Update: December 2018
To maintain physiologically correct pressure in the lower
limbs, in the treatment and prevention of varicose veins
varicose veins, widely used today
In the medical literature, such special underwear is also called
medical knitwear, antivaricose, compression underwear
or therapeutic compression hosiery.
These are hosiery products that are recommended by a doctor phlebologists.
as a treatment and prevention of various blood circulation problems
leg vessels. Mainly use compression underwear when
varicose vein, thrombosis, trophic epithelializing
язвах, тромбофлебитах, лимфедемах.
- The therapeutic effect of compression underwear due to the effect
maintaining, squeezing the dilated vein, which contributes to
redistribution of blood flow from modified, expanded
veins to healthy
- It improves tissue nutrition, increases blood circulation.
- Most importantly, such knitwear with proper use and
properly sized, reduces the risk of
- And that is also important, in the absence of contraindications
compression garments to use it, no side effects
it happens, it is a safe and simple method of preventing varicose veins,
maintaining veins in a natural, physiological state.
The therapeutic effect of compression tights with varicose veins?
Earlier, to large-scale production of high-quality medical
underwear, elastic bandages were widely used, the use of which
has several disadvantages:
- firstly, they should be very properly applied each time,
which does not always work and takes a lot of time
- secondly, the appearance of bandages does not allow them to be worn, for example,
- thirdly, the low price of them is deceptive because
bandages very quickly become useless, which negates the whole
What is the effect of the use of medical treatment
knitwear? When squeezing the dilated veins, compression underwear
with varicose veins, it accelerates blood flow through deep veins,
thereby eliminating venous stasis (more about the mechanism
the occurrence of varicose veins). And high-quality modern
compression knit provides for a graduated, that is
gradual reduction of pressure from the shin to the thigh, or from the hands
up to the shoulder.
For example, in the lower leg, the pressure that is created
compression stockings or tights – maximum 100%, and at the top
part of the thigh is 40%. This is the most expedient and
physiologically conditioned pressure change, which is
has a healing effect. This mode of pressure distribution on
veins stimulates and normalizes blood flow up due to:
- improvement and normalization of the valve apparatus
- reduce the extended peripheral lumen, especially
saphenous vein thigh and lower leg
- increase the effect of muscle pump – with muscle contraction from
физической нагрузки, кровь выталкивается up.
it should be remembered that the treatment of compression underwear with varicose veins is not
eliminates the deep causes of venous insufficiency, and
use to radical, surgical treatment. This knitwear
imitates the situation – that the dilated veins are stuck or removed.
In addition, non-surgical conservative treatment of diseases
feet should be comprehensive. The maximum effect can be obtained
if you use creams recommended by your doctor, ointment
healthy lifestyle, wear compression socks daily or
tights, and use folk remedies to treat
varicose veins (see treatment of varicose veins).
Contraindications for the use of compression
As with any treatment, every remedy or medicine
There are a number of contraindications, and medical medical knitwear does not
is an exception. One people absolutely can not use
compression underwear, others should use it with caution
after a thorough diagnosis and consultation with a doctor. With
the occurrence of relative contraindications should
consult a dermatologist, cardiologist, endocrinologist.
- Such underwear atherosclerosis is absolutely contraindicated,
thromboangiitis obliterans, endoarteritis, orthoarteritis. With
such chronic diseases of the arteries of the legs, leading to a decrease in
lumen of vessels and systolic blood pressure less than 80
mm Hg Art. it is absolutely impossible to reduce the pressure in the lower
конечностях с помощью медицинского knitwear.
- Use caution should use medical knitwear for people with
overly sensitive skin.
- It is not advisable to use compression underwear for inflammatory
skin diseases, allergic reactions on the skin, with various
dermatitis, with bedsores, open wounds, acute thrombophlebitis and
- Relative contraindication is diabetes,
as with the defeat of the vessels of the legs due to diabetes, also
нельзя использовать такое underwear.
- With септическом флебите и серьезной сердечно-легочной
failure when the violation blood circulation occurs at rest –
also can not use compression knitwear.
Many fear to start wearing compression garments because of
the fact that there is an opinion that knitwear provokes the development
atrophy of the muscle layer of the walls of the veins, and when they stop
use may have the opposite negative effect
– when the venous wall will not be able to counteract the lumen
blood pressure vessel. Therefore, due to the atrophy of the vein walls,
existing varicose veins will progress even more.
Unfortunately, to conduct clinical studies on each vein,
prone to compression is impossible, but phlebologists believe that
This opinion is wrong, because:
- The patient cannot wear compression underwear around the clock.
- In the veins subjected to compression, the flow of blood decreases, and
does not stop at all.
- Muscular wall atrophy most often occurs when genetic
location and local specific inflammatory process in
venous stasis and vein filling. And this all decreases when
- This can only happen in the initial sensations.
patients when use of linen is stopped. In this case
temporary deterioration and well-being occurs on
some time, which is not due to atrophy and progression
varicose veins, and a temporary decrease in the tone of the venous wall.
- Responses and feelings of patients at the end of use
underwear for varicose veins – most difficult to get used to
start walking after using compression knitwear.
Many argue that when using a medical product, the legs
become like light and many do not want to give up
The opinion of British scientists – whether really helps
compression knit for varicose veins?
