow, often caused by:
    • Confinement to bed (possibly due to a medical condition or after surgery)
    • Limited movement (a cast on an extremity to help heal an injured bone)
    • Sitting for a long time, especially with crossed legs
    • Paralysis
    • Sedate lifestyle
  • Increased estrogen:
    • Birth control pills
    • Hormone replacement therapy, sometimes used after menopause
    • Pregnancy, for up to 6 weeks after giving birth
  • Certain Chronic medical illnesses:
    • Heart disease
    • Lung disease
    • Cancer and its treatment
    • Inflammatory bowl disease (Crohn’s disease or ulcerative colitis)
  • Other facts that increase the risk of DVT include:
    • Previous DVT or PE
    • Family history of DVT or PE
    • Age (risk increases as age increases)
    • Obesity
    • A catheter located in a central vein
    • Inherited clotting disorders
    • Varicose veins

A DVT may not have any symptoms but can cause pain, swelling and your leg (or arm) could feel warm to touch. If left untreated, a piece of the DVT (blood clot) can break loose and travel through the right side of the heart, and lodge in small or large branches of the pulmonary artery (blood vessels going to the lungs). This is called a pulmonary embolism or PE.  The symptoms can be chest pain, difficulty breathing, or coughing up blood or as extreme as collapse and sudden death.

Here are some simple steps to keep your travel from ending with a prolonged trip to the emergency room:

  • Wear properly fit compression socks or compression hose to prevent stagnation of the blood and increase the blood flow back to the heart.
  • Keep moving.  When you travel, get up and move around when it is safe to do so.
  • Drink plenty of water. Water helps keep you hydrated and less likely to develop clots
  • Avoid alcohol! Alcohol contributes to dehydration, which thickens the blood
  • Exercise your legs. Bend and straighten them several times ever half hour to hour.

The following was provided courtesy JAMA (Journal of the American Medical Association)

LegExercisesForAirTravel

Leg exercised for air travel. Lift toes and lift heels.

AtRest

At rest blood flow with the vein slows or stops.

FootPumpExercises

Foot pump exercises…Muscle contractions push blood through vein valves.

For your convenience you might want to check out our SIGVARIS Products at 20% off MSRP. We also have THERAFIRM Products 20% off MSRP. These are great products to make sure you are prepared for your vacation.

Sitting can be dangerous to your health,

Vanda Lancour
www.supporthoseplus.com

PS What is your favorite sock for travel?

Compression, Physical Fitness and Sports

athletic3May is Physical Fitness and Sports Month. I would like to direct this news letter to our athletes. You would think young, athletic people would have no problems with their legs, but that is not correct. Sports activities which add more weight to the legs (weightlifting, skiing, backpacking) and repetitive motion sports (running, cycling, and tennis) put a lot of stress on the veins in the legs and can damage the delicate valves in the veins and exacerbate venous insufficiency in the athlete.

When athletes are exercising, their muscles require more oxygen. The arteries transport the oxygen rich blood and the active muscles help the veins return the oxygen poor blood to the heart. Once the exercise has ended, there is no calf muscle pump to help the veins return the blood. So the legs of the athlete with varicose veins may begin to ache, throb and feel heavy. If the legs are elevated, this will help the body defy gravity and return the oxygen poor blood to the heart. This is exactly how compression socks or support socks will help the athlete and may in the long run help prevent deep vein thrombosis. Performance socks use science to help professional athletes as well as the week-end warrior maximize performance as well as recovery.

A deep vein thrombosis (DVT) is the formation of a blood clot within a deep vein, usually in the legs. A pulmonary embolism (PE) is blockage caused by a blood clot in one of the pulmonary arteries in your lungs. It usually originates from a blood clot in the legs (DVT).  You would think the athlete less likely to develop blood clots than the elderly. But that is the problem. Health care  providers think the same way so when an athlete presents with Deep Vein Thrombosis (DVT) symptoms, they interpret the symptoms as “muscle tear, “Charlie horse”, “twisted ankle”, or “shin splints”.  Chest symptoms from an athlete with a Pulmonary Emboli (PE) are often interpreted as pulled muscle, inflammation of the joint between ribs and breast bone, bronchitis, asthma, or a touch of pneumonia.

