Varicose veins and compression garments

33 mm. rt. Art. Used for thrombophlebitis and varicose veins of moderate severity;

• Socks are ideal for men due to their ease of wearing with trousers. Measurements : the circumference of the lower leg is measured along the widest part, under the knee, as well as the distance from the foot to the knee bend;
• stockings are a convenient solution for varicose veins for pregnant women and those whose problem area is not above the knee. Measurements : in addition to the measurements used in the case of knee socks, you need to determine the hip circumference at 25 cm from the knee. The distance from this level to the foot is also measured;
• Tights are easy to take off, but you need to make an effort when putting them on; should end exactly at the waist and fit tightly around the legs. Measurements : repeating the above, you should measure the circumference of the hips and waist;
• Sleeves - relevant for purulent processes of soft tissues and dermatitis of the hands;
• Leg warmers are more durable than stockings and tights (they lack the part covering the toes, which wears out quickly). Designed for those whose problem area is not so extensive.
• An elastic bandage is the most affordable, but at the same time extremely inconvenient type of product to handle.

Do you know how to treat varicose veins with folk remedies? We will tell you in this article.

If varicose veins develop on a pregnant woman’s legs, how do doctors allow them to be dealt with? Learn all about safe practices.

By taking these recommendations into account, you can avoid trouble:

• The degree of compression of the product must correspond to the doctor’s instructions;
• Sutures should not protrude, otherwise irritation cannot be avoided;
• Consider products that meet the RAL-GZ 387 standard and are manufactured only by certified companies;
• The linen must have a mark stating that the material does not contain allergens;
• The degree of compression is calculated not in den, but in mm. rt. Art. Incorrect indication of the value is a sign of counterfeit.

Now you know how to choose the right compression garments for varicose veins, use the information wisely!

This illustration will help you roughly evaluate the rules for putting on underwear:

Some rules must be followed:

• Any type of product is put on immediately after sleep, without getting out of bed;
• This should be done carefully and slowly;
• Having previously assembled the upper part into an accordion, you need to insert your palms into the “sock” and carefully pull it onto your foot;
• Gradually straightening the product, you should put it on completely;
• The tights are put on while lying down, for which the pelvis is raised as it approaches the belt.

And in conclusion, we suggest watching a video about this treatment method:

Medical knitwear is not capable of eliminating the manifestations of varicose veins alone : ​​complex therapy is required. By paying attention to all aspects of treatment, you will achieve the desired result.

A detailed overview of the use of compression garments for varicose veins

From this article you will learn: how to choose compression underwear for varicose veins, how this knitwear works. Types and classes of compression, how to decide on the size. Contraindications, possible complications and side effects from wearing compression garments.

Compression products made from knitwear of special density and varying degrees of compression (pressure) are used for the treatment and prevention of varicose veins.

When placed on a sore limb, they create an external frame that:

• supports weakened leg muscles (here venous blood flow is directly dependent on muscle tone);
• slightly compresses the walls of blood vessels, preventing them from stretching;
• stimulates blood circulation and lymphatic drainage;
• prevents fluid stagnation.

They produce 6 types of compression knitwear:

• Tights (cover both limbs at the same time from the foot to the thigh and end at the waist).
• Stockings (designed for the lower limb from foot to thigh).
• Knee socks (put on the lower leg from the foot to the knee).
• Leg warmers (reminiscent of knee socks without a heel and toe).
• Socks (put on the foot up to the ankle).
• Sleeves (on the arm from wrist to shoulder).

The products have a certain degree of compression (pressure) at the level of the ankles (this is where the complex section of the reverse movement of venous blood begins), which is measured in mm Hg. Art. and is calculated based on the severity of varicose veins. The degree of compression of knitted products can be preventive (with low pressure - class 1) or therapeutic (with high pressure - classes 2, 3, 4).

It cannot be said that stockings are better than tights or socks - the underwear and degree of compression for treatment and prevention are chosen by a phlebologist or angiosurgeon; he makes a conclusion based on the medical history, examination results and individual indications.

How compression garments work

With varicose veins, the lower extremities are the first to suffer: blood easily flows down from the heart through the arteries, but rises up through the veins with some effort. Reverse blood flow is provided by several mechanisms:

• contractions of the heart, which “push” blood, causing it to circulate in the vascular system;
• venous valves, which lock the blood in the vessel area so that it does not move in the opposite direction;
• regular contractions of the muscles of the legs and thighs (muscle pump), which form a kind of supporting frame for the vessels, gently compress them and help push blood up, from the legs to the thighs and into the pelvis. Their weakening is one of the main mechanisms for the formation of varicose veins.