How to choose compression underwear
Medical compression underwear, knitwear is divided into:
hospital, which is used only in hospitals,
prophylactic and therapeutic. We will look at classes in detail.
compression therapeutic antivaricose compression hosiery,
how to choose compression garments, how to dress and how to them
The most important point is to buy compression stockings, tights,
Socks should be exclusively in specialized, orthopedic
showrooms or dealers of famous brands. In them trained
the staff knows how to accurately match the laundry size because
incorrectly chosen size can turn the treatment into absolutely
not effective. In a special store, the seller will measure the foot in 4
places and selects the size of tights or stockings for special
There are 4 degrees of compression:
- 18-21 mm. Hg Art. 1 класс компрессии — это
prophylactic compression, which can and even need to constantly
- prone to varicose veins
- pregnant women
- Persons with initial signs of varicose veins, when strongly allocated
veins under the skin if after prolonged sitting or standing
leg pains occur if spider veins are pronounced and
swelling of the feet and ankles at the end of the day.
- healthy people whose lifestyle and work is long
to sit or stand – office workers, drivers, hairdressers,
- 23 – 32 mm. Hg Art. 2 класс компрессии— это
the best, most popular class that is used to treat
thrombophlebitis and varicose veins.
- 34 – 46 mm. Hg Art. 3 класс компрессии —
used in trophic disorders and in severe venous
- 49 и больше 4 класс компрессии — используется
extremely rarely, with lymphatic edema.
Those who for the first time selects antivaricose knitwear for themselves
you should immediately buy expensive underwear 2 degrees of compression, perhaps
that your vascular system cannot sustain it. When you
for a while, walk around in not expensive underwear, get used to it, if you
it will be comfortable in it, you can then pick up and better and
expensive compression underwear.
For prevention, of course, you should use only underwear 1
compression class, and already with the development of varicose veins, the compression class
determines phlebologist. Compression underwear can not cure
varicose veins, since the causes of its appearance are very deep and external
by exposure it can only be suspended, not allowed to develop
further, that is, the compression tights for varicose veins is intended
prevent the emergence of new varicose wreaths. In the summer, of course,
knitwear can not be worn, so in the warm season
take medication by mouth or use other
methods of treatment.
You should also be aware that any compression garment holds
compression is no more than 5-7 months.
Some women’s reviews about the quality of compensating underwear
various manufacturers – Sigvaris knitwear, average prices for
which, within 4500 rubles, is almost no different from Copper,
which costs about 2500 rubles. Also good enough
quality underwear made in Germany Ortho and Venoteks, prices
which is quite acceptable 1000-1500 rubles.
What to look for when buying and how to avoid
For therapeutic compression underwear from varicose veins exist
quality standards, one of the most significant and stringent –
European standard RAL-GZ-387. In order that the manufacturer could
use the logo of this standard, it should go through strict
certification in Germany or Switzerland. If the laundry has such
certificate, it means really high quality, creates
distributed pressure of 40-70-100% and is therapeutic, about this
standard can be found in the packaging and label on the product.
It should be very carefully choose the manufacturer, because
Russian wild market a lot of fakes, so it’s best to buy
compression stockings or compression tights or in stores
dealers, or in specialized stores where experts accurately
will select a suitable model by your standards.
Since such knitwear should be worn every day, it should
to be hypoallergenic, in order to determine this, on the purchased
product must be a sign of the European environmental standard
Security Oeko-Tex Standard 10.
Are there features when putting on compression stockings,
You should know that even the second class of compression knitwear,
which is considered the most common, sometimes is for
patient “not able to”:
- Often this is due to the inconvenience and difficulty of donning
linen on the legs. The peculiarity of such knitwear is that
dress like children’s tights, gathering in an accordion and then pull
up. And stockings, and tights should be worn gradually, straightening
on the foot. If a person has a big belly, and tie
the shoelace is already a problem, then the underwear will also be worn
- For ease of fitting, many use special
devices offered in the same stores. And also gloves
which must be worn, they can be
household and medical, because expensive clothes can
spoil manicure and slip underwear will be better if your hands in
- Naturally, toenails should be trimmed, processed
nail file, there should be no corns, roughness, otherwise linen
quickly breaks or there will be a mass of puffs.
- It is also important that the feet are dry and the underwear is also worn.
knitwear should be in the morning when the legs are not swollen and
- Particularly difficult to wear products of class 3 compression is big
work, and if the patient believes his phlebologist and is sure that he
such treatment is necessary, then you should be patient, otherwise
You should not start treatment with this class. Usually recommended
Compression 3 and 4 class wear with the help of a special
How to care for compression underwear?
- It is best to have 2 pairs of compression tights, because
it should be washed every day – it is necessary to get rid of
the smallest specks, dust, skin particles, as they are capable
damage linen fibers faster than detergents.
- It should be washed only with hands with baby soap, as in
washing machines can not be washed. Wash water temperature
should not be higher than 40 ° C, also can not be ironed and bleached
- Any rinse and conditioners have a damaging effect on
structure, so they should also not be used when
- Drying clothes should be in straightened form on the horizontal
surface, in any case, not squeeze twisting, but only
gently gently pressed into the towel. You can not dry knitwear on
battery, on a conventional dryer in an upright position, as well as on
open sun or using a hair dryer.
- You should also be careful with silicone strips on
stockings, they quickly lose their fixing properties
after contact with water, try not to wet them when washing, but
wipe with an alcohol wipe.