The benefits and harms of compression stockings for varicose veins. Compression tights: say no to leg pain It became painful to wear compression stockings

Hello! Help me clarify one question: a 22-year-old guy has grade 1-2 varicose veins. We consulted several doctors. One of the doctors who is preparing the guy for surgery (this is a private clinic) says that the guy has phlebitis. Been undergoing treatment since January by different means: tablets, rubbing, herbs, droppers (in the clinic). Changed nutrition. But the pain in my legs remains. The leg that does not have varicose veins also hurts. One thing scares me: why does my leg turn red? The guy walks around in a stocking and bandage. When the stocking is removed, redness appears first in one leg, now a slight redness appears in the second leg. Why is this happening? Thank you.

Shamray Natalya, Nikolaev

ANSWERED: 07/21/2013

There are several options. The exact cause can only be named after familiarization with the appearance of the extremities, the result of the CBC, the blood coagulation system and the vascular duplex scanning protocol lower limbs. One thing can be said with 100% confidence - among all possible reasons The symptoms you described, phlebitis is one of the last places.

Clarification question

QUESTION FOR CLARIFICATION 22.07.2013 Shamray Natalya, Nikolaev

Thank you very much. Duplex scanning of the veins of the lower extremities on July 3, 2013 gave the following result: the lumen is free, compression is complete, the valves are healthy. Blood test for coalogram: prothrombin index 86, amount of fibrogen 2.7% fibrin -12, fibrogen “B” - (-). This analysis was done on April 3, 2013. We consulted another vascular surgeon in our city. After external examination legs two weeks ago, he said that on right leg There are no varicose veins, on the left leg there are varicose veins of 1-2 degrees. Regarding the redness of the legs, the doctor advised me to consult a neurologist. The neurologist was unable to answer our questions. Could leg pain and redness be due to pinching? nerve endings. And are there any other options for the cause of leg pain and redness that you wrote about? To be honest, we no longer know where to go or who else to turn to. Thanks in advance for your answer.

ANSWERED: 07/23/2013

Based on the presented duplex protocol, nothing definite can be said. The lumen of which veins is free, which valves are healthy, the characteristics of blood flow in the superficial and deep veins, the condition of the perforators, etc. There is none of this. And based only on the information presented, there is no evidence for varicose veins. Then on what basis does a vascular surgeon diagnose varicose veins?

Clarification question

ANSWERED: 08/05/2013 Krasilnikov Andrey Viktorovich Samara 0.0 Head of the center. Surgeon-phlebologist, ultrasound diagnostics doctor

Post the ultrasound protocol in full

Clarification question

ANSWERED: 08/30/2013

I would like to note that the diagnosis " varicose veins"is determined not by ultrasound (no matter what is described there), but by clinical picture- that is, by the presence of varicose veins themselves. Assessment of perforating veins in the absence of trophic disorders is meaningless. All this is perfectly set out both in the Russian recommendations for the diagnosis and treatment of venous diseases, and in many foreign national and international recommendations. I agree with my colleagues that there is no way to judge the condition of the veins. Ask a question on the forum of the Association of Phlebologists of Russia, attach scans of examinations and studies, take photos of problem areas on your legs - we’ll try to figure it out. P.S. Evaluation of the coagulation system is not necessary to diagnose venous disease.

