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Content
Today, compression products are incredibly popular. Many people are so surprised by the results of their use that they wear them almost constantly. Others, on the contrary, are very critical of such products and refuse to follow the phlebologist’s instructions. What are compression stockings, what is the essence of anti-varicose underwear, and can you buy it at the pharmacy?
What are compression stockings
Medical therapeutic and prophylactic products made of elastic material that have a therapeutic effect on the legs and veins of the lower extremities are called compression stockings. In most cases, they are recommended to be worn at the first signs of varicose veins, which is why they are also called anti-varicose veins. They replaced elastic bandages, which are impractical to use. Anti-varicose stockings do not cause allergies, are well ventilated, effective, and differ little in appearance from ordinary ones.
Compression levels
Products differ in compression level, each has its own specific class. They are divided according to the force with which they can pull. Each degree has its own characteristics:
- First class compression is 23 mm Hg. Art. These products are recommended for people with spider veins on the skin, and if the work involves constant impact on the legs, fatigue is felt at the end of the day.
- Compression class 2 underwear exerts a pressure of about 33 mmHg. Art. It is prescribed for thrombophlebitis and developing varicose veins.
- Compression level 3 products have a pressure of up to 46 mmHg. Art., and is prescribed for venous insufficiency.
- For class 4, compression is more than 50 mmHg. st (maximum pressure). These stockings are prescribed by a doctor to reduce swelling and normalize lymph circulation.
A person can choose a 1st class medical device on his own, without doctor’s recommendations, without making a mistake in choosing the size. You can purchase the correct products of the 2nd and 3rd compression classes together with a phlebologist. Class 4 products can only be purchased with a prescription, and only in pharmacies that sell products with orthopedic effects. The doctor will tell you not only the right model, but also the rules for caring for such products.
Indications for use
Experts are of the opinion that compression products should be worn both to prevent varicose veins and at the first signs of it. Buying stockings for surgery is also sometimes necessary, when agreed with the doctor. Indications for their use are:
- manifestation of the vascular network;
- constant work on your feet;
- pregnancy;
- discomfort when walking, decompression illnesses;
- the appearance of edema;
- phlebeurysm;
- rehabilitation postoperative period.
Contraindications
There are a number of cases when compression products must be used with caution, under the supervision of the attending physician. It is strictly forbidden to use such products during development chronic diseases arteries of the legs, which arose due to a decrease in the lumen of blood vessels with a pressure below 80 mm. rt. Art.: aortoarteritis, atherosclerosis, endarteritis. Relative contraindications include:
- eczema;
- necrosis;
- open wounds;
- dermatitis;
- heart failure;
- diabetes.
How to wear compression stockings correctly
Recommendations for putting on compression garments can be given by doctors, or you can study them yourself in the instructions. It is recommended to put on stockings after sleep, without getting out of bed. The main thing is to distribute the stocking correctly, because the level of compression and treatment depend on this. When first used, there may be unusual sensations of squeezing and cold. This is normal, because venous blood flow accelerates, the walls of the veins are aligned. After 2-3 days the limbs get used to it. The stocking should be positioned evenly across the entire leg, providing the correct degree of compression.
The dressing procedure takes about 15 minutes. If the size is chosen correctly, but it is difficult to do it yourself, then use a special device for putting this knitwear on the lower limbs. It is easier to put on special silk gloves, which are not recommended for use for any other purpose. The length of time you wear stockings depends on the specialist’s prescription. For sports activities, it is recommended to wear them throughout the entire training session. Pregnant women can use the products throughout the entire period of pregnancy and postpartum.
Rules for caring for stockings
Stockings for varicose veins should be washed daily. Preference should be given to hand washing in warm water, without using washing powders or soap. To ensure that the product does not lose its shape and properties, it must be dried with a towel. Medical knitwear cannot be boiled, twisted, ironed, or dried on a radiator. Stain removers and other chemicals should not be used, as they can damage the fiber structure of the product, and it will lose its medicinal properties.
How to choose compression stockings
In order to select the right high-quality compression products, you need to take individual measurements from the patient: the dimensions of the hips (5 cm below the gluteal cavity), calves, ankles, height from the floor to the hips. Special attention should be addressed to:
- quality of knitwear;
- compliance with required standards;
- presence of rubber trim,
- color scheme;
- manufacturer (a counterfeit may not have a therapeutic effect).
Price for compression stockings
Many people wonder where to buy compression stockings. They can be purchased at many pharmacies, and can also be ordered from online stores throughout the country. How much do compression stockings cost? The cost varies depending on what class of compression stockings it is, the manufacturer, etc. For example, in Moscow, elastic stockings can be purchased at these prices.
Those who suffer from varicose veins probably know what compression garments are. This is a special high-quality type of knitwear that can only be purchased in specialized stores or pharmacies.
It is very important that the underwear is chosen correctly. It shouldn’t put too much pressure on your legs, but you don’t want your stockings or tights to hang loosely. That is why they are selected by size.
