The complex therapy of varicose veins includes wearing special slimming products designed to maintain the required venous tone. Stockings and tights for varicose veins can be prescribed for both regular and temporary use.
The principle of action of stockings from varicose veins
The main goal that doctors pursue by prescribing compression tights for varicose veins is to reduce the manifestation of venous insufficiency and the symptoms of the disease. They have the following effect on the body:
- reduction in the diameter of deep saphenous and superficial veins;
- a significant decrease in the return flow of blood with valve insufficiency;
- an increase in the rate of blood outflow through the vessels;
- acceleration of lymphatic drainage;
- increasing the ability of blood to dissolve clots;
- decrease in the severity of small veins and capillaries;
- a decrease in the permeability of the walls of blood vessels and, as a result, getting rid of edema;
- decrease in blood viscosity.
All this leads, first of all, to the relief of pain and other unpleasant sensations accompanying varicose veins. Patients who regularly use elastic stockings for varicose veins note a significant decrease in the degree of swelling of the legs and a feeling of lightness in the limbs.
Indications for wearing compression products
Orthopedic products in the form of tights for varicose veins are used not only during severe manifestations of the disease. It is also actively used for:
- pregnancy - as a prevention of varicose veins, if there is a hereditary predisposition;
- a tendency to edema, as well as leg fatigue after exercise;
- pre- and postoperative period to prevent the separation of blood clots in case of suspected thrombosis;
- overweight (2-3 st. obesity);
- diagnostics of varicose veins (femoral and iliac veins);
- trophic ulcers;
- induration (compaction) of the lower leg tissues due to varicose veins.
Anyone can wear compression hosiery. It is especially useful for athletes and people who spend a lot of time on their feet. Also, as a preventive measure, it is recommended to wear elastic stockings against varicose veins for persons with a hereditary predisposition to this disease.
Who shouldn't wear compression garments?
Some patients with diabetes are not allowed to wear stockings and other products for varicose veins. This is associated with a high risk of developing diabetic ulcers. To avoid such complications, it is necessary to carefully select stockings from varicose veins on the legs together with an endocrinologist and a phlebologist.
Since many products are made with synthetic materials, an allergic skin reaction is possible. Patients with dermatitis and hives should choose only natural fiber options.
Atherosclerosis is also a contraindication to wearing compression garments. This is due to the fact that the compression of the veins can provoke a complete blockage of blood flow through the vessels and impairment of tissue nutrition. The result will be the development of necrotic processes in the lower extremities.
Compression hosiery will also harm in case of heart failure, when the heart cannot cope with the load. If you increase blood flow to the organ, it can lead to an attack of angina pectoris or acute coronary syndrome.
Depending on the severity of varicose veins and the goals of treatment, the following four groups of compression garments are distinguished.
Compression class # 1 is characterized by a force of 15–20 mm Hg on the ankle. It is used to prevent varicose veins. It can be recommended for persons with a tendency to evening edema, the presence of telangiectasias on the extremities and reticular veins. Pregnancy is another indication for the use of first class compression garments.
Compression stockings of the second class have a pressure of 23-32 mmHg. These products are used during pregnancy as a prophylaxis for deep vein thrombosis, if necessary. In addition, it is possible to use class 2 after surgery to remove veins and in acute thrombophlebitis.
The third class of compression is used for varicose veins with complications, which include:
- trophic ulcers,
- venous thrombosis,
- post-thrombophlebitic disease,
- venous and lymphatic insufficiency.
This type of underwear puts pressure on the veins at 34-46 mm Hg.
The last, fourth class of compression (pressure above 49 mm Hg) can be prescribed only in extreme cases when there are congenital anomalies of the venous system. Typically, these items must be ordered as directed by your healthcare professional.
Despite the fact that there are quite strict criteria for wearing compression stockings, you need to pay attention to your feelings. Initially, pain may increase, but it quickly disappears as the product is worn. The criterion for properly selected linen is the absence of edema in the evening. Stockings should have a number of other qualities, which include:
- aesthetic appearance,
- lack of seams,
- the compression should ease from the ankle to the thigh (100% to 40%).
In the presence of a combination of these criteria and a correctly selected compression class, one can count on effective treatment of varicose veins.
What you need to know about the sizes of orthopedic underwear?
All patients with problematic veins should know how to choose compression stockings for varicose veins. After the specialist informs you of the required compression class, you should begin to study the dimensions. They depend on the following parameters:
- shoe size,
- ankle circumference,
- the radius of the widest part of the lower leg,
- knee circumference,
- radius of the thigh 5 cm below the crotch.
Based on this, there are 7 sizes of compression underwear. For convenience, some firms have reduced this number to 4 (S, M, L, XL). For example, Venoteks uses just such a gradation.
According to the type of product, measurements should only be taken in those areas that will be pulled together by the fabric. For example, golf does not need the dimensions of the thigh circumference, but only the size of the shoe, the radius of the ankle and lower leg.
The best time to take your measurements is in the morning, before your feet touch the floor. In this case, it is advisable to keep the limbs above the level of the body. This may require outside help.
The parameters are entered into the table. Further, after the patient has recorded his data, he compares them with the size table of linen and selects the desired option.
Rules for dressing compression hosiery
In order for expensive orthopedic stockings for varicose veins to serve for a long time, you should put them on and take off correctly. Before using compression garments for the first time, cut short and file your fingernails and toenails. If you plan to wear it on a daily basis, it is best to purchase special donning accessories. Other rules for using products for varicose veins are:
- "Dusting" the feet with talcum powder in hot weather and with increased sweating;
- the need to ensure that there are no folds in the fabric;
- treat leather (especially the heel area), where there are roughness, so that the leg easily passes along the entire length of the product;
- do not use creams and ointments before putting on a stocking;
- if a loop appears on the product, do not cut it off.
Typically, products last no more than 6 months with regular use. This is guaranteed by observing the rules of wearing and storing the product, which are indicated on the packaging.
You need to put on compression stockings in the morning, lying in bed, without taking a single step. To do this, select the sock, and collect the rest of the product in an accordion. As the fabric advances, the folds need to be straightened until the edge of the stocking touches the thigh. Use a mirror to check for wrinkles. If the size is right, the donning process shouldn't be too much of a hassle.
Anti-varicose linen care
The requirements for washing products from varicose veins vary depending on the composition of the fibers. The basic rules for caring for this linen include:
- washing is carried out separately from other things,
- use of low water temperatures (up to 50 degrees),
- the use of gentle detergents without bleaching properties,
- hand wash is preferred,
- drying out of direct sources of heat and sunlight.
Compliance with these simple rules will allow the product to last from 3 to 6 months, after which you will have to purchase a new one. It is better to immediately buy 2-3 pairs of stockings from varicose veins in order to be able to replace them if necessary.