The mechanism of reverse blood flow is normal

Compression hosiery is designed to serve as a muscle pump and frame. Squeezing the leg in a certain place (at the ankle) more strongly, in others a little less (shin, thigh), he:

• provides an optimal degree of impact on all areas of the leg;
• normalizes blood flow, helping blood move from bottom to top;
• by gently squeezing the muscles, it enhances the tone of the vascular walls and prevents them from stretching;
• narrows the lumen of damaged veins, helping to redistribute some of the blood into healthy vessels;
• normalizes the functioning of the valve apparatus;
• stimulates lymph outflow, eliminating swelling and congestion;
• reduces the load on diseased veins.

By normalizing blood circulation in the lower extremities, properly selected compression hosiery performs several more functions:

• Improves metabolism and tissue nutrition.
• Prevents the development of complications (vascular thrombosis, tissue necrosis due to oxygen starvation).
• Relieves severe symptoms (pain, itching, swelling after a working day).
• Prevents relapse (reappearance) of varicose veins after surgery.
• Does not create difficulties for treatment when worn constantly (if necessary) - external agents can be applied over the product.

It is important to choose underwear on the recommendation of a phlebologist; he will calculate the time during which you need to wear it and prescribe complex treatment (without it, wearing therapeutic knitwear is ineffective).

The type of knitwear is chosen depending on the location of the main manifestations; the product should be 15–20 cm above the border of varicose veins:

• Tights are used when both limbs are affected from the shin to the thigh and there are signs of congestion in the pelvis (dilated veins and nodes in the groin, hemorrhoids), they are convenient for the prevention of varicose veins during pregnancy and weightlifting. Maternity tights have a special abdominal bandage that supports but does not compress it.
• Compression underwear for varicose veins in the form of stockings is usually chosen when it comes to recovery after surgery to remove veins (from the calf to the thigh) on one leg; they are more convenient to take off and put on (compared to tights).
• Socks and leggings are intended for the prevention and treatment of varicose veins of the legs, if the nodes and affected veins do not rise to the knee.
• Socks are used to improve blood flow in the ankle joint.
• Sleeves eliminate severe lymphostasis (lymph stagnation, swelling) after surgery, injury, infectious polyarthritis (inflammation of the joints).

Taking into account individual indications and contraindications, only the attending physician can determine what type of underwear is best to use for varicose veins of different locations.

How to decide on the size

They sell underwear in specialized stores; in order to choose the right option for the first time, you need to take individual measurements of your legs.

• shin circumference above the ankles (this parameter is marked with the letter b in the size chart);
• circumference of the lower leg below the knee (d);
• circumference of the upper third of the thigh (g);
• waist circumference (for tights);
• leg length from heel to groin (to point g);
• foot length.

In accordance with these parameters, the desired size of compression garments is selected.

Leg measurements for compression garments. Click on photo to enlarge

Knitwear differs from each other not only in the types of products (socks, stockings, tights), but also in the degree of pressure (compression) on the surface of the limb, which determines its medicinal qualities.

The compression in all types of underwear is uneven, the maximum pressure (100%) is on the limb in the ankle area, high (70%) - on the lower leg, minimal (40%) - on the thigh. In this way, conditions are created for restoring blood flow that are close to physiological (normally, the difference in pressure on the lower and upper veins differs by 2.5 times, the bottom is stronger, the top is weaker, this ensures normal outflow of blood from the lower extremities upward to the pelvis).

Distribution of compression along the leg

people with a hereditary predisposition at the initial stage of varicose veins, after the first signs appear - spider veins, heaviness, itching, swelling;

to prevent the appearance of varicose veins during pregnancy;

people at risk (with constant stress on their legs - hairdressers, pharmacists, teachers, athletes).

in a complex for the treatment of varicose veins;

for the prevention of thrombosis (blockage of a vessel with a blood clot) of the deep veins of the extremities;

for the prevention of thrombophlebitis (complication of varicose veins);

during the recovery period after surgery to remove or harden varicose veins.

with trophic disorders (metabolic, nutritional and gas exchange disorders in tissues);

lymphovenous insufficiency (tissue swelling, chronic congestion, tissue blood supply disorders);

for the treatment of deep vein thrombosis (blockage of the lumen of a vessel);

after deep vein thrombosis (postthrombophlebitic syndrome);

during the recovery period after vein removal operations.

with severe disorders of lymphostasis (lymph outflow);

congenital pathologies of vein formation (phlebodysplasia).

It is not recommended to purchase even preventive knitwear without prior consultation with a specialist.

