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Leg ulcer - venous - Management
Which compression stocking should I prescribe to prevent venous leg ulcers?
- After a venous leg ulcer has healed, prescribe below knee, high-compression stockings (class III) if the person can tolerate them and there are no contraindications.
- If the person cannot tolerate class III stockings, prescribe the highest level of compression that can be tolerated, such as class II stockings.
Basis for recommendation
- These recommendations are based on published expert opinion and systematic reviews [RCN, 2006].
- The use of compression stockings reduces venous ulcer recurrence rates and is cost effective. Class III stockings are associated with lower recurrence rates than class II stockings.
- Below-knee compression hosiery is associated with increased compliance [Enoch et al, 2006].
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