Types of compression garments
There are various types of compression underwear, such as knee socks, stockings and tights. If varicose veins have been bothering you for a long time, then there is no point in taking knee socks, only tights and stockings will help. The thing is that knitwear exerts maximum compression on the leg just above the ankle, where it reaches its maximum, on the shin the pressure decreases and reaches 70%, and on the thigh only 40.
All this is done specifically to make the blood push up along the veins, providing your legs with ease of movement. In addition, there are other types of underwear: bandages and tights, special sleeves.
It is better to discuss the choice of underwear to wear with your doctor, otherwise you may not buy exactly what you need. Unlike elastic bandages, such underwear does not slip, and it does not need to be rewound like a bandage during the day. The underwear is less noticeable under clothing and provides excellent support to the area it is worn on.
Compression garments are suitable not only for the treatment of diseases such as varicose veins or thrombophlebitis, but will also be an excellent preventative for those who constantly work on their feet or spend a lot of time sitting. The pressure exerted by tights or stockings is not high, so a person feels much more comfortable in them and their legs will be in excellent shape by the evening.
One of the most popular types is tights. They are a little more difficult to put on than stockings or knee socks, but they help to cover the entire leg. Tights evenly distribute compression along the length of the leg, allowing the bloodstream to work normally.
Knee socks and stockings suitable for men and women suffering from the initial signs of the disease, who have not yet encountered the problem of severe venous decompensation. They allow you to equalize the load on the vessels and gain comfort during the shift.
Elastic bandage More often used for operations or as a prophylactic before and after. This is a fairly common way to relieve pain and swelling from the leg. Do not forget that you need to bandage your feet in the morning without getting out of bed, and remove this compression hosiery before shower and bedtime.
The convenience of bandages lies in the regulation of compression on the veins and the independent distribution of elastic tissue around the leg. The bandage rarely causes skin irritation, but it does create problems in choosing what clothes to wear with it.
Therapeutic effect
Compression creates the effect of muscles while a person moves, and makes you feel more comfortable when wearing underwear.
The legs swell less, the blood circulates freely without stagnating in certain places.
Since the blood flow is normalized, the tissues receive not only oxygen, but also the necessary nutrients.
Linen allows prevent thrombosis, protects veins from stretching. When using compression stockings, it can cure or help improve various diseases associated with blood vessels.
How to choose therapeutic underwear?
Choosing compression garments is not difficult if the doctor has indicated the required compression class. For example, 1 class characterized by 23 mmHg. This class is the smallest and is recommended for those who are bothered by prominent veins at the end of the day and spider veins on the lower leg.
2nd grade much stronger, it is 33 mmHg. It is used to treat varicose veins and moderate thrombophlebitis.
3rd grade 45 mmHg. Used for severe venous insufficiency, possibly due to tissue trophic disturbances. Compression over 50 mm Hg is prescribed for those who have problems with impaired lymph flow to prevent severe edema.
How to determine the size of compression stockings?
If you have the required compression class, then all that remains is to measure the girth of the shin above the ankle, and the girth of the shin below the knee. You also need to find out the distance from the foot to the knee. These are the dimensions indicated by the manufacturer on the packaging.
Since manufacturers' size tables may differ, you should be more careful when choosing stockings. In order to get used to compression, you can first purchase stockings from an inexpensive supplier, so that you don’t feel sorry for throwing them away if you suddenly can’t wear the stockings.
Compression stockings size chart
When choosing compression stockings, keep in mind that the compression class is written on the packaging, not the DEN number. Otherwise, you are buying a fake.
| Knee socks | ||||
| Size | S | M | L | XL |
| Calf circumference (cm) | 32-35 | 35-38 | 38-41 | 41-43 |
| District shins (cm.) | 20-23 | 23-26 | 26-29 | 29-32 |
| Stockings | ||||
| Size | S(1) | M(2) | L(3) | XL(4) |
| Env. Hips (cm.) | 44-52 | 50-58 | 56-64 | 60-72 |
| Env. Shin(cm.) | 29-37 | 34-42 | 38-46 | 41-51 |
| Calf circumference (cm.) | 19-22 | 22-25 | 25-28 | 29-32 |
These data are based on normal thigh thickness. For a wider hip, the top line of stockings will be different.
How to wear compression stockings correctly?
Compression stockings put on while lying on your back after waking up and taking a shower. It is also better to remove them before bathing and going to bed. Stockings and tights are worn on dry skin.
You should not use any cosmetics under stockings. Nails should be smooth and gentle so as not to tear the jersey. Take care of the condition of your feet, remove dry calluses and corns, then the underwear will last longer
First the sock is put on, then the knitwear is evenly distributed over the foot and leg . Don't pull your stockings too tight, they should fit comfortably on your foot, but not slide down. If stockings are difficult to wear, you can try a form of compression such as tights or an elastic bandage.
