Friday, April 08, 2022

Stockings and venous disease

 Stockings and venous disease

Stocking as a part of compression therapy is the common prescription given to the patients attending the vascular (venous) clinics. Stockings are usually pressure graded. The maximum pressure is at the bottom level (ankle) and as we go up, the pressures decrease. These pressure graded compression garments are expected to improve venous flows and reduce venous stasis and ambulatory venous pressures. The venous symptoms are linked with ambulatory venous pressures (AVP). The higher (>80mmHg) AVPs are associated with non-healing venous ulcers.

Modern compression socks were invented by Conrad Jobst, a dashing German engineer who lived in Toledo, Ohio.  He suffered from varicose veins. The compression socks, which he invented around 1950, were his flagship achievement. They are tightest near the ankle, but still pretty tight up top. They work by countering hydrostatic pressure in the wearer’s legs. After Conrad's death in 1957, his wife, Carolyn Jobst, successfully grew the business. Under her leadership, JOBST® expanded its product lines to include Ready-to-Wear vascular garments, consumer support stockings, plastic and reconstructive surgery garments, and anti-embolism stockings. Sales extended to virtually every continent as the JOBST reputation for quality grew.