Getting Started with Vein Therapy (Part 5) – Support Hose in Everyday Life

Support Hose Store Juzo Freedom to Kick Start LifeDiet and Clothing

You can make a difference on your venous system by doing a few simple things which not only improve your leg health, but will ultimately help improve your overall health.

  • Diet – Make sure you eat plenty of fruits, vegetables (preferable raw) and whole grain products each day.
  • Water – Make sure you drink enough water. Adults need 2 liters of water daily.
  • Shoes – Wear shoes with flat heels and flexible soles.
  • Clothes – Avoid tight clothing that constricts in the pelvic and hip area. Control top garments decrease your circulation. Remember gradient compression is what it is all about. Unless you are a lymphedema patient, we want the most compression at the ankle. The compression should get less as it goes down toward the toes and up towards the torso.

Tips for work and everyday life

Support Hose Store Juzo Freedom to Kick Start Life Take the stairs – don’t use the elevator. In office buildings, in shopping centers…the opportunities are numerous. Take the stairs for the health of your veins
Keep the strain off the varicose veins Sit properly – put as little strain as possible on the underside of the thigh – do not let your legs dangle – a hard seat is preferable.
Take Pressure off Veins Running on the spot. If you stand a lot at work, try simply running on the spot from time to time. You can work while you are at it and take the strain off your veins at the same time.
Avoid heavy lifting. Heavy lifting – such as when shopping – pushes the blood back downwards and puts you veins under additional strain. Try to avoid heavy lifting – take a shopping bag on wheels.
You can do the following exercises sitting down without any trouble. If you work at a desk or seated at another type of workplace, you can keep you venous system on the go with a minimum of difficulty.
Rolling Your Feet Rolling your feet (right, left, in opposite directions).
Tiptoe exercise – with both feet on tiptoe at the same time.
Pulling your toes upwards is great exercise Pulling your toes upwards.
Rocking your feet from heel to toe alternately
Tips for Leisure Time
As a vein patient, you should organize your leisure time activities to benefit your venous system (regular exercise). Above all, this involves choosing the right sports, the right relaxation and specific gymnastic exercise.
Balanced and rhythmic exercise Balanced and rhythmic types of exercise and sports are recommended: walking, jogging, swimming, cycling, dancing, cross-country skiing.
No exercise with abrupt movements Sports with abrupt changes in movement are not recommended: Power sports and combatant sports, tennis and squash, downhill skiing and snowboard, ball sports.
Put your feet up Relaxation and sleep: When you are resting, put your feet up – about 15 cm higher than your heart.
Gymnastic exercises
Sit calmly and breathe Sit calmly and breathe, put your feet together and raise your heels until you are on tiptoe, then lower your heels to the floor again. Repeat this exercise up to 20 times.
Breath Calmly Supported on Arms Breathe calmly with both arms supported, stand on tiptoe and lower your heels to the floor again. Repeat this exercise up to 20 times.
Lean against wall Lean against a wall with your legs apart and your hands at shoulder height. Stand on tiptoe and lower your heels to floor again. Repeat this exercise up to 20 times.
Your legs moving with your support stockings on create a secondary pump to increase the venous circulation in your legs. Straddled position: as you breathe in, raise your arms to the side while going up on tiptoe. As you breathe out, go back to the straddled position. Repeat this exercise up to 20 times.

Remember your legs have to last you a lifetime. You can kick start your leg health with regular exercise and wear your support hose everyday.

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Getting Started With Vein Therapy (Part3) – What is the Right Way to Handle My Compression Stockings?


Support Hose Store Struggling with Stockings

Caring for Compression Stockings

Put your compression stockings on first thing in the morning, as your legs are not yet swollen at this stage. Your shower or bath should be taken the night before. In the evening after you have undressed, your compression stockings should be laundered. One reason is that the fabric becomes stretched out and loses pressure after being worn. The other reason is that the fabric collects flakes of skin, sweat, the remains of skin cream, etc. which may attack the threads and cause the fabric to lose its elasticity. Stockings should be laundered in hot water (about 107 degrees…this restores the memory of the yarn) using a non-phosphate detergent such as one sold by the major stocking manufacturers. Other non-phosphate detergents which can be bought at your local grocery store are ERA, Tide Free and All Free and Clear. Garments can hang dried over night. Most can be dried in the dryer using a delicate setting. Under no circumstances should you dry your compression stockings in the sun or on a radiator as this will damage the stockings and reduce their wear time.


