Aftercare: What to do after your varicose vein treatment

January 5, 2019 Dr Zil

Post-treatment: What to expect

Immediately after your varicose vein treatment, you will be able to walk out of the clinic and go back to your day-to-day life. Your doctor will provide you with an individual post-care plan which will consist of around 30 minutes of light walking each day, and wearing compression stockings for a nominated period of time.

You will likely revisit the clinic for a number of follow-up sessions. During these appointments your doctor will assess your legs and, if required, may complete a series of Sclerotherapy sessions to remove any smaller spider veins which may still be remaining.

Do you have to wear compression stockings after treatment?

Compression stockings are often used as part of a conservative treatment plan for varicose veins. They improve circulation, reduce fatigue, and ease swelling in the feet and ankles. Modern compression stockings exert what is known as graduated pressures meaning that they are tighter at the ankle than the leg. This pressure effect helps minimize any swelling and also pushes on the deeper veins of the leg to minimize any painful symptoms.

Although compression stockings help control the symptoms associated with varicose veins, they won’t make diseased veins go away. Only varicose treatments like sclerotherapy or endovenous laser therapy (EVLT) can eliminate varicose veins permanently.

Types of Stockings:

Medical grade compression stockings come in various styles, colours, and compression levels.

Graduated compression stockings get tighter as you go down toward the ankle, often making below-the-knee stockings the best choice following vein treatment. They put the greatest degree of pressure on the lower area of your legs, where it is needed. Your doctor will determine which compression level you need and how long to wear them.

Compression stockings will be provided as part of your after-care package, at no additional charge. There are two lengths of stockings which we recommend:

a) Knee-high stockings

b) Thigh-high stockings

Pressures of stockings

Compression levels are measured in mmHg and they include:

  • 8-15 mmHg (Mild Compression)
  • 15-20 mmHg (Moderate Compression)
  • 20-30 mmHg (Firm Compression)
  • 30-40 mmHg (Extra Firm Compression)

Guidelines vary among countries and regions for the compression level and length of use. While some doctors and researchers still debate the benefits of their post-treatment use at all, research has repeatedly shown that they can help reduce pain and swelling. Most often, firm compression is prescribed for post-surgical and post-sclerotherapy treatment. Although there is some debate about their benefit, patients often report less swelling and a mild reduction in pain with their use following treatment.

How do I apply compression stockings?

In the below video a helper is applying the stockings with an extra focus on getting the sock to slide under the heel. If this proves difficult apply pressure above the ankle before returning to the heel.

How long should compression stockings be worn?

For patients wanting symptomatic relief stockings should be worn on an as needs basis. For a patient who have had vein treatments anywhere from 3-14 days is usually recommended.

How do compression stockings work?

Compression stockings gently squeeze your legs to move blood through the veins. When people have venous insufficiency, blood pools in their lower legs and ankles. The stockings are super stretchy and apply gentle pressure that keeps the blood moving.

Risks of compression stockings?

Because compression stockings are tight they are often difficultlt to put on. For this reason, ideally, no lotion should be applied to the leg before applying them.

Using compression stockings can have side effects, including:

  • broken skin
  • irritation
  • discomfort
  • temporary dents in the skin

Stockings that are wrinkled, worn incorrectly, or the wrong size are more likely to cause problems. Stockings should be immediately removed if a person cannot feels they’re cutting off the supply to their feet or in one location of their leg.

Custom measurement, or standard?

Standard measurement with a tape measure is sufficient for most patients, nonetheless, new technology allows even more accurate and precise measurement for a custom fit. Bauerfeind’s Bodytronic 600 is an example of a sophisticated machine allowing for the 3d measurement of people’s legs and will help give you the perfect fit of stockings.

Revolutionary 3D Compression Stocking Technology

Working in partnership with Bauerfeind Australia, we offer medical-grade high-quality stockings to all clients.

Prior to any treatment with The Vein institute from our Sydney clinic; you will be 3D measured by Bauerfeind’s Bodytronic 600 digital measurement system. The Bodytronic will take an extremely accurate measurement of your legs. The 3D model of your leg instantly generated by the system coupled with numerous measurement data then forms the basis of an accurate choice of compression stockings for you.