Contraindications and complications

Compression garments have contraindications; they are strictly not recommended for use when:

1. Atherosclerotic changes in the walls of blood vessels (formation of cholesterol plaques).
2. Obliterating endarteritis (inflammation of the internal walls of the peripheral vessels of the lower extremities).
3. Thrombangiitis (inflammation of the vascular walls with the formation of a blood clot).

All diseases are characterized by narrowing of the lumens of blood vessels (due to cholesterol plaques or inflammation of the vascular wall); increased pressure on the limbs can aggravate metabolic and gas exchange disorders in tissues and cause their necrosis (necrosis).

It is not prohibited, but it is also not recommended to wear compression garments for varicose veins:

4. in case of severe heart failure (additional compression can provoke gas exchange disorders and necrosis);
5. diabetes mellitus (damage to fragile vascular walls, the appearance of hemorrhages and blood clots);
6. any acute inflammatory processes affecting the vascular walls, phlebitis and thrombophlebitis (the inflammatory process narrows the walls of the vessel, disrupting the blood supply to the tissues, increased pressure can provoke oxygen starvation, the appearance of blood clots, ulcers and necrosis);
7. skin diseases, open wounds, purulent tissue infections, allergic skin sensitivity to manufacturing materials (fiber, lycra, cotton, silicone).

Some patients with varicose veins consider atrophy of the smooth muscle muscles of the vascular wall as a complication due to prolonged wearing of knitwear. And they are afraid of its consequences - after removing underwear, the vascular walls under the influence of blood flow may stretch even more.

These are unfounded fears; angiosurgeons and phlebologists claim that the sensation of relaxation of the vascular walls after removing underwear is a natural process, you need to get used to the lack of “support”, at this moment the patient without reason seems to be progressing with a vengeance.

The wrong choice of compression degree, type of knitwear and wearing mode can worsen the condition of the veins and provoke the development of complications (thrombosis, thrombophlebitis, trophic ulcers).

How to put on underwear correctly

There are rules that must be followed when wearing compression stockings:

8. put on underwear in the morning, after sleep, without getting out of bed;
9. feet should be dry;
10. if there is a need to wear knitwear during the day, you need to lie on your back (without a pillow) and raise your legs for 15–10 minutes, placing a cushion under your feet (at an angle of 40° to the body);
11. the stocking or golf is collected by hand into an “accordion” up to the heel;
12. the remaining loose knitted sock is put on the toes;
13. fix the heel (it is located exactly on the anatomical heel, it should not slide or “move” to the left or right);
14. the underwear is distributed evenly along the leg, from the ankle to the thigh;
15. make sure that it does not twist, does not “wrinkle”, or form folds;
16. The upper part of the tights (from the hip to the waist) is put on, raising the pelvis, without getting out of bed.

For knitwear without a toe and heel, special “sliding” socks have been invented to make the process easier. To avoid snagging or deforming the fabric, it is recommended to wear medical gloves when wearing underwear.

How to properly care for knitwear

Good medical knitwear:

17. Must be seamless to ensure uniform pressure on the surface of the skin.
18. It should be hypoallergenic, this allows it to be used in the hot season.
19. A special weaving of cotton, lycra and microfiber threads in different percentages regulates gas exchange and skin temperature, allowing it to “breathe” and not overheat.
20. The shelf life of compression knitwear is from 5 to 7 months; it is not recommended to use it longer, as it loses its properties (stretches).

In order not to throw it away before this date, you need to properly care for it. Not recommended:

21. pull on the underwear, holding on to the silicone strips or elastic bands so as not to damage them;
22. wash in a washing machine and at temperatures above 40° (hand wash only);
23. use washing powder and rinse aids (soap only);
24. squeeze and twist (dry flat, spread out in a horizontal plane, after blotting with a towel);
25. dry in the sun, central heating radiator or near other heating devices;
26. wet the silicone fixing strips on the inside of stockings or socks (it is recommended to wipe them with alcohol).

Compression jersey can be washed daily.

The duration of wearing compression garments is determined by individual indications and doctor’s recommendations:

27. It is recommended to wear prophylactic knitwear throughout pregnancy (removing it at night), and in the initial stages of varicose veins, wear it to work (if it involves stress on the legs), on hiking trips, on an airplane flight, and in other situations that can provoke the development of varicose veins.
28. Medicinal ones are worn exclusively according to the indications and prescription of a doctor. After surgical interventions, the continuous wearing period can range from 2–3 to 30 days. With breaks - up to 4 months or more.

After wearing for a long time, the underwear is removed gradually: first at night, then the time is increased, bringing the breaks to several days, and then removed completely.

Before using compression garments for varicose veins, let’s decide which is better? Domestic and imported manufacturers offer many varieties of preventive and therapeutic knitwear; they are distinguished by minor nuances in manufacturing (special knitting of threads, composition options and percentage differences, antifungal and other impregnation), service life and price.