Being an athlete and being apparently healthy does not guarantee they will not get blood clots. There are several risk factors that put the athlete as well as the non-athlete at increased risk for DVT and PE…

  • Traveling long distances to and from sports events. It does not matter if it is by plane, bus, or car
  •  Dehydration (during and after a sport activity)
  •  Significant trauma
  •  Immobilization (wearing a brace or cast)
  •  Bone fracture or major surgery
  •  Birth control pills and patch, pregnancy, hormone replacement therapy
  •  Family history of DVT or PE
  •  Presence of inherited or acquired clotting disorder (Factor V Leiden, prothrombin 20210 mutation, antiphospholipid antibodies, and other clotting defects or deviancies
  •  Presence of a congenital abnormal formation of the veins
  •  May-Thurner Syndrome (narrowing of the major left pelvic vein)
  •  Narrowing or absence of the inferior vena cava (the main vein in the abdomen
  •  Cervical rib causing thoracic outlet obstruction

Built to performWhen an athlete works out, the muscles of the body act as a secondary pump to help move the blood back to the heart. The athlete also has a slower heart rate than the average person. During performance that is wonderful, but at times, that can be detrimental. After a work out or when the athlete travels the heart does not move the blood through the circulatory system as quickly as when the athlete is exercising. This is when a sock of at least 15-20mmHg is extremely important. It keeps the blood from pooling in the deep veins and forming a DVT.

Call one of the SupportHosePlus.com Certified Fitters on our toll-free number, 1-844-472-8807, for assistance with the selection of performance and/or recovery socks to enhance performance or prevent DVT and PE.

Enjoy your day!

Vanda Lancour

Who Looks Out For The Security of Your Legs

Spring has officially arrived here in the Northern Hemisphere or has it. A couple who are friends have returned to their home on the Upper Peninsula (UP) of Michigan after a lengthy vacation traveling the nice warm southern United States and are questioning their decision to return at this time. They shared on Facebook that they woke up to snow on the deck, the bay is still frozen and it was 35 degrees. For the rest of us the spring time weather like here in Amarillo, Texas gives us the travel bug.

If you are flying, airport security will be looking out for your safe flight by checking for bombs in shoes, explosives in hats, and (oh, of course) the .357 magnum that someone “forgot” to take out of their carry on bag. But what are you doing to make sure you arrive at your destination safely and are not attacked by enemies of a differ kind, Deep Vein Thrombosis (DVT) or the even more deadly Pulmonary Embolism (PA).  Either one can ruin a wonderful vacation. It is not just flying that can create these enemies… any travel by car, bus, or train that lasts 5 hours or longer is a candidate for creating these vacation ruining enemies. 

Air travel has been put on the most wanted poster more times because you are sandwiched between two other travelers, you are sitting, and sitting, and sitting in very dry, low-pressure air with lower than normal oxygen levels. Your legs are bent in the same position for hours and the seat you are sitting in for your safety is constructed with a fairly rigid  metal frame which is cutting into the back of your legs compressing the popliteal vein and slowing down the blood returning to your heart. It is at this point that you become a great candidate for a DVT. As I said, you do not have to be on a plane for this to occur…all you have to do is travel for long distances in the same position. Sitting can be dangerous for your health!

Lets make your journey one you remember because of the wonderful time you have and not because you encountered your enemies DVT and PA. Begin by choosing support socks (knee high will usually be appropriate) that will aid in returning the blood in your lower extremity back to your heart. If you have no swelling in your legs, no predisposition for developing a DVT then a 15-20mmHg compression will probably be adequate.  

Following is a list of factors that increase the risk of developing DVT:

  • Injury to a vein, often caused by:
    • Fractures
    • Severe muscle injury
    • Major surgery (especially of the abdomen, pelvis, hip, or legs)
  • Slow blood flow, often caused by:
    • Confinement to bed (possibly due to a medical condition or after surgery)
    • Limited movement (a cast on an extremity to help heal a injured bone)
    • Sitting for a long time, especially with crossed legs
    • Paralysis
    • Sedate lifestyle
  • Increased estrogen:
    • Birth control pills
    • Hormone replacement therapy, sometimes used after menopause
    • Pregnancy, for up to 6 weeks after giving birth
  • Certain Chronic medical illnesses:
    • Heart disease
    • Lung disease
    • Cancer and its treatment
    • Inflammatory bowl disease (Crohn’s disease or ulcerative colitis)
  • Other facts that increase the risk of DVT include:
    • Previous DVT or PE
    • Family history of DVT or PE
    • Age (risk increases as age increases)
    • Obesity
    • A catheter located in a central vein
    • Inherited clotting disorders
    • Varicose veins

If you swell when you are not traveling or are predisposed to developing a DVT, you should choose a 20-30mmHg compression or discuss this with your physician. It is up to you to be proactive to make sure your legs arrive safely.

Here’s to a wonderful journey and thanks for shopping SupportHosePlus.com,

Vanda

PS: Next week things you can do when you travel that can save your life.