Some stockings are provided hole for fingers, they slide off the leg less, but do not look as elegant. Underwear must be washed in the same way as tights, that is, daily, in warm water, preferably with soap.
Therefore, it is worth purchasing two or three pairs of underwear for a change, since it should dry naturally without heating radiators. Do not twist the laundry, dry it on a flat surface on a towel. You cannot iron or steam such linen.
The cost of high-quality compression hosiery
The cost of high-quality compression hosiery is quite high, it all depends on the manufacturer and can vary from 2 to 8 thousand.
For example:
- Medi company (Germany) stockings 6500 rubles, can be used with decorations, rhinestones, have 7 colors and other advantages.
- Company SIGVARIS (Switzerland) 2 lengths of tights, 3 lengths of stockings, 7800 rubles.
- Company ORTO (Spain) class from 1 to 3, no special options, 5 sizes 3 colors, cost 2100 rubles.
- The company RELAXAN (Italy) has models with cotton, 5 sizes, 2 colors, an antibacterial component in the composition, the cost is 4200 rubles;
- Company VENOTEKS (Germany) composed of nylon, elastane, cost 2900 rubles.
MEDI is the highest quality brand, according to experts. However, the choice of buyers depends on their ability to pay for this knitwear.
Special compression stockings for men
Men's compression stockings have their own characteristics. So their compression is slightly different, and reaches 100% on the ankles, 80% on the shins, and 30% on the hips. This is due to the difference in the structure of the leg. Stockings of the first degree are used to prevent the disease, from 2 to 4 degrees for treatment.
Compression stockings are selected by a phlebologist, who indicates the compression class. The size is selected individually according to the volume of the ankle, lower leg and the distance from the knee to the foot. For example, size XL ankle should be 32 cm, calf up to 46 cm, and hip up to 70 cm
All sizes are indicated on the package, so choosing the necessary stockings or knee socks with the desired compression will not be difficult. It is better to choose a product from natural materials; stockings are made of cotton to ensure heat exchange.
Don't skimp on quality compression knitwear, it has been used for several years, so not only ease of wearing, but also long service life will depend on it.
You must take care of the products strictly according to the instructions; under no circumstances should you wear stockings for several days without washing them. Otherwise they lose their qualities. It is also better to purchase men's stockings and knee socks in specialized stores or a pharmacy.
Vein therapy using compression garments has been known for a very long time. With the development of medical science, knowledge about the benefits of pressure garments or bandages has greatly expanded. Compression is most often used to treat and prevent varicose veins.
Most often, women use compression knitwear to treat varicose veins. It is precisely because of its great popularity among the fairer sex that there are different types of models of anti-varicose clothing. In some medical equipment stores you can buy tights or stockings even with different patterns and colors.
Don't give in fashion trends and buy compression stockings or tights just because they look pretty. A person who wants to cure or prevent varicose veins must know how to choose compression socks, stockings and tights for varicose veins.
Treatment of veins using compression garments has been known for a very long time.You also need to know how to select compression garments based on the type of fabric from which they are made. Most often, anti-varicose clothing is made from elastic cotton and nylon compounds. Some companies offer products that consist of lycra and microfiber.
Indications for use of underwear
The question of how to choose compression garments arises along with the need for its use.
There are three main indications for which a phlebologist can recommend or prescribe the use of anti-varicose underwear:
- treatment of varicose veins;
- prevention of varicose veins in people who are at risk;
- postoperative therapeutic vein compression.
Treatment of varicose veins with underwear The therapeutic effect occurs due to the squeezing of the dilated vein from the outside with special clothing, while the muscles and fascia press on it from the inside. As a result of bilateral compression, the vein returns to its normal state, after which the processes of regeneration and restoration of the elasticity of the walls of the vein and its valves begin. If in terms of complete treatment therapy is not always justified, then it definitely stops the progression of the disease and prevents the occurrence of complications in the form of thrombosis and thrombophlebitis.
Wearing for the purpose of prevention is recommended for people who have risk factors and a family history. Varicose veins are inherited or formed as a result of heavy physical exertion. In many cases, varicose veins are formed due to excess body weight. If you are in a group of people who may develop varicose veins, try wearing compression garments. If permanent use is not possible, use elastic bandages or tight-fitting clothing when playing sports or standing or sitting for long periods of time.
Postoperative prevention is aimed at reducing the risk of relapse. The fact is that after removal or obturation varicose vein neighboring veins begin to experience increased stress, as a result of which a new focus of varicose veins may form. If we describe the importance of compression after sclerotherapy, laser and radiofrequency ablation, then it should be said that the better the compression is created after the procedure, the more tightly the varicose vein “sticks together”.
The therapeutic effect occurs due to squeezing the dilated vein from the outside with special clothing Types of models
As already mentioned, there are a large number of different models and types of knitted compression underwear. The most popular options remain:
- anti-varicose tights (open and closed toe);
- anti-varicose stockings;
- anti-varicose socks.
