I have a patient who needs TED stockings post-hip replacement surgery, but she has very, very sensitive skin. Any type of textile causes redness and itching. Do you know of any alternatives?
The use of TED stockings post-orthopaedic procedures is to prevent deep vein thrombosis (DVT) formation. That being said, compression stockings have only been shown to minimize DVT risk post-surgical procedure, but only while the patient is laying down. Once the patient is standing and walking, the DVT prevention of the stockings goes away. If the patient is looking for an alternative, have them walk frequently and get mobile. A low dose blood thinner is also a consideration. That is a decision the surgeon would need to make.
Published on Jul 11, 2012
Check with Sigvaris. They sell a variety of stockings and may be able to recommend a pair that are specially designed to meet the needs of patients with sensitive skin.
Published on Jul 11, 2012
Great question and a difficult one. I have found, in my experience, that a good quality medical grade compression stocking (for example Bauerfeind, Sigvaris) may work. Look for those without latex. TED hose are essentially a disposable product and don't necessarily fit the above criteria. I would recommend that the patient avoid any fragranced soaps, lotions, and laundry soaps. Using anything like this under hose can cause irritation. The patient should use a neutral lotion without any Vaseline and allow the product to thoroughly soak in before applying the hose. I often recommend Aveeno for sensitive skin. Hose can be drying, so this could help if done twice a day. Also, it may be beneficial if the patient is placed in a 15-20mmHg thigh length stocking. However, this is subclinical; 20-30 mmHg would be better. Still, the latter depends upon the patient's age and whether he/she can manage them. If these measures do not work, an Ace wrap could be a great alternative.
Published on Jul 11, 2012
There are latex-free compression stockings made of hypoallergenic Lycra fibers. Another alternative may be a Coban self-adherent wrap or a segmental compression pump.
Published on Jul 11, 2012
Sigvaris makes a cotton stocking that works better for patients with sensitive skin.
Published on Jul 11, 2012
Compression wraps/bandages may be an alternative to TED stockings.
Published on Jul 11, 2012
Can't she take Xarelto and discontinue the use of stockings all together?
Published on Jul 11, 2012