Is it possible to wear compression underwear during pregnancy and how to choose suitable stockings

In addition to happiness, pregnancy also brings unpleasant surprises - the body is rapidly changing and these changes are not always positive. The risk of developing varicose veins during this period is high, especially in the last months, when the load on the legs increases significantly.

Experts advise wearing special compression underwear for pregnant women with varicose veins; stockings or tights will reduce the risk of venous expansion, and also protect against the feeling of heaviness and swelling. Medical knitwear can be worn not only by those who have already encountered the problem of varicose veins, but also as a preventive measure. So, how to choose the right compression garments for pregnant women and who to turn to for help?

Causes and stages of varicose veins in pregnant women

Varicose veins occur due to stagnation of blood in the legs, when the vessels are too constricted and cannot provide normal blood flow. It is this blood that gradually begins to burst the veins from the inside.

According to the degree of manifestation, varicose veins can be divided into three stages:

29. Stage 1 . During this period, no external symptoms are observed, since the deformation of the blood vessels in the legs is still too small. In the evening, a woman may feel tired in her legs or notice swelling, but by the next morning they have completely subsided.
30. Stage 2. At this stage, the consequences of varicose veins are more noticeable; the pregnant woman experiences leg cramps. Most often this happens at night, and in addition to cramps, throbbing pain and sometimes itching may be felt.
31. Stage 3. The last and most difficult stage, when the veins are so deformed that they are not only noticeable under the skin, but also noticeably protrude above it. In this case, the woman may not experience pain and may not even notice if the vessel bursts.

The main causes of varicose veins in pregnant women are:

32. changes in hormonal levels (which in turn leads to thinning of the walls of blood vessels);
33. increased volume of blood flow, creating additional stress on the veins;
34. increase in weight and, accordingly, load on the legs.

The risk of varicose veins also depends on the individual characteristics of the woman, including genetic predisposition, as well as the general condition of the circulatory system.

Important! In pregnant women, varicose veins can appear not only in the legs; dilation of the veins in the area of ​​the labia and anus is also possible. This requires urgent treatment, otherwise rupture of the vein will lead to very heavy bleeding.

Why do pregnant women need compression garments?

When asked whether it is possible to wear compression stockings during pregnancy, any doctor will answer positively. Therapeutic linen complements the main therapy, or is used for prevention. Knitwear helps relieve swelling and pain, and also affects the condition of the veins:

35. The diameter of the vessels is normalized, which allows the venous valve to work better. Blood circulates better through the veins, and the risk of clots is noticeably reduced.
36. As the veins are compressed, blood flow increases and is better pushed up to the heart.
37. Capillaries quickly absorb extracellular fluid, which usually causes swelling in the legs.

Despite the good preventive and therapeutic effect, compression garments cannot be bought in a regular store, only in an orthopedic salon. Stockings or tights of some compression classes can only be purchased with a doctor’s prescription; only a specialist can correctly select the degree of compression and size in accordance with the individual characteristics of the patient.

Important! Contraindications for compression garments include skin diseases, diabetes, coronary heart disease and atherosclerosis.

How is varicose veins prevented?

Prevention of varicose veins with stockings for pregnant women will be more effective if combined with other methods:

38. It is not advisable for pregnant women to stand or sit for a long time; it is better to spend as much time as possible lying on your side. This takes pressure off the legs and pelvis and distributes blood flow evenly throughout the body.
39. If it is not possible to lie down more often, you need to periodically raise your legs from a sitting position so that the blood does not stagnate in the calves.
40. Compression stockings should be worn during pregnancy and for some time after - 1.5-2 months.
41. Pregnant women with varicose veins need constant physical activity. Regular physical exercise helps normalize blood circulation and keep the body and blood vessels in good shape. The degree of physical activity and the set of exercises must be discussed with your doctor.

Taking into account these simple recommendations, compression stockings during pregnancy will be more effective.

How to choose compression garments?

Therapeutic knitwear for pregnant women should not be too tight or, on the contrary, dangle too freely. The degree of compression should be chosen only by a doctor - a phlebologist or surgeon. This is done taking into account the duration of pregnancy, as well as the presence or absence of contraindications.

Important! Before choosing underwear, it is also necessary to undergo a vein examination to identify possible pathologies.

So, which compression class to choose during pregnancy:

1. First. Such stockings are worn to prevent varicose veins and thrombosis, and for complaints of heaviness in the legs.
2. Second. Such underwear is recommended to be worn by pregnant women who already have varicose veins, nodes in the veins and obvious spider veins on the legs.
3. Third. Prescribed for the most severe forms of varicose veins, as well as after surgery on the legs.

