Dear Dr. Roach: The upper part of the compression stockings depends on the degree of swelling | Health

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Dear Dr. Cockroach: Where should the top of my compression stockings be? A sales representative told me that the top should be about 2 inches below the knee bend. However, there is extra pressure at this location that can block blood flow. It’s a very thick part of my calf, and the need to double the material increases the pressure there. Placing the end of the stocking inside the knee bend (behind the knee) seems to reduce the pressure.

A: The ideal top of compression stockings depends on how high the swelling is. For most people with swelling of the lower extremities due to venous changes due to aging — when the venous valves fail, especially when they lead to varicose veins and swelling of the legs after long days or excessive salt intake — knees Below is a common site. For others, thigh height is more appropriate.

You don’t have to worry about breaking the circulation. The blood supply to the legs comes from arteries with much higher pressure than veins and compression stockings. However, if you’re comfortable, you can raise the top a bit, and if you’re comfortable behind your knees, that’s fine.

We do not recommend doubling the material as modern stockings have less pressure on the top for comfort.

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