My 30-40 mmHg strength thigh-high compression stockings roll down at the thigh and cause intense discomfort (like a tourniquet). The discomfort occurred repeatedly for 1.5 weeks and now I am having right calf pain. Could the rolling at the upper thigh level have caused a deep vein thrombosis (DVT)?
Stockings rely on elastic to maintain compression and to stay in place. Like an elastic (think rubber band) over time, it loses its recoil and can become loose. It might be time for a new stocking, or you may need to be remeasured for a different size stocking.
Published on Jul 11, 2012
It's unlikely for compression stockings to cause a clot to develop but it is possible. I'd recommend you get checked out by a vein specialist.
Published on Jul 11, 2012
Although I've never seen such a case, it is theoretically possible to develop a clot if the stocking bunches up enough to create a tourniquet effect.
Published on Jul 11, 2012
If fitted and measured correctly, compression stockings shouldn't roll down. Occasionally, due to body shape, this can happen. Our patients use a special adhesive to keep them up. You need to be evaluated immediately, including an ultrasound examination to rule out DVT. Anytime blood is unable to flow there is increased risk of clotting.
Published on Jul 11, 2012
I have never heard of this and could find no literature suggesting it. I think your pain is due to something else. You should see your doctor and get an ultrasound. That will answer your question.
Published on Jul 11, 2012
Poorly fitting hose can be very aggravating for patients. Blood clots can form for many reasons (with or without vein treatment), and they can form with or without poorly fitting hose. If pain and/or swelling is present, see your doctor immediately and get an ultrasound to make sure no clot has developed.
Published on Jul 11, 2012
I do not think so. I would recommend you follow up with your doctor.
Published on Jul 11, 2012
It is unlikely that the compression stockings will cause a DVT, unless they fit very poorly. Get refitted.
Published on Jul 11, 2012
Compression stockings can roll down and act as a tourniquet. If the excess pressure and resulting pain are sustained for a lengthy period of time, it can contribute to the development of a deep vein thrombosis (DVT). You should be examined and, if necessary, undergo a Doppler ultrasound to rule out deep (or superficial) thrombosis.
Published on Jul 11, 2012
Yes, it is possible.
Published on Jul 11, 2012
Sounds like they are not fitting properly, but it would be unusual for compression stockings to be so constrictive that they cause deep vein thrombosis.
Published on Jul 11, 2012
The most common complaint that I see is from compression stockings not fitting properly. If compression stockings are too tight and are acting as a tourniquet, they have the potential to cause a clot to form. Tight stockings alone are uncomfortable but should not form a clot. If the stockings do not fit properly, I would recommend that you get proper fitting stockings. 30 to 40 mmHg compression is, in general, too tight for most people. You may want to try 20 to 30 mmHg. Also, you should follow up with your physician to see if a venous ultrasound is indicated.
Published on Jul 11, 2012
Depending on the circumstances and the patient, it is possible to make the circulation in the leg veins worse if the compression stockings are not fitting properly. By your description, I would certainly be concerned about having a clot in the calf veins. Make sure to have it checked ASAP.
Published on Jul 11, 2012