As for the material, it is best to choose products made from natural cotton. These stockings and tights do not have seams, and due to the special weaving of the thread, they will not put too much pressure on the legs and cause discomfort. It is also important that the fabric is breathable and your feet do not sweat.

Ideally, the product packaging should have a special RAL symbol, this means compliance with international quality standards.

The best brands at the moment are:

Prices vary from 400 to 5000 rubles depending on the manufacturer. It is better to choose stockings in the price category from 1,500 rubles - too cheap products, although not inferior in compression quality, wear out too quickly.

If you need to wear not only stockings, but also tights, in addition to correctly selected sizes and materials, the product should have an elastic insert on the stomach.

The stockings themselves can be combined with maternity bands, which will help maintain the stomach in the correct position. This is a good prevention of hernia and back pain, since the bandage allows you to evenly distribute the load on the spine.

How not to make a mistake with sizes

When choosing compression stockings for pregnant women, not only the degree of compression and material are important, but also the size. You can take the necessary measurements at home. In order for compression garments to fit all parameters, you need to measure in centimeters:

4. ankle circumference;
5. circumference of the shin under the knee;
6. hip circumference above the knee (at a height of about 25 cm for women of average height and 30 cm for tall women);
7. leg length from the bottom point to the thigh circumference measurement line or to the groin, in case of choosing tights.

When buying tights, in addition to standard measurements, you need to take measurements from the waist and hips. The resulting dimensions will allow you to choose the underwear of the required size, but it is worth considering that different manufacturers have different sizing charts. It is best to entrust the selection of product size to a consultant in an orthopedic salon.

How to put on and wear therapeutic underwear correctly

The rules for wearing therapeutic knitwear are somewhat different from similar underwear. First of all, you need to know how to wear compression stockings during pregnancy:

8. Stockings need to be pulled on while lying down and always in the morning, without getting out of bed, during the day and evening the legs will already be swollen.
9. The fabric should be evenly distributed over the leg; there is no need to pull the stockings too much or twist them. You need to start with the sock and gradually distribute the material along the entire length.
10. Tights are worn similarly to stockings.

However, it is not always convenient for pregnant women to wear underwear due to their large belly. For such cases, special devices have long been invented that allow you to put on stockings or tights without bending over.

How to wear and care for compression stockings during pregnancy:

11. Compression garments are easy to wear all day, but your legs need to be rested at night.
12. If you need to go to the shower or pool, you need to remove the stockings. After water procedures, they can no longer be worn.
13. After removing the compression product, your feet should be washed and lubricated with skin-nourishing cream.
14. Products can be washed by hand in warm water; instead of powder, it is better to choose baby soap to avoid allergic reactions. Washing should be done daily.

If a hole or abrasion appears on the material, you need to show the product to a specialist. Most likely, you will have to replace the old stockings with new ones.

So, what are the best compression stockings for pregnant women? This issue should be discussed with your doctor. Only after the necessary examinations can you choose the ideal compression garment model.

The choice of a manufacturer depends only on personal preferences and financial capabilities.

Choosing the best compression garments for varicose veins

Varicose veins are a pathological change in the structure of the veins in the legs with a pronounced manifestation of a vascular pattern, relief on the surface of the skin, and trophic ulcers in the final stages of the formation of the disease. In the initial stages, only cosmetic correction of the protruding pattern of the veins of the lower extremities may be required, but subsequent stages of the development of the disease should be fully controlled by the doctor and the patient himself. To prevent the development of varicose veins on the legs, many patients are advised to wear special underwear. Compression garments for varicose veins play a significant role in restoring the structure of damaged blood vessels, help relieve tension in the veins, help stop the progressive disease, and are necessary for playing sports. The better the quality of the product, the higher the therapeutic effect in the treatment of varicose veins. Particular attention should be paid to the materials used for manufacturing, the degree of their wear resistance, allergenicity and the possibility of applying special medicinal solutions, for example when treating with Dimexide. So what kind of shapewear can be called the best and what should you consider before purchasing therapeutic clothing?

Compression garments for varicose veins are an integral part of the treatment of the disease. Products with varying degrees of compression help to target swollen vessels, strengthen the walls of veins, and have a general therapeutic effect. The main category of patients includes:

15. Predisposed to enlarged veins in the legs.
16. Having the first stages of formation (spider veins).
17. Suffering from heaviness in the legs, swelling, pain in the limbs.
18. Having undergone surgery.

Some patients are recommended corrective medical products during sports with a tendency to varicose veins (leggings, leggings, socks, knee pads). Doctors believe that the use of compression clothing helps prevent the risk of sprains and injuries. During the postoperative recovery period, it is better to use high-quality compression products to improve the overall tone of the body.

