compression stockings for POTS

Compression Stockings . 6 answers . 2 years ago

I am diagnosed with POTS (dysautonomia). What would be the proper compression? I am 106lb and think that 15-20 compression (recommended) is too low, since stockings do not stretch as they would on a heavier person. Is it safe to switch to 20-30?

ANSWERS


2 years ago by General Vascular Surgery Group (View Profile)

Should not be a problem using the tighter stockings, as long as your arterial circulation is normal in the legs.

2 years ago by General Vascular Surgery Group (View Profile)

Should not be a problem using the tighter stockings, as long as your arterial circulation is normal in the legs.


2 years ago by Bella MD Laser Vein and Aesthetic Center (View Profile)

Yes.

2 years ago by Bella MD Laser Vein and Aesthetic Center (View Profile)

Yes.


2 years ago by Vein Specialties of St. Louis (View Profile)

The recommended compression is pressure hose to the waist (pantyhose, tights). However, 20-30 mmHg may suffice if you cannot tolerate the 30-40 mmHg. This is dependent upon the severity of your symptoms.

In association with increased aerobic activity and adequate hydration this can improve orthosatisis (lightheadedness, fainting). I would recommend being measured by an experienced fitter and purchase a good quality hose such as Sigvaris or Bauerfeind.

There are many hose on the market and we have found these are the best tolerated by our patients. For long term use, they must be as comfortable as possible.

2 years ago by Vein Specialties of St. Louis (View Profile)

The recommended compression is pressure hose to the waist (pantyhose, tights). However, 20-30 mmHg may suffice if you cannot tolerate the 30-40 mmHg. This is dependent upon the severity of your symptoms.

In association with increased aerobic activity and adequate hydration this can improve orthosatisis (lightheadedness, fainting). I would recommend being measured by an experienced fitter and purchase a good quality hose such as Sigvaris or Bauerfeind.

There are many hose on the market and we have found these are the best tolerated by our patients. For long term use, they must be as comfortable as possible.


2 years ago by VeinCare Centers of Tennessee (View Profile)

I generally would recommend 30-40 mm Hg compression, but occasionally there is a reason to go with less compression such as inadequate arterial blood flow in the feet or a nerve problem with numbness or decreased sensation in the feet. You should discuss this with your physician.

2 years ago by VeinCare Centers of Tennessee (View Profile)

I generally would recommend 30-40 mm Hg compression, but occasionally there is a reason to go with less compression such as inadequate arterial blood flow in the feet or a nerve problem with numbness or decreased sensation in the feet. You should discuss this with your physician.


2 years ago by Heart and Vein Center (View Profile)

You are right, you should use 20-30 mmHg at least. But given your weight you might find better to use 30-40 mmHg, since the stockings stretch with use the compression declines rather quick.

2 years ago by Heart and Vein Center (View Profile)

You are right, you should use 20-30 mmHg at least. But given your weight you might find better to use 30-40 mmHg, since the stockings stretch with use the compression declines rather quick.


2 years ago by Vanish Vein and Laser Center (View Profile)

It is safe to switch to the higher compression and see how you do. If uncomfortable, you can go back to the 20 to 30.

2 years ago by Vanish Vein and Laser Center (View Profile)

It is safe to switch to the higher compression and see how you do. If uncomfortable, you can go back to the 20 to 30.

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