Compression Therapy 101

Compression is a commonly used type of therapy which provides relief to those who suffer from various circulation issues, including chronic venous disorders, such as thrombosis and edema. Designed to apply gradient pressure, compression stockings are a specialized hosiery that will help increase circulation and prevent blood clots. Compression stockings fit tightest at the ankles and the compression gradually reduces towards the knees and thighs. This design forces better circulation in the narrow veins which results in less swelling, more blood returning to the heart and less blood pooling in the feet. Benefits of wearing compression garments may include:

• Improve venous blood circulation
• Decrease the risk of blood clots
• Decrease swelling
• Prevent venous blood from pooling in the legs

Proper fit is crucial to ensure successful compression therapy. There are several levels of compression available providing gradient levels of compression throughout the sock, so it is best to be measured by a professional or your doctor. The compression types are as follows: 8 – 15 mmHg:  very mild level of compression 15 – 20 mmHg:  moderate level 20 – 30 mmHg:  popular for those who travel or on their feet much of the day 30 – 40 mmHg:  offers high level of compression and is commonly used after surgery In addition to compression stockings, TEDs (anti-embolism stockings) are an option. TEDs are typically used with bed bound (non-ambulatory) patients. Where compression hosiery offers a gradient compression throughout the leg, TEDs garments administer pressure on the lower legs and feet with most of the compression at the calf. TEDs garments are designed to prevent blood clots from developing in those who are not up moving around on their own. To help keep the two types straight, remember ‘TEDs are for bed’. Liberty Oxygen and Medical Equipment carries a variety of brands and styles to fit your needs and has certified fitters at all eight Twin Cities locations. Our fitters will assist you in selecting your stockings, donning, proper compression, style, fabric and color. Our certified fitters are knowledgeable in compression therapy, the equipment commonly used, and will provide tips and demonstration to help put the garments on. Due to the actual compression and the thick material the stockings are made of, it can be difficult to put them on. This difficulty is one of the most common reasons for failed compression therapy. There are several ways to successfully put on compression stockings, including:

• Turn the sock inside out and, starting at the toes, inch the sock up the leg
• Use rubber gloves to obtain a better grip on the stocking and helps to avoid snags
• Use a rigid sock aid
• Use a stocking donner

It is helpful to put your stockings on first thing in the morning, before any leg swelling has occurred. It is important to ensure the stocking is pulled up evenly without bunching up which causes ineffective compression. The use of a stocking donner is also very helpful, especially if there is a loss of hand strength, an inability to bend over or other dexterity issues. Take a moment to watch this video showing step-by-step instructions on how to use a stocking donner. The compression world has changed quite a bit over the years. Grandma’s rubber compression hosiery is actually fashionable now! Manufacturers have revolutionized the compression garments and offer a wide variety of stylish fabrics (including sheer), colors and styles. At Liberty Oxygen and Medical Equipment, our trained fitters can show you the wide variety of options, assist with correct size and type, donning, as well as proper care and use. All eight Liberty Oxygen and Medical Equipment locations throughout the Minneapolis and St. Paul metro area have trained fitters ready to measure your legs and offer a personal fitting specific to your health needs. Stop in today and let our trained fitters bring your compression wear to the next level.