Mechanisms of action

Just a few years ago, pharmaceutical elastic bandages were used as compression pads for sore legs. They were tied like socks and worn locally on the affected areas of the veins on the legs. Elastic bandages had disadvantages:

19. Requires a lot of time to apply.
20. Unaesthetic appearance of legs.
21. Short service life.

Now the production process is aimed at producing special compression garments for everyday wear with a high therapeutic function against varicose veins. Therapeutic corrective knitwear for varicose veins accelerates the flow of blood flow in the deep veins and helps prevent severe venous stagnation (hence the prominence of veins with bumps).

High-quality compression hosiery helps to smoothly and slowly relieve pressure from the ankle to the thigh, from the hands to the forearm. If the pressure created by compression products for the legs (tights, socks, stockings, leggings or leggings) approaches 100%, then in the upper thigh it varies from 45 to 50%.

Fixing knitwear is designed to maintain natural physiological pressure, which undoubtedly has a powerful therapeutic effect. This type of underwear correctly distributes the pressure exerted on the veins during varicose veins and stimulates the upward flow of blood due to the normal functioning of the valve apparatus. Underwear for varicose veins as an independent method of therapy is not suitable for eliminating advanced leg disease. It is better if the patient begins to wear jersey before the onset of severe venous insufficiency. The therapeutic effects of compression hosiery are carried out in combination with the following methods:

22. Medications (treatment with Dimexide and other local remedies for veins).
23. Physiotherapeutic treatment.
24. Using traditional medicine methods.

The pressure from a compression stocking varies in different parts.

Compression socks, tights, socks, leggings, knee pads and other knitwear for varicose veins should be chosen strictly according to size. It will be better if the patient follows all the doctor’s recommendations, while wearing compression garments for varicose veins, applies all prescribed ointments, creams, solutions (for example, when treating with Dimexide), maintains the correct sleep and wakefulness regime, plays sports and leads a normal lifestyle. It is worth saying that there are numerous options for diet and exercise, and many of them are effective.

Manufacturing materials and types

To sew high-quality compression therapeutic knitwear for varicose veins, elastic knitwear is used from the weave of tight rubber threads. Therapeutic underwear can be made of soft nylon, cotton, elastin in combination with lycra, as well as microfiber, which is better - the doctor will recommend. In appearance, this knitwear resembles everyday knitwear, in addition, it completely lacks any seams. All materials are hypoallergenic and easily breathable, so there is no feeling of diaper rash. The main principle of action of underwear against varicose veins is to distribute pressure and improve blood flow. Medical knitwear for holding veins in the legs is classified into the following types:

25. Preventive knitwear, when the essence of the socks comes down to physiotherapy against the first manifestations of varicose veins of the legs.
26. Therapeutic targeted knitwear, when underwear helps the patient during an exacerbation of varicose veins, during treatment with medications.
27. Hospital knitwear (otherwise, anti-embolic) when rapid recovery is required in the postoperative period.

Post-operative compression garments for varicose veins have a high degree of therapeutic compression, are used only for their intended purpose, and have a better effect on the regulation and distribution of pressure in the veins of the legs.

There is a separate type of underwear for disease prevention.

Contraindications for wearing

If we consider medical compression underwear for varicose veins as a medical method of getting rid of leg disease, then we should treat it as a medicine against diseased veins (for example, treatment with Dimexide). For some patients, wearing medical compression stockings is completely contraindicated, while for others it may be permitted after a thorough diagnosis. Absolute contraindications include:

28. Atherosclerosis.
29. Chronic orthoarteritis.
30. Manifestations of endarteritis.
31. Thromboangiitis obliterans.
32. Arterial diseases of the legs (with systole less than 80 mm Hg).
33. Inflammatory skin diseases of the legs.
34. Diabetes mellitus (including the stage of drug decompensation).
35. Cardiopulmonary failure (tendency to pulmonary edema).
36. Arterial hypertension in renal failure.

Some people believe that medical compression hosiery for varicose veins causes a lack of blood supply in the legs; it is better to do without additional tightening. Doctors tend to consider this thesis a misconception. In the area of ​​the veins under the compression product, the blood supply does not stop, but is slightly reduced. Muscular atrophy in the legs can be caused by other reasons, and the use of corrective clothing can only improve the clinical situation. A temporary deterioration in the patient's general condition can only occur if wear is stopped and there is a sharp return of progressive varicose veins. Many patient reviews describe significant discomfort after discontinuing compression garments. It gets better when the anti-varicose product is put on again.

People with diabetes should not wear compression garments.