The choice of compression hosiery is always difficult, but if you know all the medical subtleties, there will be no problems with how to choose the right compression tights, stockings or knee socks.
Tights
Tights are a very convenient and practical way to treat varicose veins. At the moment, there are many varieties of tights that are no different from ordinary ones and can be used daily.
Compression tights for varicose veins How to choose compression tights
Before you buy compression tights for varicose veins, you should understand that this type of knitwear is most often used during the development of bilateral lesions or for targeted prevention.
You need to choose the material that feels best to you. Typically, all materials for anti-varicose underwear are hypoallergenic and do not cause external irritation.
Before purchasing, you should consult with your doctor to determine what compression grade you need. The exception is products whose pressure does not exceed 20 mmHg.
If the question arises about choosing a company, then the most good reviews The company uses Ral-GZ-387.
Tights are very suitable for pregnant women, but when purchasing such models of anti-varicose tights, you should carefully examine the packaging, which should have a stamp indicating permission for use during pregnancy.
Compression tights are very good for pregnant women Stockings
There are stockings for men and women. Stockings for women have different designs - patterns and colors. Stockings can be both therapeutic and preventive. The undoubted advantage of this model is the possibility of use for varicose veins on one leg.
How to choose the right compression stockings
Just as in the case of tights, stockings are selected for a specific purpose. If you need to buy such an accessory for the purpose of prevention, you must purchase those stockings whose pressure does not exceed 20 mm Hg.
If underwear is purchased for the purpose of treatment or postoperative prevention, before purchasing it is necessary to consult a phlebologist.
There are stockings that have a classic shape, and stockings that are attached with special belts. There is no significant difference in the therapeutic effect, but each person must determine which model will be more convenient for him.
Compression stockings for varicose veins Knee socks
Knee socks are a shortened form of stockings. Just like tights, there are knee socks different types, colors and sizes. There are men's and women's socks. It is most correct to use this accessory for varicose veins, which are localized in the lower or middle part of the lower leg.
How to choose knee socks
When choosing knee socks, the first thing you should pay attention to is the size of the foot and calf circumference. In the case of tights and stockings, there are several sizes. If we talk about knee socks, then you should measure the size of the foot, the circumference of the lower leg at the bottom and in the middle.
The material for making golf socks is no different from others and is hypoallergenic. There are special compression socks that can be worn even in winter.
Compression socks for varicose veins Selection by parameters
Every doctor describes to patients how to choose the right compression garments. The most important points are:
- degree of compression of the underwear at different points of the leg;
- leg circumference size (usually at three standard points);
- material that is most suitable for the patient;
- no contraindications to wearing anti-varicose clothing.
Compression
There are three basic classes of compression. Each class of underwear has its own indications.
Types of compression:
- Compression class 1. It has a pressure level that is in the range of 10–20 mm. mercury column. Underwear with such compression force can be worn to prevent varicose veins even without a doctor’s prescription.
Compression tights VENOSAN 5001, 1st compression class - genetic tendency to develop varicose veins of the legs;
- slight expansion of the saphenous veins in the form of stars and meshes;
- obesity;
- static work;
- minor swelling.
- Compression class 2 has a compression force that is in the range of 22–25 mmHg. Should be used only after consultation with a vascular surgeon. Indications for use are:
- varicose veins with significant changes;
- thrombophlebitis of the saphenous veins;
- increased risk of blood clots;
- postoperative compression after sclerotherapy or vein surgery.
Women's stockings 2nd class compression - Compression class 3 has a compression force ranging from 30 to 48 mmHg. Indications for the use of underwear of this level are:
- varicose veins grade 2–3;
- the occurrence of trophic skin disorders;
- lymphostasis and swelling;
- congenital anomalies of the structure of blood vessels of the lower limb;
- prevention of deep vein thrombosis of the lower limb;
- postthrombotic syndrome;
- chronic insufficiency of the venous walls and their valves.
When wearing second and third class underwear, the patient may experience symptoms of numbness and coldness in the extremities. This condition can be normal; usually one hour is enough for the symptoms to disappear.
Anti-varicose stockings, compression class 3 Size
How to measure your leg for compression stockings and tights
The thickness of people's legs varies, and the degree of compression directly depends on how much the stocking or tights stretch. To choose the right compression socks, stockings and tights, you should measure your leg circumference at three points:
- transition of the foot to the lower leg or higher ankle joint(the thinnest part of the shin) 1–2 cm above the bones. The pressure in this area should be 100%.
- Middle of the shin. Exactly along the middle part it is necessary to determine the diameter of the leg. The pressure at this point should be 70%.
- From the top of the knee to the thigh, after which it is selected largest size. This is a very important size, especially when choosing stockings. The pressure at this point should be 40%.
How to measure your leg for compression socks
When measuring your feet, you should use the first two sizes, only move the second one slightly up.