Before putting on your compression stockings, it is best to take off your watch and jewelry and wear rubber gloves, such as the donning gloves sold at Support Hose Plus, to avoid damage to the fabric. The rubber gloves help grip to the fabric and make it much easier to hold and put on the stockings. When putting on the stockings, avoid overstretching by pulling excessively, as they will then not fit your leg properly. As a consequence, the pressure distribution will not be correct, and a full leg stocking will slip down like an elastic band and gather around the back of the knee. This can lead to your leg feeling strangled at the knee.
Donning StepsPutting stockings on with a butler or donner There are several donners that are manufactured and sold by Support Hose Plus to aid our less mobile or arthritic patients or those who are unable to bend to don stockings. It stretches the fabric, making it much easier to insert the foot. These include a standard size donner, extendable handle donner and large calf donner.

Using the metal donners from Support Hose Store Place your compression sock or stocking inside the semi-circle frame and pull the top of the stocking down over the semi-circle. The heel of the stocking must face the back of the metal stocking donner.
Step 2 of Using the metal donners from Support Hose Store Continue to slide the stocking down over the semi-circle. (It may be necessary to pull the heel farther down depending on foot and stocking size.)
Step 3 of Using the metal donners from Support Hose Store While sitting or holding on to the edge of a table to stabilize you, insert your foot into the stocking until your foot is completely on the floor. Helpful tip:hold the heel pocket against the frame as you slide your toes into the stocking.
Step 4 of Using the metal donners from Support Hose Store Grasp the handles of the donner and gently pull the stocking donner and stocking up the leg until the stocking is above the calf. Try not to over-stretch the stocking.
Step 5 of Using the metal donners from Support Hose Store Tilt the donner backward and down, free of the stocking
Step 6 of Using the metal donners from Support Hose Store Be sure the heel of the stocking is properly placed on the foot, then adjust the length and smooth out an wrinkles by stroking and smoothing with your donning gloves on .

Thigh high and waist high stockings can also be donned using your metal stocking donner with the lower leg applied in the same manner is a knee length and then pull the remaining portion into place by hand.

We certainly hope these hints will help you and make donning your stockings less stressful.

Getting Started With Vein Therapy (Part 2) – What do I need to know about compression therapy?

How Does a Compression Stocking Work?

It is easy to explain how a compression stocking works: the pressure of the stocking constricts the diameter of the vein.The venous valves can close again, thus reducing the amount of blood flowing back down into the legs. The smaller diameter of the veins means that the blood flows more quickly again, which prevents the formation of blood clots or thrombi.

The medically prescribed drop in pressure from the foot up to the thigh accelerates the flow of blood back to the heart. When the leg is moved, the stocking forms an external barrier for the muscles, which makes for a more effective muscle-pumping action.

Wearing a compression stocking is generally a very positive feeling because wearing a correctly fitted stocking has a noticeable relieving effect and helps your legs stay healthy. If you are experiencing a venous disease always consult with your physician. Your doctor can direct you to the correct compression class.

Compression stocking lengths Depending on the location of the damage to the veins and how far it has progressed, different lengths of compressions stockings are used. The assortment ranges from knee length stockings, thigh-high stockings and pantyhose. There are special models for women, men and women whom are pregnant.
Lengths of Compression Stockings

When must compression stockings be worn?

Compression stockings should be worn for various leg problems such as spider veins, varicose veins, chronic venous insufficiency, leg swelling, venous ulcers, and post surgical. A compression stocking must not be worn in the case of circulation disorders in leg arteries and in the case of heart complaints that are difficult to treat. Caution is also recommended in the case of sensory impairments due to diabetes and neuropathy (nerve damage).


Each and every day! There is simply no alternative if you want to achieve the best therapeutic results. Your stockings are absolutely indispensable if you stand or sit a lot. When you’re traveling, whether by car or plane, the stockings help prevent the blood clots that happen even to people with healthy veins when they are on the road. If you wear your stockings when you do your daily exercises or go for a walk, it promotes the development of muscle strength.

