Announcement

Collapse
No announcement yet.

Ankle high compression stockings?

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

    Ankle high compression stockings?

    I wear compression 15-20 mm Hg (Jobst or Medi) knee high stockings, and I sleep with them on (because I have no one to remove them at night). In the morning, my feet are still swollen (even with my feet elevated above my heart). If I am able to sleep without the stockings, my feet are completely drained in the morning.

    I think the stocking compression in the calves is preventing the feet from draining.

    Would it work for me to wear ankle high compression stockings instead of knee-high? That would also make it more possible to wear shorts.
    "Cherish your tears. If you can cry, you still have some humanity left, and you are reclaiming more of it." -- David Kelly



    #2
    Don't wear the compression stockings while in bed with legs up. You should put them on and wear them while you are up in chair and put them on while in bed and then get up.
    CWO
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

    Comment


      #3
      I was recently told that the major brands of compression stockings (including Jobst and Mediven) start their compression gradient at he ankle, and that the foot has a lower level of compression. The end result is that even with wearing stockings, some people will notice slightly swollen feet, skinny ankles, and fairly skinny calves. So yes, you are thinking correctly. The highest compression at the ankle can lead to the feet being a little bigger.

      Ideally, you should take stockings off at night to let your skin breathe a little, but I understand how these things are. I know of tools to help you put stockings on, but not pull them off, so maybe smashms can help us there.

      I don't believe there is such a thing as ankle compression socks, and if there were, your calves would get swollen.

      My Dad wears compression stockings everyday, and shorts everyday. But you are a young guy trying to look cool and my Dad is long past that (!). Actually, I think Juzo and Sigvaris have a cotton line that includes white colors that look like knee high basketball socks. Not bad looking!

      If the foot edema is just mild, I wouldn't worry about it.

      If it is concerning, then try going up to the 20-30mmHg stockings. There is also a line of compression stockings at Juzo called "neuropathic" that has higher compression starting in the foot. I suspect they will be harder to put on, and I always worry of having the foot compression too tight since the foot has so many lumps/bumps that could in theory develop pressure sores even from a stocking rubbing to tightly. But maybe I worry too much...

      Comment


        #4
        I ordered these ankle compression socks: http://www.compressionstockings.com/...60ab-p-86.html

        If they don't work all day (i.e. my calves might swell up), I plan to switch from knee high to these ankle high at 5pm every day because I have help at that time.

        Of course, on cold winter days I may keep the knee high on. My legs already get way too cold on cold days!

        Thanks for your tips.
        "Cherish your tears. If you can cry, you still have some humanity left, and you are reclaiming more of it." -- David Kelly


        Comment


          #5
          I use a blanket on my legs in winter. Helps a lot. They make ones for wheelchairs.
          C 5/6 Comp.
          No Tri's or hand function.

          Far better it is to try mighty things, to win glorious triumphs, even though checkered by failure. Than to take rank with those poor spirits who neither enjoy much or suffer much, because they live in the grey twilight that knows neither victory or defeat.

          Teddy Roosevelt

          Comment


            #6
            Originally posted by dnvrdave View Post
            I ordered these ankle compression socks: http://www.compressionstockings.com/...60ab-p-86.html

            If they don't work all day (i.e. my calves might swell up), I plan to switch from knee high to these ankle high at 5pm every day because I have help at that time.

            Of course, on cold winter days I may keep the knee high on. My legs already get way too cold on cold days!

            Thanks for your tips.
            That sounds like a good plan. Maybe try to keep your legs up in the evening as well. Let us know what the socks are like. Watch for pressure sores at the top of the socks/around the ankle.

            Comment


              #7
              Originally posted by forestranger52 View Post
              I use a blanket on my legs in winter. Helps a lot. They make ones for wheelchairs.

              Got a link? Thanks


              Good luck Dave. I hate wearing TED hose with shorts.
              But my skinny legs look just as bad. lol

              What's a woman to do?
              sigpic

              Comment


                #8
                Yes I like the compression socks ( 5-10 mmHG) better than nothing when up ! Jobst makes them and they are sold, or used to be sold at our VA . Different colors too. But really best is =off when in bed all night, put on compression hose-30-40 best but may only need, 20-30mmHG next best. Puton while not swollen BEFORE getting out of bed! Remove once back in bed and then if you want to remove hose and wear socks or as you said, if you can't remove and caregiver has to (but how do you get back in bed?). They should be all gradient ones... and yes most pressure ankle area.Don't get the ones not gradient either.

                I am used to Jobst (or kendall) so probably others don't have experience with .
                Also keep the wrinkles out- you have to measure your calves, length and ankle width- now which measurement to use--- when deflated or inflated? cause don't want to tight. When in bed in morning (some but don't want to loose eitherz) add.5 cm or one cm. if you don't want to tight. You must keep the wrinkles out at ankles!!! And check heals and make sure no heal breakdown or friction.
                After removing- another reason only worn part of the day! and to 24/7.
                CWO
                The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                Comment


                  #9
                  Wearing the ankle socks at night is only a little better than knee high, in terms of residual swelling by morning. I can almost remove them myself at night, but can't get past the heel. So they stay on... at least until I get the tool that will help me remove them.

                  I get help at 5pm switching from knee high to ankle high. And go to bed at midnight and get up at 5am. Here's what my feet look like in the morning, before getting up. There is less swelling where the compression is, but still plenty of swelling. Once I can remove the stockings at night, the swelling will be much less.

