I'm a medical student with severe chronic venous reflux due to a proximal DVT secondary to a hypoplastic IVC. I wear compression 40-50mmHg, but it's still insufficient as my legs swell and tire easily. Can I increase the grade to 70mmHg? My BP is 120/80.
Your residual swelling is probably due to inadequate proximal venous capacitance, and higher pressure compression is unlikely to cause significant reduction of swelling. In addition, compression pressures over 50 mmHg are too uncomfortable for practice use.
Published on Jul 11, 2012
Consider increasing the stocking gradient, but only with the consent and
knowledge of your treating physician. Personally, I have not prescribed >
40-50 mm for any case, but I see your case is special.
Published on Jul 11, 2012
That strength of compression seems quite high. I would recommend making sure the compression devices you already have are comprehensive and able to address all the area of the impaired venous and lymphatic circulation. If they are comprehensive, I doubt you would need anything that high. You really should consult with someone who is quite experienced with venous and lymphatic pathology.
Published on Jul 11, 2012
I would not recommend this without supervision of your vascular surgeon. The effect on the arterial flow would be a concern.
Published on Jul 11, 2012
It is not typically recommended that a patient wear a compression stocking as high as 70 mmHg, but 60 mmHg is probably the safest limit.
Published on Jul 11, 2012
I have never heard of anyone wearing compression to that degree. Usually, 40 mmHg is considered very tight. If you are wearing 50 mmHg, I would not go any higher. As the compression increases, it becomes more difficult to apply the stocking. If the stocking is difficult to apply, you will less like comply when it comes to wearing them. Also, too much compression could actually hinder both the arterial and venous flow in your legs.
Published on Jul 11, 2012
I would not recommend wearing a compression stocking of that strength.
Published on Jul 11, 2012