From the Guidelines
For patients with acute DVT of the leg, compression stockings should not be worn routinely to prevent post-thrombotic syndrome (PTS). This recommendation is based on the most recent and highest quality study, which suggests that the use of compression stockings does not provide a significant benefit in preventing PTS 1. However, for patients with acute or chronic symptoms, a trial of graduated compression stockings may be justified.
When considering the use of compression stockings, it's essential to weigh the potential benefits against the potential drawbacks, such as inconvenience and discomfort. The decision to use compression stockings should be made on an individual basis, taking into account the patient's specific circumstances and preferences.
Some key points to consider when using compression stockings for DVT include:
- The recommended duration for wearing compression stockings after a DVT is usually 2 years, though some healthcare providers may recommend different timeframes based on individual circumstances 1.
- Compression stockings should be worn during waking hours but can be removed at night while sleeping.
- The stockings should be put on first thing in the morning before getting out of bed when leg swelling is minimal.
- The recommended compression strength is typically 30-40 mmHg, though the doctor may prescribe different levels based on the patient's specific condition.
- It's crucial to have the stockings properly fitted by a healthcare professional to ensure they provide the right amount of compression without being too tight or too loose.
Ultimately, the decision to use compression stockings for DVT should be based on the most recent and highest quality evidence, and should prioritize the patient's morbidity, mortality, and quality of life 1.
From the Research
Compression Stocking Usage for DVT
- The use of compression stockings for Deep Vein Thrombosis (DVT) patients is a topic of discussion among healthcare professionals, with some studies suggesting their effectiveness in preventing post-thrombotic syndrome (PTS) 2, 3, 4.
- Current guidelines recommend the use of graduated elastic compression stockings with a pressure of 30-40 mm Hg at the ankle for 2 years following the diagnosis of DVT to prevent PTS 2.
- However, survey results show a low rate of use of compression stockings in patients with DVT, and limited adherence to current recommendations for strength and duration of use 2, 4.
- Some studies suggest that compression stockings may be effective in preventing DVT, but the evidence is not conclusive, and more research is needed to determine their effectiveness 5, 3, 6.
Duration and Timing of Compression Stocking Use
- The optimal duration and timing of compression stocking use are not well established, with some studies suggesting that they should be worn for 2 years after DVT diagnosis 2, while others recommend their use for a shorter or longer period 3, 4.
- Some physicians believe that compression stockings should be initiated immediately after DVT diagnosis, while others recommend delaying their use until the patient is asymptomatic 4.
Patient Compliance and Perception
- Patients with DVT are generally willing to comply with compression stocking therapy and find them helpful in relieving swelling and symptoms 4.
- However, physicians may underestimate patient compliance with compression stocking use, and there may be a lack of consensus among healthcare professionals regarding the optimal use of compression stockings 4.