Where to choose

The market for medical compression underwear against varicose veins offers a huge range of different models for any figure, size of the lower extremities and clinical situation. Reviews from patients have repeatedly confirmed that choosing compression garments today is quite simple. Among well-known manufacturers, it is better to use the following:

37. Relaxan from Italy. Italian compression underwear is widely used in Russia and abroad. Patient reviews note high quality at an affordable price. The advantage is that anti-varicose jersey can be selected to suit any type of compression and body shape. The downside is low wear resistance. It is better to choose models in the form of tights that successfully withstand long-term compresses with Dimexide.
38. Intex from Russia. It is better suited for strengthening the veins of the lower extremities, namely the ankle joint. Excellent wear, long service life, suitable for treatment together with medications (for example, when treating with Dimexide). An adequate price category makes these products one of the most popular. Reviews from women describe the absence of seams, ease of wearing with severe dilation of the veins, which improves the therapeutic effect. You can choose products to suit any figure. The price for such products varies from 700 to 1500 rubles per unit.
39. Orto from Spain. Stockings and socks against varicose veins are better known. The manufacturer offers the consumer a reasonable price, good quality and preservation of corrective properties for up to 5 months. The downside is the low wear resistance of the products. It is best to wear stockings with 2 degrees of compression. The price varies from 500 to 1200 rubles.
40. Venotex Therapy from America. The company offers a wide range of models, high quality indicators, compliance with Russian quality standards, and low prices. Knitwear has average wear resistance, easy to choose for men and women. In order for the quality of the product to be better and not deteriorate over time, it is important to carry out proper care.
41. Medi and Bauerfeind from Germany. Reviews and comparisons of some patients about fixative underwear allow us to say for sure that there is no better German knitwear. And this seems to be true. High-quality seams, impeccable precision of parts, high wear resistance, easy care and cleaning, along with low cost, allow patients to choose the ideal model. In order to wear clothes with a high degree of compression more conveniently and better, it is recommended to purchase a special device.
42. Sigvaris from Switzerland. The most expensive Swiss quality products are best suited for those who prefer to choose impeccable quality for many years. The beauty of the models, high aesthetic parameters, high corrective properties allow one to achieve good results in treatment (along with the use of various healing solutions, for example compresses with Dimexide). The price of the products reaches 5,000 rubles.

For the best effect in the treatment of varicose veins, complex treatment is used.

Varicose veins of the lower extremities must be treated in combination with various methods. The best medication is treatment with compresses with Dimexide, the use of compression knitted underwear, and physiotherapy. Phlebologists recommend starting to wear shapewear much earlier than the first signs of varicose veins appear, as this is a good prevention of problems with veins in the legs in the future. The better the choice of corrective clothing, the faster the recovery.

Compression garments for varicose veins: which is better and recommendations for choosing

Enlarged veins require increased attention to yourself. The disease is not as terrible as its complications. Compression garments for varicose veins are widely used as a modern method of therapy. Which one is better? Your attending phlebologist will help you figure out how to choose it.

Modern therapy for varicose veins is unthinkable without compression garments for men and women. It is used as prophylaxis, as well as in combination treatment.

The principle of operation of compression garments and indications for use

Compression underwear differs from regular knitwear:

43. Creates pressure at the point of contact with the skin. In this case, physiological pressure is created, which should normally be distributed throughout the lower extremities. The compression created on the legs is not uniform, but decreases from bottom to top. The maximum pressure is on the lower leg, in the knee area the compression is reduced by 1.5 times, on the thigh – by 2 times, in the groin area there is practically no compression;
44. Forms a framework that is able to maintain the elasticity of the veins at an optimal level. Thanks to the pressure created, the veins narrow, the blood flows in one direction, which reduces swelling and pain in the legs;
45. Provides normalization of the venous system , preventing stagnation of venous blood in the legs.

The use of the best compression hosiery should begin at the first signs of varicose veins after consulting a specialist:

• feeling of heaviness in the legs;
• swelling;
• painful sensations;
• spider veins.

If the diagnosis of varicose veins is confirmed, wearing compression garments is combined with drug therapy.

Indications for the use of compression hosiery include:

• Varicose veins;
• rehabilitation period after vein surgery;
• any type of work that causes blood stagnation;
• overweight and obesity;
• period of pregnancy and childbirth;
• air travel and long trips.

