For physicians, vein clinics and wound care teams
Compression is the cornerstone of venous ulcer care and an important part of recovery after vein procedures. The right product at the right stage speeds healing and reduces recurrence.
Venous leg ulcers
Venous ulcers are caused by high pressure in the leg veins. Compression reduces that pressure, controls edema and improves blood flow to the wound.
While the ulcer is open
Multilayer compression bandage systems are the standard. They deliver sustained pressure and can be applied over wound dressings.
Adjustable compression wraps are an option for some patients, especially when dressings are changed often or bandaging isn't practical.
Ulcer stocking kits, with a lighter liner stocking under a second stocking, are another option for some patients.
After the ulcer heals
Venous ulcers often come back. Long-term compression stockings, often 30–40 mmHg as tolerated, are one of the best ways to prevent recurrence. Patients need to wear them daily and replace them regularly.
Check circulation first
Assess arterial circulation before starting compression, usually with an ankle-brachial index (ABI). Patients with reduced arterial flow may need lower pressure or a different approach, and those with severe peripheral artery disease shouldn't use standard compression.
After vein procedures
Compression is commonly prescribed after endovenous ablation, sclerotherapy, phlebectomy and other vein treatments. It can help:
Reduce bruising, swelling and discomfort
Improve the results of sclerotherapy
Support the leg during recovery
The compression level and how long to wear it depend on the procedure and the physician's protocol. Thigh-high or knee-high stockings in the 20–30 mmHg range are common, worn for days to a few weeks.
Tips for better adherence
Fit patients before the procedure, so stockings are ready to wear afterward.
Teach patients how to put stockings on and recommend donning aids.
Offer comfortable styles and colors. Patients wear what they like.
How Midwest Compression can help
We supply multilayer bandage systems, wraps and stockings from Sigvaris, Jobst, Juzo and Medi, and we can fit patients before procedures. Email customersupport@midwestcompression.com or call 800-883-1549.
Need forms? Find every measurement form, sizing guide and order form on our Measurement & Sizing Forms page, and manufacturer charts on our Size Charts page.
This article is general information for healthcare professionals and is not a substitute for clinical judgment.
