SIGVARIS MEDICAL COMPRESSION SOCKS and STOCKINGS
Questions & Answers
Sigvaris Graduated Support Socks and Stockings are medically tested
and proven the world
over and are worn by millions. They have been developed with the
latest medical and scientific knowledge. These proven medical aids
are available in a wide range of styles, in different classes of
compression and in many models and sizes. They are comfortable,
fashionable and have no unsightly seams. They are coved by most
major medial insurance companies if prescribed by our physician
for a proven medial condition.
What are Compression Socks and Stockings?
Compression Socks and Stockings are specially constructed hose
which provides the leg with varying degrees of external .pressure.
Definition of Compression Therapy
Compression therapy is the mechanical treatment of venous and
lymphatic problems using pressure provided by an elastic bandage,
medical compression stockings, socks, and arm-sleeves. It is
the basic treatment for chronic venous insufficiency and lymphedema.
Treatment of venous problems depends on the severity of the condition.
Minor symptoms respond to changes in lifestyle, while more serious
conditions may require medication or surgery.
It is important to talk to your doctor about your symptoms and
treatment options. Wearing SIGVARIS® medical compression hosiery
provides support for the veins and muscles of the legs. Compression
is graduated, strongest at the ankle with decreasing compression
up the leg. This design compresses dilated veins to help move blood
up the legs and back to the heart.
How are they Constructed?
Sigvaris medical stockings are specially constructed. Their pressure
configuration is such that the greatest pressure is exerted on
the ankle region. The compression decreases gradually in the direction
of the knee and the thigh. Our physician will determine the degree
of the compression of the stocking according to whether the pressure
on the leg should be mild, moderate or strong.
What Medical Conditions would benefit from the use of Compression Socks
and Stockings?
Our physician may prescribe medical stockings for any of the
venous diseases of the leg. These include, varicose veins, spider
veins, venous stasis ulcers and phlebitis. They may also be used
to reduce swelling and aching in the legs from other medical
conditions. They are prescribed if other treatment of venous
disease is not possible either temporarily or permanently and
also used to help arrest or slow the deterioration of an existing
condition.
Varicose Veins
If the blood in the veins of the legs does not move efficiently
back to the heart, it begins to pool in the veins. When this happens,
the pressure within these vessels rises, causing vein walls to
weaken and stretch or distend. As more and more blood pools, distention
prevents the valves in the veins from coming together properly.
Under normal conditions, these valves would open to allow blood
to flow up the leg, and then close to prevent blood from flowing
back down the leg vein. When the vein is distended and the valves
cannot close properly, blood flows backward, which increases blood
pressure in the vein even
more.
At this point, varicose veins can be the unfortunate result.
Varicose veins are visibly enlarged veins that are often bluish
in color and may appear twisted. They can be painful, or they may
cause no discomfort at all. If the deeper veins in the legs are
healthy, varicose veins may only be a cosmetic problem. However,
a person with varicose veins has a greater chance of developing
phlebitis (inflammation of a vein), thrombophlebitis (inflammation
of a vein with a blood clot), or a deep vein thrombosis (blood
clot in a deep vein that can break away, lodge in the lungs, and
become life threatening).
Phlebitis/Thrombophlebitis
Phlebitis is the inflammation
of a vein wall, and is the most common problem associated
with varicose veins.
Thrombophlebitis is a blood
clot in a superficial (surface) vein that can be caused
by irritation or injury to the vein in the area of
the clot. Symptoms are similiar to, but more severe
than those associated with phlebitis.
Symptoms of Phlebitis
- Swelling, redness and heat in the irritated area
- Superficial (surface) veins more noticeable
- Pain or discomfort over the involved area
Lymphedema
Fluid from body tissues, known as lymph, enters lymphatic vessels
and travels to lymph nodes where it is filtered of bacteria before
reentering the bloodstream.
