I had a sclerotherapy treatment, but instead of being prescribed compression stockings, my doctor advised me to use an elastic bandage. Is the bandage just as effective as compression stockings?
Yes, you can wear elastic bandages instead of compression stockings.
Published on Jul 11, 2012
Bandages can be a very effective method of compression, but require experience to apply properly. Additionally, they often lose their tightness quickly. Most physicians use graduated stockings for simplicity and consistency.
Published on Jul 11, 2012
Yes, that is an acceptable alternative to compression stocking.
Published on Jul 11, 2012
No, elastic bandage will not suffice. Compression stockings provide the pressure and support needed after vein treatment of this kind.
Published on Jul 11, 2012
The elastic bandage will only be as effective as compression stockings if they provide the same even compression as the hose (typically 30-40mmHg). If not, then I would say to use the compression stocking after sclerotherapy since it is a liquid. Without proper compression, the liquid will easily be washed out of the vein, rendering treatment ineffective.
Published on Jul 11, 2012
Yes, for the purposes of post-procedural compression of the treated leg, there is no difference between the elastic hose and compression stockings.
Published on Jul 11, 2012
Elastic bandage is acceptable as long as you can apply it with gradient pressure (tighter below and less tight as you gradually ascend up the leg). This is difficult to do and requires some training and expertise. A stocking does this more easily. An inelastic wrap is sometimes applied immediately after sclerotherapy, but is changed to a stocking later. Also, beware that failure to compress the foot will result in foot swelling. Wraps on the foot are cumbersome and uncomfortable.
Published on Jul 11, 2012
The elastic bandage may not be as effective as compression stockings. Address these concerns with your treating physician and ask him/her about the pros and cons of each.
Published on Jul 11, 2012
Elastic bandages can be effective if applied correctly. We typically use a sheet compression hose for our patients comfort as bandages tend to slip and unravel.
Published on Jul 11, 2012
Ace bandages are not a measured, graded form of compression. Unlike compression stockings, which are "medium stretch" bandages, ace wraps are "short stretch" bandages. If you have had sclerotherapy, you should use the correct grade of stocking (20- 30 mmHg or 30- 40mmHg).
Published on Jul 11, 2012
Compression stockings are a better form of compression since they are more uniform. However, I frequently use ace wraps, especially since I use post-sclerotherapy compression for only 48 hours and many patients would rather wear the ace wraps rather than stockings.
Published on Jul 11, 2012