Getting Started with Vein Therapy (Part 1) – Why do Veins get tired?

As a result of their upright stance and a lifestyle with too little exercise, human beings are the only life forms that suffer from the widespread problem of diseased veins.

A lack of exercise and too much standing or sitting places considerable pressure on the venous system. The muscle pumping action no longer adequately supports the return of the blood. A genetic predisposition, obesity, and increasing age are also contributory factors. Multiple pregnancies provide further unfavorable conditions. Due to these factors, the veins become increasing distended and the valves can no longer close properly. The blood flows backwards and the superficial veins, which are not held in place by muscle or bone, become distended and appear as snaking varicose veins.

What are Varicose Veins?

The word varicose is a medical term used to describe unnaturally and permanently distended veins. These veins will never regain their natural elasticity, which makes them unable to transport the blood properly.


Tired legs, swollen ankles, tingling and itching, or stabbing pain in the legs may be the first signs of varicose veins developing, even before anything is to be seen. Because the blood is no longer flowing back to the heart quickly enough, liquid from the veins escapes into the surrounding tissue. Swelling occurs, especially around the ankles. If you notice such swelling every evening, regardless of what you were doing during the day, it is very likely that your veins are already damaged. If you can see swelling on the surface of your skin, you already have superficial varicose veins.


Spider-veins These are very fine blood vessels of a few millimeters or centimeters in length that are visible as a spidery pattern just under the surface of the skin. Spider-veins rarely cause complaints and are mostly a cosmetic nuisance. However, they can be a warning signal of varicose veins below.
Varicose veins (varices) If the vein wall becomes soft and distended, the venous valves no longer close properly. The blood stagnates. The veins give way even further. With time, this leads to a network of meandering blood vessels. Without proper therapy, varicose veins spread persistently. Some of the possible consequences are described here.
Inflammation of the veins (phlebitis) Signs of inflamed veins are a marked reddening, swelling, overheating and severe pain along the course of the vein.

Thrombosis If the return flow of blood to the heart is impaired, there is a greater danger of blood clots (thrombi) forming on the vessel walls. These clots block the vein and thus prevent the return flow of blood. Further damage to the venous system is incurred. The first signs are swelling of the lower leg, which may be accompanied by overheating, pain and a feeling of heaviness. Treatment by a doctor is imperative, as it can lead to a clot entering the lungs which can be a life threatening pulmonary embolism.

Leg Ulcer Because the oxygen-deficient blood in the veins is not transported away, the exchange of nutrients and waste products is impaired. This leads to cells being seriously damaged and tissue dying off. Chronic wounds (leg ulcers) can be the result. Healing these type of chronic wounds is linked to addressing the cause of the condition: distended varicose veins.


Compression stockings and a healthy lifestyle for your veins Venous diseases cannot always be cured. Unfortunately, defective venous valves and distended veins cannot be returned to their previous condition. The two options available are invasive treatment, in which the defective veins are sclerosed or surgically removed, and conservative compression therapy.

Compression therapy Conservative therapy is aimed at improving the condition by means of compression and exercise therapy. Compression therapy is the basis for this. In some cases, compression bandages are necessary to begin with in order to reduce the swelling of the leg. Both compression bandages and compression stockings support the leg and reduce the diameter of the veins so that the venous valves can close again, thus preventing the blood from flowing in the wrong direction – namely away from the heart. After this type of therapy medical compression stockings may be used to compress the leg. Medical compression stockings prevent new varicose veins from forming and keep existing venous disease under control. If venous disease is left untreated, it may get progressively worse and become chronic. This is why it is particularly important to prevent deterioration or complications by consistently wearing your compression stockings. Operation, sclerosis and laser Your doctor will decide which measures are necessary. Very small spider-veins can be treated by laser. The laser heats the blood in the small superficial veins and obliterates them. Sclerosis involves a substance being injected into the diseased vein with a very thin needle. This leads to inflammation and permanent closure of the diseased vein. Larger varicose veins are removed surgically. Today, the surgical methods have been perfected to the degree that the operation leaves virtually no visible scars and all healthy veins remain intact. Exercise therapy The single most important thing that ensures the success of therapy is sufficient exercise. All exercises and sports that keep the joints mobile and the leg muscles active are suitable here. Heavy lifting and jumping are prohibited. Special exercises have been designed for vein patients. Vein exercise routines should be performed for at least 10 minutes twice a day to achieve visible success. The following sports are good for your veins: walking, jogging, swimming, gymnastics, cycling, cross-country skiing and dancing.