                  Are there any c5/6 quads here who use a tool to get their stockings off? I'd love to see what works for you!
                  "Cherish your tears. If you can cry, you still have some humanity left, and you are reclaiming more of it." -- David Kelly


                  Comment


                    #10
                    Yes, I tried exactly that: holding my foot up with one hand and hooking my thumb inside the sock. It's really close. Maybe if the socks get stretched a little with age, I'll get it. But it's pretty hard on my thumbs (after 27 years of abuse already). I might try the reacher. Thx..

                    And yes, I put myself in bed. I'll see if I have a video..

                    Originally posted by smashms
                    if you have a reacher that has a hook on it you should be able to get them off while in bed my other question is being a c5/6 you should have enough finger movement to get a few fingers inside the top of the sock then use your other hand to get your foot up so you can get your own hose off. and if you don't go to bed till midnight i also have the same question that CWO has how do you get in bed without an aid, if they leave at 5pm there is something your not telling us i think you should be able to get the hose off while in bed.
                    "Cherish your tears. If you can cry, you still have some humanity left, and you are reclaiming more of it." -- David Kelly


                    Comment


                      #11
                      What if you ditched the compression hose at 5pm? How bad are your feet by bedtime. Otherwise, I would continue w/the lowest you can manage from 5 to midnight. Changing then would help prevent any issues (from wrinkles, etc). And the lower amount of pressure, the more likely you are to be able to get them off.
                      T7-8 since Feb 2005

                      Comment


                        #12
                        Those ankle things look like danger to me ... have you broken your right big toe at some point?

                        I only ask because I've cracked both of mine at some point and the knuckle bone wants to protrude through the skin ... I've thought of buying some sort of wedge for underneath my toes to keep them straight but I'm always so nervous about new things on my feet as it takes so long to heal.

                        I'd ditch those ankle things, but that's just me.

                        Any way to put your feet up at work? (I always get asked that and the answer is no as I deal with the public and am at the fax/photocopier outside of the dispatch office a lot recreating that scene from SNL towards my co-workers; "Steve! Stevarino! Making Copies! The Stevenator!").
                        Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

                        T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

                        Comment


                          #13
                          Originally posted by sjean423 View Post
                          What if you ditched the compression hose at 5pm? How bad are your feet by bedtime. Otherwise, I would continue w/the lowest you can manage from 5 to midnight. Changing then would help prevent any issues (from wrinkles, etc). And the lower amount of pressure, the more likely you are to be able to get them off.

                          I was also thinking that maybe you should ditch them at 5pm, and try to elevate your feet/legs some in the evening while you are chillin'. See how bad they look by bedtime.

                          Or maybe have your home assistant come later? But I agree it seems crazy to switch your schedule if that is working well for you.

                          Compression stockings are a real pain. My Dad fortunately was able to learn to get them on/off, but for many months he could not. His edema was even worse then yours, so we knew there was no way we could avoid the stockings.

                          One thing that we tried for awhile as my Dad was getting more flexible, but couldn't yet put the stockings on/off himself, was zipper stockings. These are most often custom made.... probably cost us $130, but insurance paid a big chunk of them. My Dad's plastic surgeon worked with a company that would come to the clinic and measure you for the stockings.

                          You could have a pair made with zippers (and put an extra tag/pull on the zipper to help you pull them off if hand function is an issue), and have your home helper put those on you every night at 5pm. They could be knee high, to give you the best compression. You could wash them out every night and hang them up, and they would be dry for the next night. They should last a very long time, wearing them for such a short interval.

                          If you search around online you may be able to find a brand that makes them... Jobst has a zipper stocking, but it is open toe. That will give you swollen toes, and you can develop pressure sores around toe opening, so it is risky. You could try calling the wound care clinic at your local rehab or hospital to see if they could refer you to a custom maker.

                          Comment


                            #14
                            My feet are quite swollen at the time I go to bed, even with the knee high stockings (15-20 mmHg) which are new. I'd say they drain about 50% by morning when I leave them on. I've left the knee high on at night for 27 years (the only break is 5-7am when I'm showering, etc), and had no related skin problems. I do have an ongoing callous on the bottom of the big right toe (there are old pics here somewhere), and a callous on the outside of the left foot, but I hadn't considered the socks to be the cause. I think the big right toe problem is due to spasms inside the shoe. The toe was never broken. I was told the shoes are not the problem either.

                            The morning residual swelling seems worse is the past 3 years or so, with knee high (or ankle high, now). That's why I'm looking for a change. I might try regular stockings at 5pm, and tilting back for 15 minutes at 8pm or so. But it's so hard to slow down... ever. Is 15 minutes long enough? Could I do 5 minutes every 2 hours?

                            I can't really change the 5pm time that I have help (by more than an hour). That's when my bowels say it's time.

                            Thanks for all the good thoughts! I'll post any new findings...
                            "Cherish your tears. If you can cry, you still have some humanity left, and you are reclaiming more of it." -- David Kelly


                            Comment


                              #15
                              I'm a C7 complete and have been wearing 20-30mg knee high stockings over 90% of the time (all but 10 hours a week - take them off 3 times a week when I shower) for almost 16 years. Switching to this practice was a game changer. The key is to keep your feet from swelling any if at all during the day. The only problem I've had is when the stockings get a hole and I try to stretch out their useful life. The holes can create pressure sores so replace them at this point.

                              Try this for a few weeks and if it doesn't work then discontinue the method.

                              Comment

                              Working...
                              X