Who should wear compression stockings?
Anyone can feel comfort while wearing gradient compression stockings. Those who spend a lot of time in a sitting or standing position would especially feel comfort from compression. Compression is also indicated in such leg complaints as varicose veins, venous ulcer, lymphedema, venous insufficiency and leg swelling.
Is there a reason not to wear compression?
Compression is not recommended in uncontrolled congestive heart failure, untreated septic phlebitis of the leg and in ischemia (advanced arterial disease) of the legs. Compression should be used in caution in the presence of skin infections, weeping dermatoses, impaired sensitivity of the limb and in cases of immobility (confinement to bed).
How long should I wear them?
Your physician will determine the length and period of time to wear the compression stockings. This can be dependent on both the reason for wearing them and the amount of compression. Patients confined to bed may wear anti-embolism stockings, which have a compression of 16-18 mm Hg. These help prevent blood clots from forming in the deep veins of the legs.
What types of stockings are available?
The types vary by company but stockings are available in knee length, thigh length, pantyhose and chap style. As well they are available in open and closed toe in a variety of colors.
How do I care for them?
Check the package insert before washing. Most stockings can be hand or machine washed with warm water and mild soap. Do not use chlorine bleach. Rinse in warm water and hang or lay flat to air-dry. If you use a dryer, use low heat or the delicate setting.
How long will the stockings last?
If your stockings become "easy" to put on then it is time to replace them. The elastic fibers of the compression stockings break down with wear. Proper care increases the life span but it is recommended they be replaced every 3-4 months.
Do I need a prescription?
The degree of compression is measured in mmHg (millimeters of mercury). Compression less than 20 mmHg can be purchased without a prescription. These can usually be sized by following the weight and height table on the package. Compression over 20 mmHg requires a prescription and should be fitted by a certified surgical fitter.
What is the price range and will they be covered under my medical insurance?
Stockings range in price from $12.99 for a low compression knee hight to $150.00 for a custom made knee high. Prices vary by brand name. Your fitter will provide you with the actual price before ordering the stockings. Some private insurers cover compression stockings. It is best to check with your insurer before ordering.
Will the stockings be available im my size?
Most people fall into pre-made stockings. Some will not fit the range for various reasons. In this case, stockings can be custom made, specifically for the patient.
I have heard compression hose are hard to get on. Is this true?
When you are fitted for compression hose, your fitter will show you the proper technique. In the beginning it may be difficult or frustrating to do but with practice your technique will improve.
A thin layer of powder on the lower part of the leg just prior to applying the hose will decrease the friction between the leg and stocking and allow them to go on easier. Avoid any moisturizers or lotions prior to applying the stockings, as this will make the stockings more difficult to get on. Stockings will be easier to put on first thing in the morning before you resume your regular routine. Also available are stocking aids to assist you in applying your stockings. In this way fluid will not accumulate in your legs before the stocking is applied. Rubber gloves will help you grip the stoking and help prevent runs and tears. Remember to remove before going to bed or lying down for more than 1 hour unless you have checked with your physician.