My vascular surgeon did an ultrasound and prescribed endovenous laser ablation. She also suggested that I wear compression stockings after the procedure. However, due to severe psoriasis and eczema on my feet, I cannot wear full-coverage stockings that cover them. They must always be in wet dressings, but cannot be fully covered. Would footless compression stockings be just as effective as full-coverage hose following the procedure?
Until recently I would have cautioned you against wearing footless stockings. However, a new published study by a well-respected expert demonstrated safety and effectiveness of footless stockings. If your doctor is familiar with this report she may allow you to wear footless stockings.
Published on Jul 11, 2012
No, "footless" compression stockings are not as effective. Full-coverage stockings work best because they provide total compression. If compression is only from the ankle up, your feet could swell. This can cause discomfort.
Published on Jul 11, 2012
Yes, "footless" compression stockings can offer the same benefits as "full-coverage" hose.
Published on Jul 11, 2012
Your feet will swell due to lack of compression. The veins in the foot may be less functionally effective. Although less effective, you should still discuss a footless stocking with your surgeon.
Published on Jul 11, 2012
Given your situation, footless compression stockings sound like an ideal solution.
Published on Jul 11, 2012
While there are some "footless" compression stockings, you may experience complications. Since the hose is supposed to support the leg from the bottom up, wearing medical grade stockings only above the ankle could produce a tourniquet effect, which can lead to swelling in the foot. You may be more comfortable in a cotton ace wrap bandage from the toes up, or with a cotton liner under the compression hose. You should seek the advice of your vascular surgeon.
Published on Jul 11, 2012
Though you could purchase a pair of footless compression stockings, they may not be as effective since their intent is to compress the leg from the foot up. If the compression begins at the ankle, swelling in the foot (or feet) can occur.
Published on Jul 11, 2012
Compression stockings work best when the compression starts below the toes and gradually decreases up the leg (graduated compression). However, if you cannot wear foot compression, then you should try to do whatever is best for you. Following endovenous laser ablation, you should only need compression for 3 days to 2 weeks, depending on your doctor's preference. I usually recommend compression for 5 days.
Published on Jul 11, 2012