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1. Should I wear compression stockings after deep vein thrombosis (DVT)?
Unfortunately, complete cure deep vein thrombosis (DVT) is not possible. Modern antithrombotic therapy reduces the risk of progression or recurrence of deep vein thrombosis (DVT) and pulmonary thromboembolism to almost zero. Circulatory disorders in the veins of the legs are best treated with external compression of the leg immediately after the diagnosis of deep vein thrombosis (DVT) is confirmed. Most of these patients are suitable for compression stockings made of natural rubber 503. Sometimes patients with severe swelling, concomitant arterial, neurological or skin pathology first need elastic bandaging, which is also recommended for those patients who cannot put on stockings. Patients need to be convinced of the need for walking, which improves venous outflow from the legs and stimulates the resorption of the blood clot. Compression stockings can prevent the development of chronic venous insufficiency, the so-called post-thrombotic syndrome. Compression stockings should be worn constantly and strictly follow the recommendations of a phlebologist.
2. Are calf cramps a sign of chronic venous insufficiency?
Cramps in calf muscles may be a manifestation of chronic venous insufficiency. However, they only appear in combination with other typical symptoms of vein disease. Often, cramps in the calf muscles are caused by disturbances in the electrolyte composition of the blood, a lack of calcium or magnesium, diseases of the bones, joints and spine.
3. Are saunas and hot baths allowed in case of venous disorders?
Any overheating (saunas, hot baths and tanning) dilates the veins and leads to venous stagnation. If it is difficult to avoid or you use hot baths/sauna/bathhouse for weight loss, stimulation of blood circulation, treatment of rheumatism, etc., then try to reduce the procedure time. During breaks and after the procedure, shower your feet cold water, raise them above heart level and actively contract the calf muscles.
4. Do contouring and branching veins pose a threat to life?
No.
5. Is it dangerous? varicose veins veins for pregnant women?
Often varicose veins appear during pregnancy, but, as a rule, after the birth of the child they disappear almost completely. Depending on the area where varicose veins occur and the pain they cause, wearing compression stockings is advisable. In rare cases, varicose veins develop in the groin and perineum. Such veins cause discomfort, but are life-threatening.
6. Are varicose veins inherited?
Yes.
7. Can varicose veins appear again?
Even at the current level of development of medicine, it is impossible to control all risk factors for venous diseases and, in particular, genetic predisposition(heredity). This is why varicose veins can reappear even after surgery and sclerotherapy. It is true that cured varicose veins never reappear, but new ones may appear.
8. Is it possible to have varicose veins in the scrotum?
Varicose veins in the scrotum are called “varicoceles.” This pathology has nothing to do with diseases of the leg veins. Varicoceles can lead to infertility in men and must be treated.
9. Is it possible to prevent the appearance of varicose veins?
Not at all, but you can reduce the risk. Move more! Walk more often, use a car less often. Try to walk up the stairs rather than take the elevator. Do sports that stimulate the venous system: cycling, swimming, walking. Find time to walk at least a few steps every hour. If possible, lift your legs and move them often. Douse your feet with cold water from the shower and be sure to wear compression socks (stockings, tights) with dimensions of 15–30 mm. rt. Art.
10. Can women take contraceptives or hormonal medications if they have venous disease?
Medicines prescribed to women, such as birth control pills or menopausal hormones, are usually taken in very small doses, with little harm to the venous system. At the same time, if you have a serious venous disease (thrombosis, thrombophlebitis, pulmonary embolism), you must first consult with a phlebologist.
11. Does it interfere with use? elastic bandages or compression products for proper blood circulation?
Compression therapy is mechanical treatment, acting externally and exerting pressure, which helps reduce the diameter of varicose veins. The valves are more compressed and perform their function better. Venous circulation improves, outflow increases, and stagnation decreases. The venous system works better. Correctly selected compression treatment has no effect on arterial blood flow.
12. Who suffers more often from varicose veins: women or men?
Women are more likely to suffer from varicose veins.
13. How often do thrombosis or pulmonary embolism occur after surgery for varicose veins?
Often enough. At the same time, it is necessary to conduct a thorough preliminary examination to exclude even the potential threat of deep vein thrombosis. The risk of complications from varicose vein surgery is greater than from any other surgery. In addition, after surgery, an elastic bandage or compression stockings are placed on the legs, and the patient is prescribed physical exercise.
14. How to find good specialist in the field of vein diseases? (surgeons, vascular surgeons, phlebologists)?
In Russia, a phlebologist must have a certificate issued by postgraduate improvement faculties of state medical universities, confirming his specialization in the treatment of venous diseases. Many doctors actively involved in the treatment of venous diseases are members of the Russian Association of Phlebologists. Get information about a specific specialist or specialized medical center available on the website www.phlebo-union.ru
15. How does deep venous thrombosis begin?
A blood clot forms in the deep veins and quickly increases in size. It or part of it can break off and quickly travel through the bloodstream to the heart. If this blood clot is so large that it can block pulmonary artery, that is, cause pulmonary thromboembolism, then it occurs real threat life.
16. Does constant wearing of compression stockings weaken the leg muscles?
Compression stockings and bandages do not provide negative impact on the muscles. On the contrary, patients using compression treatment are able to move and exercise a lot, despite the presence of vein diseases, which, on the contrary, helps strengthen the muscles of the legs.
17. Do patients with venous disorders have to follow certain rules while on vacation? If they must, what are the rules?
Any activity that gets you moving is recommended - jogging, walking, swimming, cycling, etc. It is recommended to avoid sunbathing, because... it is harmful to the venous system. If you still prefer to be in the sun, regularly refresh your feet in the pool, in the sea or under a jet of water.
18. Can I travel by plane immediately after giving birth?
New mothers are advised not to travel by air for at least 6 weeks after giving birth.
19. Should I go to the doctor if my legs are constantly swelling?
Yes.
20. Is it possible to drink alcohol for those who suffer from venous disorders?
