Compression after sclerotherapy

Compression regimes vary but it is generally accepted that compression after sclerotherapy reduces the incidence of side effects such as pigmentation and thrombophlebitis┬╣.

For large veins it is usual to apply local eccentric compression over the injection site using a foam rubber or cotton wool pad. The pad can be held in place using a limited stretch bandage. A medi class 1 or 2 compression stocking (18-21 or 23-32 mmHg at the ankle) is then worn over the top of the pad to provide general elastic compression. The pad and bandage should be kept in place for at least 3-7 days. The medi stocking should be worn for 2-3 weeks. For 1 week continuously and then during the day for a further 7-14 days.

After microsclerotherapy it is recommended that a Class 1 or 2 medi stocking (18-21 or 23-32 mmHg at the ankle) is worn for at least 4 days continuously and then during the day for a further 10 days.

Published data comes from Weiss et al (1999) who conducted a study on the effect of duration of compression following microsclerotherapy using USA classification Class 1 stockings (20-30 mmHg at the ankle). They concluded that wearing a stocking providing 20-30 mmHg compression at the ankle for 2-3 weeks significantly reduced the incidence of pigmentation and they advise patients to wear compression for 2-3 weeks.

Waterproof overstockings are available from STD Pharmaceutical to help the patient comply with the compression regime. The waterproof overstockings enable the patient to shower whilst their leg is bandaged.

For information on medi compression hosiery visit:www.mediuk.co.uk.

┬╣ Weiss R, et al. Post Sclerotherapy Compression: Controlled Comparative Study of Duration of Compression and its effects on Clinical Outcome. American Society Dermatologic Surgery 1999; 25: 105-108.