Sclerotherapy is a widely used medical procedure designed to address both varicose and spider veins, offering a minimally invasive approach to improving venous health and appearance. Following this treatment, wearing compression stockings becomes a fundamental part of the recovery process. These specialized garments play a significant role in supporting the treated veins and optimizing the overall results.
Why Compression is Key After Sclerotherapy
Compression stockings are important to the healing process after sclerotherapy because they apply consistent external pressure to the treated areas. This pressure helps prevent blood from pooling within the veins. By supporting the vein walls, compression minimizes swelling and bruising that can occur as the body reabsorbs the treated veins. The sustained pressure also aids in keeping the injected sclerosant solution in prolonged contact with the vein lining, which helps the vein collapse and seal effectively. This enhances the treatment’s success, helping treated veins close properly and diverting blood flow to healthier vessels.
Compression therapy reduces the risk of complications, including blood clots like deep vein thrombosis. It also alleviates post-procedure discomfort and aids quicker recovery by promoting better circulation. These combined actions help treated veins heal and fade.
How Long to Wear Compression Stockings
The duration for wearing compression stockings after sclerotherapy varies depending on factors unique to each patient and treatment received. These factors include the size and number of veins treated, whether they were smaller spider veins or larger varicose veins, and the specific type of sclerotherapy performed. Your doctor’s instructions are important and should be followed closely, as they provide guidance tailored to your individual recovery.
For smaller spider veins, patients are generally advised to wear compression stockings for one to two weeks. This often involves continuous wear for the initial 24 to 48 hours following the procedure, followed by wearing them only during daytime hours for the subsequent 7 to 10 days. For larger varicose veins, the recommended period for compression can extend from two to six weeks or even longer. While some practitioners may suggest sleeping in the stockings for just the first night, others recommend daytime-only wear after the initial continuous period. Patients may continue to wear the stockings for longer periods if they find it comfortable or if it helps relieve any persistent symptoms.
Wearing and Caring for Your Stockings
Proper fit is important for compression stockings to be effective and comfortable. You should put them on in the morning before getting out of bed, as this is when your legs are least swollen. To apply them correctly, roll the stocking down to the heel, insert your foot, and then gradually unroll it up your leg, smoothing out any wrinkles as you go.
If you find them difficult to put on, consider:
- Applying lotion (after it has dried)
- Using a small amount of baby powder
- Using rubber dishwashing gloves
- Using a specialized device called a stocking donner
Compression stockings should be washed daily to maintain their elasticity and effectiveness. Hand washing with mild soap and lukewarm water is recommended, but they can also be machine washed on a gentle cycle in a mesh laundry bag. It is important to avoid harsh detergents, bleach, or fabric softeners, as these can damage the material. After washing, air dry the stockings away from direct heat or sunlight to preserve their integrity. Having multiple pairs of stockings allows for rotation, ensuring you always have a clean, dry pair ready for use.
What Happens Without Proper Compression
Failing to wear compression stockings as prescribed after sclerotherapy can lead to negative outcomes, compromising treatment success. One risk is blood clots forming in the treated veins, including deep vein thrombosis. Without the external pressure, blood may pool within the vein, creating an environment conducive to clot formation.
The treated veins may also reopen or fail to fully collapse, which can lead to a less effective cosmetic and medical outcome. Patients might experience prolonged bruising, swelling, and increased discomfort in the treated areas. There is also a higher chance of skin discoloration, known as hyperpigmentation, appearing along the path of the treated veins. Adhering to the compression regimen is important for the safety and effectiveness of the sclerotherapy procedure.