So what to do with these terrible compression stockings?

An interesting article from the last issue of “Phlebology” summing up current knowledge about compression therapy – probably the most “uncomfortable” part of the venous treatment.

The key points are as follows:

  • Robust evidence was found for prevention and treatment of venous leg ulcers.
  • Recommendations for stocking-use after great saphenous vein interventions were limited to the first postin terventional week.
  • No randomised clinical trials are available that document a prophylactic effect of medical compression stockings on the progression of chronic venous disease (CVD) – in another words interventional treatment like laser ablation or glue occlusion are more effective.
  • In acute deep vein thrombosis, immediate compression is recommended to reduce pain and swelling.
  • Despite conflicting results from a recent study to prevent post-thrombotic syndrome, medical compression stockings are still recommended.
  • In thromboprophylaxis, the role of stockings in addition to anticoagulation is limited.
  • For the maintenance phase of lymphoedema management, compression stockings are the most important intervention.

The whole article can be read here: http://journals.sagepub.com/doi/full/10.1177/0268355516689631#articleShareContainer