Strong alcoholic drinks dilate veins, thicken the blood and worsen venous outflow. At the same time, moderate consumption of alcohol, especially dry red wine, does not harm people with vein diseases.
21. Should you give up tea or coffee because you suffer from venous diseases?
As a rule, no. Tea or coffee does not affect venous thrombosis or postthrombophlebitis syndrome, provided that you do not take indirect anticoagulants (phenyline, syncumar, warfarin). If you are taking these medications, first discuss with your doctor what drinks and foods you can consume.
22. Is it possible to smoke if you suffer from venous diseases?
Although nicotine has no direct effect harmful effects on the veins, it seriously damages the arteries, lungs, and heart. So smoking is dangerous for of cardio-vascular system in general and for health.
23. Is it possible to travel if available? serious illnesses veins? What rules need to be followed?
Even if you have severe venous disease, you can travel. To travel to other cities, it is better to choose a train, which will allow you to move freely during your trip. Sitting immobile for long periods of time damages the veins and can cause deep venous thrombosis (formation of a blood clot in the deep veins). If, however, you need to drive, then stop regularly, walk and massage your feet. If you are traveling by plane, try to get up and move around periodically if possible. Don't forget to drink plenty of water. Be sure to wear compression socks (stockings, tights).
24. How are trophic ulcers treated?
Before treating an ulcer, the reasons for its formation are first determined, and then appropriate treatment is started. Your leg can only be cured if the cause of the disease is determined. In most cases, trophic ulcers occur due to chronic venous insufficiency, especially if there is swelling, accompanied by discoloration and thickening of the skin. In this case, it is necessary to solve the problem of venous stagnation. Along with appropriate wound treatment, wearing compression stockings (or bandages) is necessary. The patient should move more. All venous ulcers are cured if compression therapy is used. It is very important not to lubricate the wound with cream or treat it with powder, since they do not promote healing and cause allergies or eczema. Never treat an ulcer yourself using a cream or other product from your personal first aid kit! An ulcer should only be treated by a doctor. This is the only way for the ulcer to heal. Skin grafting can help improve fast healing ulcers This is a minor operation that can be performed on an outpatient basis. Once the ulcer is treated, appropriate therapy is necessary to avoid recurrence. You should wear medical compression stockings at all times throughout your life. This is the only way to prevent another ulcer.
25. What is DVT?
This is deep vein thrombosis.
26. Which compression method is most effective after severe venous thrombosis?
Compression bandages are used in the first stage of treatment for deep vein thrombosis until significant swelling subsides. Compression stockings are then prescribed. Compression stockings should be worn daily to prevent venous stasis. In most cases, knee-length stockings (knee socks) are sufficient. Your doctor will advise you which model: knee socks, stockings or tights is more preferable for you.
27. When do varicose veins appear?
Varicose veins can be detected in early childhood, but, as a rule, they appear after 20 years.
28. You had surgery for varicose veins and the veins were removed. Will these veins be needed in the future for heart or artery surgery?
No. At modern operations Only diseased veins are removed that cannot be used for operations on the heart or arteries.
29. What are the signs of a venous ulcer?
Venous ulcers often occur when proper treatment varicose veins or consequences of deep vein thrombosis. First, swelling appears, then the skin begins to darken, itching occurs and eczema appears. Over time, the skin becomes denser and a small wound or inflammation due to mosquito bite leads to trophic ulcer. With proper treatment, all skin changes disappear completely.
30. You have had varicose veins for a long time. There is no pain or swelling. Do I need treatment?
Varicose veins cause serious circulatory problems. Even if they do not cause you any problems now, in the future venous congestion can lead to skin changes (redness, brown spots), venous eczema and trophic ulcers. That's why the sooner treatment for varicose veins begins, the greater the chance that your venous system will fully recover. Don’t put off visiting your doctor for too long; when the first signs of varicose veins appear, start wearing compression products to help normal operation its venous system.
31. What treatment methods are there for CVI?
The main methods are: surgery, sclerotherapy and compression. At the same time, compression is a mandatory component in all types of treatment. Additionally, various medications, injections, tablets and ointments can be used. A phlebologist will help you choose the right treatment method after consultation.
32. I was prescribed pills and ointment. I heard about compression from a friend. Please tell us more about compression.
Compression therapy is mandatory for any type and treatment of venous diseases. Compression is a treatment aimed at suppressing the development of chronic venous insufficiency. Therapeutic compression hosiery, selected individually, creates an additional frame around diseased veins and accelerates outflow venous blood, reduces the risk of blood clots, prevents the development and progression of edema, protects problematic skin from mechanical injury. Medicines - ointments, injections and tablets - for chronic venous insufficiency eliminate only individual symptoms of the disease, such as a feeling of heaviness and fatigue in the legs.
33. How long should I wear compression stockings after vein surgery?
Since varicose veins are chronic disease and it is almost impossible to completely avoid all risk factors that can cause its relapse (prolonged sitting or standing, hot shower, sauna, sunbathing, excess weight, pregnancy, leg injuries), therefore preventive compression is constantly necessary.
34. I have varicose veins. I don’t want to have surgery; I was prescribed compression stockings. How long do I need to wear it?
In such a situation, it is necessary to wear therapeutic compression hosiery daily and constantly, except for night rest.
35. How long do compression stockings last?
At correct use compression knitwear retains its therapeutic effect for 6–8 months.
36. I bought stockings and developed an allergy on the skin of my thigh. What to do?
It is necessary to consult a dermatologist and replace the stocking with products made from cotton threads. Knitwear series 200 (cotton) is suitable for the most sensitive skin. Please note that it is not only the compression product that could cause allergic reaction: Much more often allergies occur to food, medicines, creams, decorative cosmetics, etc.
37. How should I care for my compression stockings?

