Compression therapy

Basic therapy in venous disorders

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The aim of compression treatment with compression stockings is to "strengthen" the veins, to reduce venous pressure, normalise the function of the vessel wall and improve metabolic exchange in the tissues.

Compression stockings narrow the diameter of your leg veins. Through the support from the compression stockings, the venous valve system functions again – blood no longer accumulates in the legs. Stretch marks, spider veins and varicose veins become less severe or are prevented altogether. The specified medical pressure gradient (pressure decreasing from the foot to the thigh) accelerates the return flow of venous blood to the heart. This also reduces the risk of blood clots and embolisms. Improved metabolism also helps to prevent the development of leg ulcers; and less tissue fluid escapes as a result of the external pressure. The stocking therefore also counteracts the development of oedema.

There are four compression classes that are used depending on the severity of the disease. The basic differences are in the strength of the material, i.e. the pressure exerted on the veins. Only the doctor can decide which compression class you require.

You should never wear compression stockings "off your own bat", as there are also contraindications to compression therapy. These are: advanced arterial occlusive disease, severe disorders of heart function, weeping skin diseases, severe disorders of nerve function in the arms and legs. Even in primary chronic rheumatoid arthritis, it is the doctor who should take the decision concerning possible therapy.

Compression Class I

Light compression for light pressure at the ankle. Suitable for tired, heavy legs, mild varicose veins or incipient varicose veins and slight swelling. Desirable for the prevention of varicose veins, for example in pregnancy or in standing and sitting occupations.

Compression Class II

Moderate compression for moderate pressure at the ankle. Used, for example, in severe varicose veins, legs that are often swollen, swelling following thrombosis (venous occlusion), after healing of small ulcers, in severe inflammation during pregnancy, after sclerotherapy or surgery, after superficial phlebitis.

Compression Class III

Strong compression in chronic (persistent) venous weakness, after thrombosis (venous occlusion), where there are skin changes and after the healing of leg ulcers.

Compression Class IV

In syndromes that are more severe than for Class III and in lymphoedema and lipoedema. (In lymphoedema stockings with seams, known as flat-knit stockings, are mainly used.)

 

Measuring points in the compression therapy