How Compression Garments promote Leg Health

Varicose  Veins Can Be Unsightly, Painful And Are Often Associated With Tired, Aching Legs.

Treatment: Often, varicose veins can be treated by surgery and minimally invasive procedures. While these procedures can obliterate a varicose vein they cannot prevent new ones from developing. This is because the procedure does not eliminate the underlying factors that caused the varicose vein in the first place.

Compression stockings help counter some of these factors and slow the progression of venous disease and the recurrence of varicose veins!

How Vein Problems Occur

Valves: Veins have valves that keep blood moving in one direction -back toward the heart. Problems begin to occur when a valve no longer works properly. This allows blood to flow backward in the vein. The backup of blood results in higher pressure in the veins below.


High pressure in the veins may strain the wall of the veins, causing them to enlarge. This leads to small bluish spider veins and enlarged varicose veins that become visible bulges underneath the skin.

The high pressure causes more valves to fail with time. The enlarged veins make the valves below to function less efficiently. This results in the varicose veins getting larger or the development of new varicose veins.

Swollen ankles and leg discomfort are often the result of standing or sitting for long periods of time. This slows the flow of blood, reduces the amount of oxygen supplied to the legs and allows fluid to accumulate in the feet and legs. This explains the tired achy feeling after you stand or sit for long periods of time and at the end of the day.

Risk Factors

The risk factors do not cause varicose veins. However, if damage to venous valves occurs then these factors can hasten the development of varicose veins.

Here are some important factors that indicate if you might be pre-disposed to developing varicose veins:

  • Heredity (familial history toward development of varicose veins)
    • Studies have shown that when both parents had varicose veins, 85% of the children also had evidence of varicose veins.
  • Prolonged standing or sitting
    • Standing for long periods of time is particularly stressful to the veins of the legs. As a result of gravity very high pressures develop in the lower legs and calf. Over time the persistent high pressures can damage the valves in the leg.
  • Heavy lifting
    • Intense flexing of muscles applies pressure to the veins causing them to bulge. When this is done frequently, the veins lose their elasticity and become permanently distended or varicosed.
  • Hormonal influences
    • Increases in progesterone levels in the blood during pregnancy and in the second half of a woman’s menstrual cycle allow the vein walls to stretch more, to accommodate the increased volume of blood.
    • While most enlarged veins that develop during pregnancy subside within a few months after delivery, there tends to be an increase in varicose veins with multiple pregnancies.
    • As a result of the repeated changes in progesterone levels, older women are more likely to develop varicose veins.

How Does Compression Therapy Work?

Compression therapy counters the high pressures that can develop in the legs and reduce the risk of developing additional varicose veins. It also helps blood flow by compressing the veins and making the valves in the veins function more efficiently.

Furthermore, gradient compression reduces swelling and helps prevent pooling of blood in the legs, by delivering the highest level of compression at the ankle and gently decreasing up the leg. Improving blood flow helps the wearer experience immediate relief from tired, aching legs.

Medical stockings are available in different compression levels to meet the therapy needs based on your diagnosis. While compression stockings of 8-15mmHg or 15-20mmHg are normally worn by healthy people, if you suffer from chronic venous disease you should consult with your physician for the compression level that is appropriate for you.

Maintaining Leg Health

  • Maintaining leg health is a life long activity. The regular use of compression garments helps to counter the damaging effects of high pressure in the veins. It also helps improve blood circulation and provide immediate relief from tired aching legs.
  • Taking steps to improve blood flow helps reduce the chances of developing chronic venous disease and managing your varicose veins. They include:

• Getting regular exercise

• Wearing comfortable shoes

• Not standing or sitting for long periods of time

• Not crossing your legs while sitting

• Eating a balanced diet

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