compression therapy

Wearing compression stockings is often the first treatment approach for venous disease. Gradient compression garments deliver a squeezing to the leg that is tightest at the ankle. The degree of squeezing or compression gradually decreases up the leg. They steadily squeeze your legs, helping veins and leg muscles move blood toward the heart more efficiently. The amount of compression varies by type and brand. We have a wide variety of brands, sizes and colors available to choose from in the office.

Compression Stockings and Diagnosis of DVT?

Evidence suggests that the risk of Post Thrombotic Syndrome can be significantly reduced by the routine use of graduated medical compression stockings after a DVT. Graduated compression stockings are, therefore, very important in the treatment of DVT. Ideally, a person with a new diagnosis of DVT should wear a graduated compression stockings immediately after the time of diagnosis. Wearing the stockings helps to minimize swelling and it can also improve the long-term health of the leg.

It is important that high-risk ambulatory patients wear true graduated compression stockings with a minimum compression level of 20-30 mmHg, as opposed to anti-embolic stockings (sometimes referred to as TED hose) which, depending on the manufacturer, deliver in the range of 8-18 mmHg. When a patient is up and walking, the pressure generated in the veins after a DVT can be significantly higher than when they are laying down. The primary difference between anti-embolic and graduated compression stockings is that anti-embolic are designed for a bed-ridden patient and graduated compression stockings are for patients who are able to walk and require a higher compression level to aid the venous blood flow, against the pull of gravity, back to the heart and lungs. The increased compression appliedto the leg allows for better control of symptoms, especially swelling, aching and tiredness.

Graduated medical compression stockings should be worn for up to 2 years (or longer when the patient is at “high risk”) after the time of diagnosis to help prevent or manage the symptoms of Post Thrombotic Syndrome. The stocking should be put on in the morning and taken off in the evening. It is important to remember that the elasticity in the compression stocking decreases over time, and therefore new stockings should be purchased every 4-6 months. Proper care can extend the life of the stockings.