Gherman Claudia Diana MD, PhD
University of Medicine and Pharmacy “Iuliu Haţieganu” Cluj-Napoca
Varicose disease of the lower limbs: the place and the role of external elastic content
Author: Claudia Diana Gherman, Răzvan-Alexandru Ciocan, Andra Ciocan
Varicose veins of the lower limbs are characterized by dilated veins with a tortuous and prominent tract that affects about 30% of the adult population. Gradual elasticity constraints have been proposed as a measure to prevent the occurrence of varicose veins and deep vein thrombosis.
The compression devices function by reducing the overall cross-sectional area of the lower limbs and hence the diameter of the blood vessels. This reduction results in increased blood flow to the veins, thus reducing venous stasis and the risk of thrombus formation.
There are several types of compression devices that are available on prescription. These include different lengths (heel length at the thigh) and varying degrees of compression. British and European standards for the classification of compression stocking resistance differ. Class III (34-46mmHg – European Standard / 25-35mmHg – British Standard) contention is the most effective, only the dexterity of the person wearing the sock is to be considered because it is difficult to dress. The most common type of contention for varicose disease is Class II (23-32mmHg – European Standard / 18-24mmHg – British Standard). The effectiveness of this compressive treatment depends on the wearing of the stocking, hence the patient’s compliance and choice of the appropriate sock type, both of which are equally important.