I have peripheral neuropathy in my lower limbs. Are compression stockings recommended?
I have a very slow healing venous ankle ulcer and would like to know my options.
Answers from doctors (9)
The best treatment for a venous stasis ulcer is to treat the cause which is valvular insufficiency of the superficial or perforator system. Support hose will help to reduce the venous pressure but you should see a vein specialist for a full venous evaluation.
Published on Jul 11, 2012
Compression stockings will not likely help your peripheral neuropathy. But will help with healing of your venous ulcer. I would go see a wound care specialist as well as a vascular/vein specialist who deals with venous ulcers to discuss endovascular treatment options.
You likely will need some type of ablation of your great saphenous vein as well as occluding tributary veins around the ulcer with sclerotherapy.
Published on Jul 11, 2012
You should be thoroughly evaluated, including ultrasound examination, to establish the cause of the ulcer (venous, arterial, diabetic). Compression hose should help if the ulcer is venous in origin.
Published on Jul 11, 2012
Compression stockings can help the ulcer if it is venous in etiology regardless if you have a peripheral neuropathy or not. If you have reflux (leaky valves) of the saphenous vein(s), they need to be treated with thermal ablation for definitive treatment.
Published on Jul 11, 2012
Please discuss this with your doctor.
Published on Jul 11, 2012
You need to visit a vascular specialist to get thoroughly evaluated for whole superficial and deep venous systems and get a definite plan of care for venous ulcers. Venous ulcers are not managed conservatively forever, since they mostly recur. Compression stockings are only a temporary treatment.
Published on Jul 11, 2012
There are many treatment options that could help, but you need to be examined by your physician before a treatment plan can be determined.
Published on Jul 11, 2012
Please consult a vascular or neurology specialist for better management of your peripheral neuropathy.
Published on Jul 11, 2012
Peripheral neuropathy has many etiologies. Compression stockings may help alleviate the symptoms when it is related to chronic venous insufficiency.
Published on Jul 11, 2012
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