Author: Anna D. Garrett, PharmD, BCPS, CPP
Graduated compression
stockings have
been shown to reduce
the risk of developing
post thrombotic syndrome
after a deep
venous thrombosis. The
high degree of elasticity
makes them difficult for
some patients to put on, however, so proper
fitting is required. These stockings are
expensive and should be treated with care
to extend their useful life, which is typically
3 to 6 months. Some insurance plans will
cover a portion of the cost, so patients
should be encouraged to check their
health plan regarding reimbursement.
Here are some tips for patients to
achieve the best results from these
stockings:
- Put compression stockings on when getting
up in the morning. Elevate the feet
above the level of the heart for several
minutes prior to putting them on. Doing so
will reduce the swelling in the legs and
ankles as much as possible.
- Wear gradient compression socks or
stockings every day
- Use rubber gloves to get a better grip
on the fabric when putting them on
- Wear the stockings for a few hours at a
time, and increase the amount of time
daily if unable to tolerate a full day initially
- Apply cornstarch or grease-free talcum
before putting on the stockings if the
skin is moist
- Keep the legs and feet warm to promote
good circulation
- Avoid wrinkles in the stockings
- Do not cut or alter the stockings
- Never fold or roll down the stockings
- Remove the stockings if prolonged
numbness or tingling occurs or if bluish
discoloration develops
Dr. Garrett is a clinical pharmacist practitioner
at Cornerstone Health Care in High
Point, NC.