Use measurements to determine model and number. The number can be found out using special tables. If you have any questions about sizing, sales consultants will tell you which jersey number is right for you.
How to properly care
Compression clothing is very expensive. To extend its effectiveness, you should adhere to the following rules:
- Wash every time after long wearing. Skin secretions can negatively affect the quality and integrity of the fabric from which anti-varicose tights or compression stockings are made.
- Should be washed preferably by hand or in washing machine in the most gentle modes in cold water, as things may get damaged in the washing machine.
- Linen should be dried flat out without the influence of heat and ultraviolet radiation.
- It is necessary to wear underwear correctly using butlers.
Every time you put on or take off compression garments, try to use rubber gloves.
Compression jersey widely used to maintain correct, from a physiological point of view, pressure in lower limbs person. Such stockings are used in a complex treatment scheme, as well as for the prevention of this disease. In medicine, special underwear for veins is usually called medical knitwear. It is also called compression or anti-varicose underwear, therapeutic knitwear.
Phlebologists recommend wearing tights, socks, and compression socks for varicose veins. Such underwear should be worn even when lymphedema and for other problems with blood vessels limbs.
What types of compression underwear are available, what is better - compression tights or stockings, the doctor will tell you and recommend during your appointment.
The therapeutic effect when using such underwear is manifested due to the fact that stockings, leggings or tights support the blood vessels and compress the dilated vein. This, in turn, evenly redistributes blood flow from dilated vessels to healthy ones.
Such underwear helps to activate blood circulation and improve tissue nutrition.
If you choose the right compression hosiery, it will help reduce the risk of developing blood clots .
Another important argument in favor of using such underwear is that there are almost no contraindications to the use of therapeutic knitwear. He doesn't call side effects, but at the same time it is good method prevents the progression of varicose veins and helps maintain veins in a physiological state.
How do compression garments work for varicose veins?
Previously, when therapeutic knitwear was not produced, they used for varicose veins elastic bandages . However, their use has several significant disadvantages.
- First of all, elastic bandages take a long time to apply, and in order to get the desired effect, this must be done correctly.
- An important disadvantage is the inability to wear an elastic bandage all the time. Not aesthetic appearance does not allow you to wear it every day, whereas, for example, compression garments Medi and knitwear from other modern manufacturers looks very beautiful and aesthetically pleasing.
- Despite the fact that bandages have a low price, you won’t be able to save money when wearing them. After all, such a bandage very quickly becomes unusable. Therefore, it is better to find out how to choose high-quality knitwear and buy compression underwear for varicose veins.
Why do you need compression underwear and what is its effect? By squeezing dilated veins, such knitwear provides acceleration blood flow through the deep veins. Eventually eliminated venous stasis , which is a prerequisite for the development of varicose veins. Those who are interested in which compression garments are best for varicose veins should take into account that it is worth buying quality products. After all, branded high-quality knitwear provides a graduated, that is, gradual decrease in pressure from the hand to the shoulder or from the shin to the thigh.
For example, a good online store for compression garments for varicose veins offers stockings that provide maximum (100%) pressure at the bottom of the calf and partial (40%) pressure in the thigh area. It is this distribution that is the most correct from a physiological point of view, therefore it provides the greatest therapeutic effect. With this mode of pressure distribution, blood outflow is normalized due to the following effects:
- The functioning of the valve apparatus improves and returns to normal.
- The expanded lumen of the peripheral veins of the thighs and legs, especially the subcutaneous ones, decreases.
- The muscle pump effect increases. When muscles contract physical activity, blood is pushed upward.
Effective compression garments for pregnant women. But when choosing such knitwear, you need to be guided by individual recommendations doctor
How to choose compression hosiery?
Before choosing compression hosiery for varicose veins, you need to clearly understand that such underwear cannot eliminate the serious causes of venous insufficiency. Therefore, it is used before radical treatment. Medical knitwear simulates the situation as if veins that have dilated, been removed or sealed.
In addition, it is important to understand that non-surgical treatment of leg diseases should always be comprehensive. Only in this case the effect will be maximum. It is very important not only to wear compression garments, but also to apply ointments and creams prescribed by your doctor, to practice folk remedies for the prevention and treatment of varicose veins, as well as to maintain healthy image life.
In order for the effect to be most noticeable, it is important to choose the right medical underwear. In this case, you need to take into account not only the reviews that you can read on the Internet and the prices of underwear, but also its quality and compression classes.
Compression knitwear is usually divided into three types:
- hospital – that is, one that is used exclusively in a hospital setting;
- medicinal ;
- prophylactic .
But, regardless of whether knitwear is needed for treatment or prevention, it should be purchased exclusively in specialized stores or in retail outlets that are official dealers of medically recognized manufacturers of such underwear. It is important that in such stores consumers are always helped to choose the correct size of knitwear, since the effectiveness of treatment depends on this. To find the perfect underwear, the seller first measures the leg in four places. Next, a special table of sizes is used, according to which stockings or tights are selected.
