Compression stockings and sleeves

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Indications for Gradient of Counterpressure

Gradient I (8-12 mm Hg)

  • Heaviness and fatigue in legs

Gradient II (15-20 mm Hg)

  • Tired, aching legs
  • Minor ankle, leg, and foot swelling
  • Minor varicose veins

Gradient III (20-30 mm Hg)

  • Prophylaxis and treatment of mild vascular insufficiencies
  • Mild varicosities without significant edema

Gradient IV (30-40 mm Hg)

  • Varicose veins
  • Chronic venous insufficiency
  • Peripheral edema
  • Prophylaxis post surgical stripping
  • Post-phlebitis syndrome
  • Pregnancy-related varices
  • Prophylaxis and treatment of edema and phlebitis due to post-fracture conditions and injury
  • Postural hypotension
  • Stasis dermatitis due to chronic venous insufficiency (CVI)
  • Venous stasis ulcers
  • Post-cast removal
  • Post-ligation or stripping
  • Inguinal lymphadenectomy
  • Muscular inactivity
  • Cellulitis

Gradient V (40-50 mm Hg)

  • Severe, marked degrees of Gradient IV conditions
  • Reversible lymphedema
  • Complications of chronic venous insufficiency such as:
    • Marked dependent edema
    • Venous ulcers
    • Severe chronic venous insufficiency
  • Post-phlebitis syndrome

Gradient VI (50-60 mm Hg)

Compression therapy support styles

  • Knee length
  • Thigh length
  • Waist height—either 1 or 2-leg
  • Maternity
  • Lymphedema arm sleeve
  • Lymphedema gauntlet (glove without fingers)
  • Lymphedema glove

Contraindications to compression therapy

  • Cutaneous infections
  • Hypodermitis in the acute phase
  • Wet dermatoses
  • Massive edema from congestive heart failure
  • Severe arterial insufficiency