Current Pedorthics | September-October 2018 | Vol.50, Issue 5 | Page 18

UNDER PRESSURE Conrad Jobst was a mechanical engineer and an inventor— who had venous disease. He developed a variety of gradient compression garments to relieve his own symptoms, and went on to found JOBST®, still one of the major companies in the industry. Graduated, or gradient, compression stockings play a significant role in venous care. They can prevent vein problems from occurring, relieve venous disease symptoms (thus, stopping its progression), and decrease the likelihood of a clot. While wearing compression, patients frequently report that their symptoms are significantly improved, if not completely alleviated. Ample data proves that compression can reduce the recurrence of varicose veins and venous ulcers. Compression therapy also provides an alternative for patients who opt for a more conservative treatment. Stockings can be worn for years as a long-term option for managing symptoms of venous disease. Compression is also crucial in both the acute and chronic management of patients with Deep Vein Thrombosis (DVT). Wearing compression stockings reduces the incidence of post-thrombotic syndrome (chronic pain and swelling in the leg after DVT) by half when worn for two years following DVT, according to recommendations by the American College of Chest Physicians. When there are risk factors for DVT such as long distance travel, immobility, or pregnancy, wearing compression can reduce its occurrence. Perhaps the most common use of graduated compression stockings in phlebology is as part of post-procedure care. Every patient that undergoes a venous procedure, including sclerotherapy, endovenous laser "Compression therapy also provides an alternative for patients who opt for a more conservative treatment. Stockings can be worn for years as a long-term option for managing symptoms of venous disease." 16 Pedorthic Footcare Association | www.pedorthics.org