Compression stockings are specialized medical garments designed to apply graduated pressure to the legs, which assists in promoting blood flow back toward the heart. This therapeutic pressure helps to manage conditions like chronic venous insufficiency, reduce leg swelling (edema), and lower the risk of complications such as deep vein thrombosis (DVT). However, the tight, precise fit necessary for the therapeutic effect creates high friction against the skin, making them notoriously difficult to put on, or “don.” The simple, low-cost plastic bag technique offers a practical solution to dramatically reduce this friction, allowing the garment to glide smoothly over the foot and up the leg.
Necessary Supplies and Safety Checks
The technique requires only the prescribed compression stocking and one thin, clean plastic bag, such as a grocery produce bag or a small bread bag. The bag acts as a temporary, low-friction barrier between the skin and the garment’s tight elastic fibers. Before starting, the skin on the leg must be completely dry, as moisture or residue increases friction. Check the stocking for any tears or snags, as damage compromises the structural integrity and medical benefit of the garment. A smooth, uncompromised fit is necessary because wrinkles or bunching can create points of excessive pressure, potentially restricting circulation.
The Step-by-Step Plastic Bag Method
Begin the process by sitting down and ensuring the foot is accessible, then place the plastic bag over the foot entirely, making sure it covers the heel and extends slightly past the ankle. This creates the initial smooth surface needed to overcome the highest point of friction, which is typically the heel and ankle area. Next, gather the compression stocking by reaching inside and turning it inside out down to the heel pocket, effectively creating a small opening for the foot.
Slide the gathered stocking over the bag-covered foot, pulling it gently until the heel of the stocking is aligned with the foot’s heel. The low-friction surface of the plastic allows the tight elastic to slide over the foot with minimal effort. Use the bag’s handles or edges to gently pull the stocking further up the leg.
Once the stocking is past the ankle and positioned smoothly up the calf, the plastic bag must be removed. If the stocking has an open toe, the bag can simply be pulled through the opening at the toes. For closed-toe stockings, the bag is typically pulled out from the top of the stocking opening. After removing the bag, smooth out any remaining wrinkles or creases from the ankle up to the top band, which ensures the graduated compression is evenly distributed along the limb.
Proper Removal and Maintenance of Stockings
Removing the compression stocking should be done carefully to prevent damage to the elastic fibers and the skin. The safest technique involves peeling the stocking back and turning it inside out as it is removed. Start by grasping the top band and gently rolling it down the leg, effectively turning the material inside out as you move toward the ankle. This method prevents excessive stretching and helps the garment slide over the heel without a struggle.
After removal, inspect the skin daily for signs of irritation, redness, or pressure marks, particularly around the ankle and heel. Proper maintenance requires washing the stockings daily to retain the prescribed compression level. Hand washing with mild soap and lukewarm water is recommended, followed by air-drying away from direct heat or sunlight. High temperatures can degrade the fabric’s elasticity, and manufacturers advise replacing stockings every three to six months to maintain effectiveness.