Lymphedema is the accumulations of lymph fluid, usually in the
extremities, due to failure of the lymphatic system to properly
drain fluid from the body's tissues. There are two types of lymphedema:
primary lymphedema which is inherited and secondary lymphedema
which is a result of trauma to the body such as surgery, radiation
therapy, injury, infection, or an inflammatory condition. Lymphedema
may also be caused by parasitic infections (filariasis) - a condition
that is found mainly in the tropics.
Treatment for Lymphedema
Presently, there is no cure for lymphedema, but the condition can
be contained. The most widely accepted treatment for lymphedema,
a complex physical decongestive therapy (CPDT), involves four steps:
-
Manual lymph drainage (MLD) - daily
massage and physiotherapy to improve lymph drainage
-
Compression therapy - wrapping
the limbs after each MLD session with compression bandages
-
Once maximal reduction has been
achieved, a custom-made or ready-to-wear compression
garment is worn.
-
Skin care and exercises. Patient
is required to wear the compression garment for the
rest of her/his life.
Lymphedema patients are usually encouraged to maintain good
skin integrity and to walk often. SIGVARIS® graduated medical
compression stockings and armsleeves play a vital role in maintenance
therapy for lymphedema.
Chronic Venous Insufficiency
Chronic venous insufficiency or CVI is a condition in which the
venous system remains in a constant state of congestion, and ineffective
venous circulation becomes an ongoing health problem. CVI progresses
to recurring skin problems and leg ulcers.
Symptoms of CVI
- Edema or swelling
- Feeling of heaviness in the legs
- Pain or cramps in the calves
- Uncomfortable puffiness of the feet and ankles that subside
during the night
- Skin discolorations
- Dermatitis or skin problems
- Dry or weeping eczema
- Venous leg ulcer
The characteristic symptom of CVI is edema or swelling, but edema
can also be a symptom of other medical disorders, such as congestive
heart failure. Your doctor can determine the cause of edema and
the most appropriate treatment.
What else are Compression Socks and Stockings used for?
Many people wear Sigvaris products whenever their legs are inactive
and restricted in movement for along period of time such as when
they are traveling. By exerting pressure on the legs they reduce
swelling and thus aching and are thought to reduce the incidence
of Travel Thrombosis (blood clots which can migrate to the lungs
and can cause illness and even death).
Deep Vein Thrombosis
Deep vein thrombosis of DVT is a blood clot in one of the deep
veins, which can have life-threatening consequences. A DVT can
become dislodged and flow through the bloodstream and lodge in
the lungs. This is called a pulmonary embolism and it has the potential
to cause death.
Risk Factors for DVT
Any condition that thickens the blood or causes the blood flow
to slow down is a risk factor for DVT. Risk factors include:
- Immobility
- Long-distance travel with cramped seating
- Dehydration
- Existing varicose veins or previous DVT's
- Increasing age over 40
- Pregnant or recently pregnant
- Hormone medication
- Obesity
- Recent surgery
- Smoking
Symptoms of DVT
- Pain and tenderness in one leg
- Swelling in one leg
- Increased warmth and redness in one leg
- Shortness of breath
- Pain in the chest
DVT's can also occur with no symptoms.
Indications
Compression Therapy
Pressure on the ankle is defined according to pressure classes,
increasing from Class I to Class IV.
SIGVARIS CLASS I
Light Compression:
- symptoms of venous diseases
- in the legs
- beginning of varicosis
- prophylaxis of thrombosis
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SIGVARIS CLASS II
Moderate Compression:
- moderate chronic venous insufficiency
- edema in the evening
- after sclerotherapy, phlebectomy or after stripping
- varicosis, varicosis due to pregnancy
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SIGVARIS CLASS III
Strong Compression:
- pronounced chronic venous insufficiency
- deep and superficial venous thrombosis
- post-thrombosis syndrome
- before-and after-stripping
- post-traumatic oedema
- phlebectomy, sclerotherapy
- profound recent thrombosis
- reversible lymphoedema
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SIGVARIS CLASS IV
Extra Strong Compression:
- pronounced chronic venous insufficiency
- leg ulcers
- severe post-thrombosis syndrome
- irreversible lymphoedema
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