As for different manufacturers, reviews of their products can often be found on the Internet. Many women write about how high quality the Sigvaris knitwear is, which costs between 4000-5000 rubles. But there are many positive feedback and about “Medi” knitwear, the price of which is lower - approximately 3,000 rubles. You can learn more about this underwear and choose “Medi” compression hosiery on the company’s official website. Compression underwear from Venotex and Ortho is also of high quality, the prices for which are slightly lower - from 2000 rubles.
You can purchase underwear in four levels of compression:
- First compression class
(18-21 mm Hg) – preventive knitwear, wearing which is indicated in the following cases:
- during pregnancy ;
- with a tendency to varicose veins ;
- in the presence of initial symptoms of varicose veins: if the veins are noticeable under the skin, after prolonged standing or sitting the legs hurt, pronounced spider veins can be seen on the legs, and swelling appears in the evening;
- if a person leads a lifestyle in which he is forced to sit or stand a lot - in the office, driving a car, behind the counter, etc.
- Second compression class (23-32 mmHg) – the most popular underwear. Compression hosiery of class 2 compression is used for treatment purposes. varicose veins , thrombophlebitis . Hospital knitwear of class 2 compression is also used in the hospital.
- Third compression class (34-46 mm Hg) – compression tights of this class are used for patients with trophic disorders and severe venous insufficiency.
- Fourth compression class (from 49 mmHg) - this class is used very rarely - for men and women with lymphedema.
Before purchasing stockings or tights for varicose veins, you should decide exactly what kind of underwear is best to buy. Those who are buying anti-varicose tights for the first time should not immediately choose compression class 2. After all, it may well be that for vascular system it will be too much compression.
First, it is better to purchase inexpensive underwear - the price of class 1 compression tights from some companies will be quite acceptable. After wearing it and gradually getting used to such underwear, you can later buy more expensive orthopedic tights for varicose veins.
For the purpose of prevention, only class 1 underwear is used. If a person is already developing varicose veins, then a phlebologist will help you choose tights. You should also ask your doctor about how to choose compression tights for pregnant women so that future mom I felt good wearing such underwear. In this case, it is important to choose the size of anti-varicose tights or stockings so that they do not cause noticeable discomfort.
But no matter how enthusiastic the reviews about this or that underwear are, you need to understand that it will not be possible to cure varicose veins with its help, since wearing underwear does not eliminate the causes of the disease. Compression hosiery helps stop the progression of the disease and prevent the appearance of new veins affected by varicose veins.
It is impossible to wear such underwear in hot summer weather, so during the summer you need to take medications for varicose veins and use other methods to combat this disease.
In order not to damage the product and get the greatest effect, you need to know how to put on compression tights correctly - this is indicated in the instructions.
Regardless of the price of such underwear, it can maintain compression for about 5-7 months.
Before purchasing such underwear, you need to clearly know how to choose compression stockings correctly for varicose veins. Special quality standards for compression garments have been defined. The most important and strict among them is the European RAL-GZ-387 .
Any manufacturer seeking to produce knitwear that conforms to it must initially undergo very strict certification in Switzerland or Germany. Therefore, if elastic orthopedic stockings for varicose veins have such a certificate, this indicates its high quality. Knitwear with such a certificate provides pressure that is distributed over the limb (40-70-100%) and is therapeutic. The standard is evidenced by the packaging of the product, as well as the presence of a special label.
To choose a good product, you need to focus not only on how much such socks or stockings cost, but, above all, on the manufacturer and a proven point of sale of the product. After all, on the domestic market it is very easy to make a mistake and buy fake medical stockings or tights. In addition, in specialized stores they will definitely tell the buyer how to determine the size for both men and women. You should also buy compression hosiery for pregnant women from trusted stores.
Since therapeutic underwear is worn daily, it is very important to choose a hypoallergenic model. Therefore, you need to focus not on user reviews, but, first of all, on personal feelings. The linen must have a sign of the European eco-safety standard Oeko-Tex Standard 10 – this guarantees that the product is made of a material that does not cause .
How to put on compression stockings correctly?
When buying treated knitwear, you need to know how to put on and how to wear such underwear correctly.
Most often, people trying to prevent the progression of varicose veins wear compression stockings of compression class 2. After all, both the effectiveness and the price of compression stockings of compression class 2 often turn out to be the most acceptable for the patient. However, it often happens that products of the 2nd degree of compression are very uncomfortable for a person to wear. Moreover, most often, class 2 compression for men and women turns out to be uncomfortable precisely because a person puts on such a product incorrectly. After all, you can’t put it on like tights for a child, gathering them into an accordion and pulling the stocking up to the thigh. Both tights and knee socks or stockings should be put on slowly, gradually straightening them on the leg.