Wash knitwear daily by hand at a water temperature no higher than 40°C. Do not machine wash;
use mild soap for light fabrics or special SIGVARIS shampoo (do not use washing powders, stain removers and other chemicals);
rinse the product well warm water, wrap it in a dry towel and wring it out;
dry at room temperature;
protect from sunlight;
do not use electric dryers or heaters;
It is prohibited to iron the product.

38. What should I do if I can’t put on a stocking myself?
You may not be following the recommended usage guidelines. We recommend that you carefully follow the instructions included with the product, or contact our salons again for expert advice. If, after consultation, putting on a compression product still remains difficult, we recommend purchasing additional accessories: devices that facilitate the putting on process (rubber gloves, SOS and Easy Slide).
39. My stocking tore. Why?
Most often, stockings are torn or frayed in the foot area. This can be caused by defective shoes, calluses on the feet, or long toenails. Long fingernails, rings and bracelets can also damage the compression product when you put it on, so before putting on or taking off the product, you must remove jewelry from your hands and put on rubber gloves! Do not pull or cut any threads on the wrong side of the garment.
40. What to do if the stocking falls down?
The following reasons may lead to this:
- incorrectly selected size;
- improper care of knitwear (washing, drying);
- reduction of leg swelling.
41. What is covered by the warranty and how long does compression last?
The guarantee covers the preservation therapeutic effect knitwear, i.e. to preserve the product’s compression properties. After 6 months, the products lose 50% of the compression (from the original starting value).