Types of underwear for the treatment of varicose veins

Among all types of the best anti-varicose compression garments, the most often chosen are:

• Tights . Refers to the most convenient type of compression. At the same time, it is important to choose the right size so that the tights fit your legs tightly without creating unpleasant sensations, and end strictly at the waist. Easy to take off, putting them on may be inconvenient. You can learn more about all the features of tights from this article.
• Stockings . Suitable for pregnant women and people with affected veins no higher than the knees. They are discussed in detail here.
• Knee socks . The ideal compression garment for men. A detailed article about them is located at this link.
• Gaiters . More durable as they are not worn on the feet. Can be used for small affected areas.
• Elastic bandages . The most budget option, however, it is necessary to accurately calculate the pressure exerted on the limbs. The information here will help with this.
• Sleeves . Used for the prevention and treatment of varicose veins on the upper extremities.

Classification of therapeutic knitwear

The basic principle for choosing compression hosiery for varicose veins is the compression class, which indicates the distribution of pressure across the limbs. When purchasing underwear for varicose veins, you need to look at the pressure indicated in mmHg. By class, compression knitwear is divided into 5 groups, among which there are 4 compression classes:

Group 1 – preventive . The pressure exerted is 15 – 18 mm Hg. Indications for use include:

• family history of varicose veins;
• obesity;
• pregnancy period;
• taking COCs;
• work associated with blood stagnation;
• air travel, long trips.

Group 2 – compression class 1. The pressure exerted is 18 – 22 mm Hg. Among the indications are:

• initial signs of varicose veins in the form of a feeling of heaviness in the legs, pain, swelling, spider veins;
• period of pregnancy and childbirth in the initial stages of varicose veins;
• phlebopathy of a functional nature;
• prevention of deep vein varicose veins.

Group 3 – compression class 2. The pressure exerted is 23 – 32 mm Hg. Compression hosiery of compression class 2 is used for:

• chronic venous insufficiency, accompanied by dilation of superficial veins;
• swelling in the legs;
• pronounced varicose veins;
• rehabilitation period after vein removal;
• prevention of deep vein thrombosis.

Group 4 – compression class 3. The pressure exerted is 34 – 40 mm Hg. Indications for use are:

• chronic venous insufficiency;
• severe swelling of the lower extremities;
• chronic deep vein thrombophlebitis;
• insufficiency of the lymphovenous system;
• rehabilitation period after surgical treatment of varicose veins.

Group 5 – compression class 4. The pressure exerted is more than 50 mmHg. Applicable for:

Preventive compression underwear for men and women can be purchased freely at pharmacies, but a doctor’s prescription is required for therapeutic ones.

How to choose compression hosiery for varicose veins: review of the best models and their prices

Compression hosiery for varicose veins: how to choose - the first condition for proper therapy. The rules for selecting the best compression garments for varicose veins are simple:

• strict adherence to the compression class prescribed by the attending physician;
• when choosing the type of product, remember the localization of the site of vein damage ;
• seams on knitwear should not be convex;
• preference should be given to certified pharmacological companies ; purchases should be made in pharmacies or specialized stores;
• pay special attention when choosing knitwear for pregnant women ;
• the finished medical product must have a quality standard of RAL-GZ 387 ;
• underwear must be hypoallergenic and contain the Oeko-Tex Standard 10 mark ;
• The degree of compression is always indicated in mmHg . Any other markings are a sign of counterfeit.

Among the manufacturers producing compression hosiery, the following have gained the most popularity:

• Relaxsan tights and stockings , offered by an Italian manufacturer. The prices are relatively low with a good therapeutic effect achieved. The highest price for finished products is up to 1200 rubles. Models come in various designs, but they are not durable. The compression effect lasts up to 1 month.
• Compression underwear Intex . The Russian company offers a wide selection of medical products for varicose veins at prices ranging from 800 to 1300 rubles. At the same time, the products are wear-resistant;
• ORTO compression jersey . The Spanish manufacturer offers the best quality products from 400 to 700 rubles. The compression effect lasts up to 4 months, but the underwear is subject to rapid wear on the toes and heels.
• VenoteksTherapy products manufactured in the USA. It is one of the most popular products. Good value for money. Prices vary from 650 rubles for preventive knitwear and from 1600 for therapeutic ones.
• Lingerie from Medi and Bauerfeind . Produced in Germany. It has good wear resistance. Prices start from 1300 rubles. To put on underwear of 2 or more compression classes, a special device is required.
• Sigvaris tights, stockings and knee socks . It is one of the most expensive anti-varicose products, produced in Switzerland. Prices from 2500 to 4500 rubles. Underwear with high wear resistance and high-quality compression.

Selecting the size of compression garments

In order to achieve the maximum effect from wearing compression hosiery, it is necessary to choose the correct size of the product.

Different manufacturers may have different product sizes, so be sure to check each seller's sizing charts before purchasing.

Measurements should be taken in the morning after sleep so that the legs are free of swelling. The top edge of the underwear should be 5–10 cm above the level of the lesion. To take measurements you will need a measuring tape.

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