Such underwear will be difficult for obese people to wear. To facilitate this process, you can purchase special devices in the store. How much such devices cost depends on the manufacturer. Compression hosiery should be worn with gloves to avoid damaging the underwear with your nails. In addition, if a person is wearing medical or other gloves, then the underwear glides better.
If wearing compression underwear of the second class is uncomfortable, in some cases you can limit yourself to the first class. Moreover, the price of compression stockings of 1st compression class for women and men (Ortho, etc.) is lower. However, the price of stockings for varicose veins on the legs depends on other factors.
A person who wears therapeutic knitwear should have smooth feet - without roughness or calluses. It is necessary to cut your toenails short and file them to avoid the appearance of puffs on your underwear.
It is better to put on such underwear in the morning, on rested and, therefore, not swollen limbs. In this case, both legs and jerseys must be completely dry.
Those who are interested in whether it is possible to sleep in such stockings need to understand that this is not necessary, since during sleep the load on the limbs is minimal.
If the phlebologist prescribed the patient to wear class 3 products, putting them on will be more difficult and, accordingly, more time will have to be spent on it. For this it is better to use special devices.
If the size chart provided on a particular website seems unclear, it is better to ask a specialist about how to choose the size of compression stockings for surgery or for everyday wear. After all, if the size is chosen incorrectly, it will be extremely uncomfortable to put on and wear such underwear.
It is important to properly care for such products and know how to wash and dry them.
Caring for compression garments
When buying orthopedic underwear for women and men, you need to take into account that it is most convenient to have at least two pairs of such knitwear. After all, you need to wash it daily to get rid of dust, debris and dead skin particles, which can very quickly damage the fibers of the laundry.
Washing is carried out only by hand, using baby soap. This type of laundry cannot be washed in a machine. It must be washed at a temperature of no more than 40 C. It is forbidden to iron or bleach it. Conditioners and rinse aids should also not be used. After all, they also destroy the structure of the contracting tissue.
Dry the compression jersey by spreading it out on a horizontal surface. You cannot twist it or wring it out; you can easily blot it with a towel. Drying knitwear in the sun or in a vertical position is not allowed.
You need to be very careful with silicone strips, which are important for securing the laundry. When washing, it is better not to wet them and wipe them with a disinfectant wipe.
What to wear with such products depends on the woman’s taste. But, as a rule, knitwear from modern manufacturers is very beautiful and elegant.
Contraindications for wearing compression garments
Before choosing compression socks for varicose veins, you need to clearly know whether the patient has any contraindications to wearing them. Medical knitwear has several such contraindications.
Wearing medical knitwear is absolutely contraindicated for the following diseases:
- endoarteritis ;
- orthoarteritis ;
- thromboangiitis obliterans .
In such conditions it decreases vascular lumen , and the systolic drops to 80 mm. rt. Art., therefore it is strictly forbidden to reduce the pressure in the lower extremities.
Compression garments should be worn very carefully by those who have skin problems and high skin sensitivity.
You should not wear stockings or tights if you have allergies and inflammatory processes on the skin, as well as with bedsores or open wounds.
If varicose veins appear due to a disease diabetes , such underwear cannot be used either. Compression hosiery is not used in cases of septic phlebitis , cardiopulmonary failure in severe form, if problems with blood circulation occur at rest.
You can also come across the opinion that knitwear can provoke atrophy of the muscular layer of the vein walls . When a person stops wearing therapeutic underwear, the opposite effect is likely, as a result of which the venous wall will stretch, and varicose veins will progress even more.
Of course, there is no way to check the condition of every vein in a person wearing such underwear. However, most phlebologists consider this theory to be erroneous, citing the following evidence in favor of this:
- a person cannot wear therapeutic knitwear around the clock;
- if the veins are subjected to compression, then the flow of blood in them decreases, but it does not stop;
- as a rule, muscle wall atrophy develops if a person has a genetic predisposition, as well as if a local specific inflammatory process with venous stagnation, and when using knitwear, these phenomena are reduced;
- sometimes after stopping using underwear, a person initially feels a little worse, as the tone is temporary venous wall decreases, but there is no talk of atrophy.
Also, after the end of the period of wearing such underwear, people with varicose veins may feel that it has become more difficult for them to walk. Therefore, many people prefer not to give up wearing it.
Thus, compression garments, which have been used for many decades, are comfortable and effective method prevention and treatment of varicose veins. However, before you start using it, you need to consult a phlebologist. The doctor will determine what the patient's condition is and help choose the most suitable product.
When the valves of the veins stop closing, as a result, blood circulation is disrupted. The disease can develop due to many factors: pregnancy, sedentary lifestyle, physically demanding work or due to genetics. alleviate the condition and prevent further development of the disease.
Therapeutic stockings for varicose veins create pressure of varying strength on certain areas of the leg. It is maximum at the bottom - 100%, at the knee it decreases to 70%, and at the hip area it drops to 40%. The pressure difference reduces the load on the vessels and facilitates the upward flow of blood. As a result, stagnant blood is pushed out of the veins towards the heart.
