Understanding compression stockings (hosiery) Leg Ulcer Management Team Patient Information Leaflet
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1 Understanding compression stockings (hosiery) Leg Ulcer Management Team Patient Information Leaflet
2 Introduction Your leg ulcer clinic coordinator, nurse or health professional has recommended that you have compression stockings to treat a venous leg ulcer. This leaflet gives you more information about what compression stockings are for, how you are measured for them and commonly-asked questions about them. You should also receive the leaflets Venous disorders of the lower leg explained and What is a venous leg ulcer?. If not, please ask the healthcare professional who is providing your treatment. What are compression stockings? Your nurse/health professional has prescribed compression stockings for you to help the problems you have due to damaged veins and leg ulcers. The stockings apply pressure to your leg to help your veins carry blood back to your heart. Before prescribing compression stockings, your healthcare professional will assess you to make sure this is the right treatment. This assessment should have included checking your blood flow using a Doppler ultrasound scan. Please ask the healthcare professional providing your care if you are not sure if you have had this assessment. What are the benefits? Research has shown that compression helps reduce swelling in your leg(s), by helping your veins carry blood back to your heart. How will I be measured for the stockings? There are a number of different manufacturers of compression stockings. We will select one based on what fits your requirements best. The stockings most frequently used go just up to the knee. Occasionally, full leg stockings may be needed or preferred by you. 2
3 It is important that the right size is chosen. The person prescribing or providing your treatment will measure your leg. To do this they will take: Below the knee stockings ankle and calf measurements Full leg stockings ankle, calf and thigh measurements Occasionally, the size of the leg does not fall into the standard sizing categories. In this case, we may need to take extra measurements so that made-to-measure stockings can be prescribed. Standard sizes can be supplied within a few days. Supplies of made-to-measure stockings will take longer. You may be treated with compression bandages until the stockings are available. Compression stockings are available in different strengths, for example, Class I, II and III and in two layer hosiery kits. Your healthcare professional will discuss the strength you need with you. The stockings are sometimes available in different colours and styles such as open or closed toe, stockings or ribbed socks, knee or full leg length. What if I have problems? If you experience any pins and needles in your feet, numbness, discolouration, reaction to the stockings, shortness of breath or increased pain in your legs, remove the stockings and inform your nurse or GP as soon as possible. If you have any other problems, ask your GP for advice. What are the alternatives? Compression stockings are not a cure and need to be worn in the long-term to be effective. The alternative treatments available to you will depend on the condition you are being treated for. Your doctor will discuss your options with you, and you can refer to our other leaflets for more information about these. 3
4 Questions commonly asked about compression bandages Do I need to wear my stockings all the time? Your legs will swell when you are out of bed. The stockings will help to prevent this. If you have problems with your legs swelling, you must ask for advice from your GP or healthcare professional. Can I remove the stockings if I want to? If you are able to take off your stockings, you can do so, for example if you want to have a shower. If your stockings are for treatment of an ulcer, the person providing your treatment will give you advice about this. You can also take off your stockings while you are in bed but make sure you put them back on in the morning before you get up. What if I cannot take my stockings off? It is safe to sleep in your stockings as long as it is comfortable. Your healthcare professional will give you advice about this. What if I cannot get my stockings on? It may be possible for the person prescribing your treatment to provide you with a compression stocking aid to help you to put on your stockings. Please ask your healthcare professional for advice about this. How often should I replace my stockings? It is important that your stockings continue to give you the right support. This means you will need new stockings every three to six months, depending on the manufacturer. Will I need to have my leg measured again? If the size of your legs changes, it is important that you are measured again. If your leg is thinner, the stockings may not work. If your leg becomes bigger and the stockings become too tight, they can cause skin damage. 4
5 Can I find out more? You can find out more from the following website: Leg Ulcer Management Team contact details (9am to 5pm, Monday to Friday) Leg Ulcer Management Team Brierley Hill Health and Social Care Centre Venture Way Brierley Hill DY5 1RU Russells Hall Hospital switchboard number: This leaflet can be downloaded or printed from: NHS Choices If you have any feedback on this patient information leaflet, please patient.information@dgh.nhs.uk 5
6 Originator: Leg Ulcer Team. Date originated: March Review due: March Version: 1. DGH ref: DGH/PIL/
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