Compression stockings are specialized garments that apply graduated pressure to the legs, promoting venous blood flow. This external pressure helps manage chronic venous insufficiency, edema, and conditions like varicose veins or deep vein thrombosis (DVT) by preventing blood from pooling in the lower extremities. Because these garments are designed to be snug and provide therapeutic compression, proper removal is important for maintaining skin integrity and garment longevity.
Standard Step-by-Step Removal Technique
Safe removal begins by sitting comfortably in a stable chair. Remove any rings or sharp jewelry from the hands to prevent snagging the fabric. The technique focuses on rolling the stocking down the leg, essentially turning it inside-out, rather than pulling it off.
Start by sliding your fingers beneath the top band and gently pulling it away from the skin to break the seal. Once the top edge is loose, fold the fabric down toward the ankle, peeling the material off in short, controlled segments. This rolling motion minimizes stretching the garment and avoids friction that can cause skin irritation.
Work the stocking down the calf evenly, using both hands to keep the fabric smooth. The heel is often the most challenging area. To get past the heel, fold the fabric down until it is just above the ankle, then use your thumb to slowly push the bunched material over the curve of the heel. After the heel is free, the remaining material slides off the foot easily.
Essential Timing for Removal
For most individuals, the standard practice is to wear compression stockings throughout the day and remove them before going to sleep. This schedule aligns with the body’s need for external support when upright and active, when gravity works against venous return.
It is generally recommended to put the stockings on first thing in the morning when the legs have the least amount of swelling. They should be removed at night to allow the skin to breathe and to perform necessary hygiene. Exceptions exist for specific medical directives, such as 24-hour post-surgical wear, where a healthcare provider may prescribe overnight use.
Aids and Techniques for Easier Removal
The tight fit of compression stockings, especially those with higher pressure ratings, can make removal difficult for people with limited grip strength or mobility. Using specialized aids can significantly ease the process.
Grip Aids
One simple technique is the use of rubber or donning gloves, which provide a superior non-slip grip on the fabric compared to bare skin.
Doffing Devices
Specialized doffing devices are also available. These tools, which may include metal frames or flexible sheets, are designed to catch the top edge of the stocking and slide the entire garment down the leg with minimal physical effort.
Reducing Friction
For individuals struggling with friction, a small amount of talcum powder or cornstarch can be applied to the leg beforehand, creating a smoother surface for the fabric to slide across.
Post-Removal Skin Care and Inspection
Immediate skin assessment is an important step following removal. The covered skin must be closely inspected for any signs of irritation, pressure marks, or damage. Pay particular attention to bony prominences like the ankles, heels, and the area directly beneath the top band, as these are common sites for concentrated pressure.
Temporary redness is normal, but any marks that persist for more than 15 to 20 minutes should be documented and monitored. Applying a non-perfumed, moisturizing lotion helps to rehydrate the skin, which can become dry under constant coverage.
Any signs of persistent skin breakdown, blistering, or localized pain that do not resolve quickly should prompt a consultation with a healthcare provider to assess whether the stocking fit or pressure level needs adjustment.