This distribution of compression corresponds to the effect of the muscles on blood circulation during movement. Their use reduces the diameter of blood vessels, ensures the closure of venous valves and prevents reverse blood flow. As a result, by evening the legs stop swelling, pain decreases, and well-being improves.
Properly selected stockings for varicose veins have almost no contraindications. They can be used both for prevention and treatment of the disease.
Indications for use
- The appearance of a vascular network.
- Prolonged standing.
- Pregnancy.
- The appearance of pain when walking.
- Fatigue, swelling, feeling of fullness.
- Varicose veins on the legs during any and postoperative periods.
Important: compression hosiery should only be selected by the attending physician. An incorrect size may place excessive pressure on the vessels or may not have the desired effect.
Classification
Unlike regular underwear, the density of which is measured in DEN, orthopedic stockings for varicose veins vary in the degree of compression. It is measured in millimeters of mercury and is divided into classes:
- 0 class: 13-15 mm Hg. Art.
- Class 1: 18-21 mm Hg. Art.
- Class 2: 23-32 mmHg. Art.
- Class 3: 34-46 mmHg. Art.
- Hospital: from 49 mm Hg. Art.
Classes 0 and 1 are used for the development of varicose veins, with the appearance of edema, a feeling of fullness, spider veins. If veins bulge or pain or cramps occur, it is recommended to wear grade 2-3 stockings. They are prescribed by a doctor after examination and diagnosis.
The hospital class is assigned in the postoperative period, and is selected depending on the severity of the operation performed and the duration of bed rest.
Selection of therapeutic linen
There are various companies on the market that produce medical knitwear. Their products are distinguished by durability, price and design. The most famous manufacturers are:
- Relaxsan - stockings at a reasonable price, but the compression lasts no more than a month.
- Intex is a domestic manufacturer that produces inexpensive stockings with high durability and a long-lasting healing effect.
- ORTO - stockings that maintain compression for 4 months, but wear out on the heels.
- Medi, Bauerfeind – products are priced above average. Their stockings are of high quality and come in a variety of designs. They do not wear out for a long time and maintain compression.
- Leg stockings produced by Sigvaris are the most expensive. Minimal abrasion, high quality tailoring, great design. This is what distinguishes them from similar products from other manufacturers.
Remember that price does not always indicate quality. It is better to choose specialized brands that have already proven themselves well.
Sizing
Properly fitted elastic stockings fit snugly around the legs, ending just above mid-thigh. If the linen is small or large, do not expect a therapeutic effect, as it will break correct distribution compression.
Unlike an elastic bandage, compression stockings do not slip and look aesthetically pleasing. They come in different colors and look similar to regular knitwear.
How to choose stockings, in particular when? For this house you need to take several measurements:
- Circumference of the ankle joint at its narrowest point.
- Leg circumference below the knee, at the widest part of the shin.
- Raise yourself 25 cm from the knee (for those taller than 30 cm) and measure your hip circumference at this point.
- Distance from foot to knee.
- Distance from the foot to the upper third of the thigh.
By comparing these measurements with the markings on the package, the pharmacy consultant will select the right size for you. In rare cases, it happens that orthopedic stockings cause discomfort.
A negative effect on blood vessels is also possible. To be on the safe side, try an inexpensive model first. Once you have become comfortable with the sensations of wearing therapeutic knitwear, you can purchase more expensive underwear.
Therapeutic knitwear for expectant mothers
During pregnancy, due to changes hormonal levels and the pressure of the growing uterus on the vessels, progression of varicose veins is possible. Even if there are no signs of illness, doctors recommend wearing compression stockings from the first trimester.
To make stockings for varicose veins for pregnant women, fabrics with increased breathability are used. This helps reduce discomfort during use, especially in summer. As the disease progresses, the doctor may recommend giving birth without removing orthopedic underwear.
How to dress correctly
Stockings are worn after waking up, before getting out of bed. To prevent wear and tear on the product, fingernails and toenails should be trimmed short. At first, wear stockings with rubber gloves. If compression class 3 or higher is assigned, then you will need a device for putting them on.
Turn the stocking inside out, down to the toe. Insert your foot and carefully straighten the product onto your heel. Carefully slide the stocking onto your leg while turning it right side out. Having brought it to the thigh, smooth out the resulting folds.
How long to wear stockings for varicose veins? In the postoperative period, round-the-clock use of therapeutic knitwear is recommended. For other cases, it is enough to wear it during the day and take it off at night.
Knitwear should be washed daily with baby soap and warm water. It should be dried flat, in horizontal position. To prevent silicone strips from losing their fixing properties, avoid contact with water. They need to be cleaned with a cloth soaked in alcohol.
To achieve maximum results in the treatment of varicose veins, an integrated approach is needed. In addition to using therapeutic knitwear, it is necessary to take medications and follow all doctor’s prescriptions, as well as walk more.
