Compression causing skin reaction?

[caroline111]

I have had to wear much tighter compression for the last three months, Class 2 flat-knit tights plus a Class two flat-knit thigh-high stocking on my right leg. After a couple of months of wearing this increased compression my skin at the front of my foot, where it joins the leg, has become red and sore and there are ridge marks. I have to wear these garments 23 hours a day so the skin doesn't get much respite. I moisturise every day and I started putting a three layered piece of cloth on the affected area underneath the tights but it's still pink although not as bad as it was. Does anybody else have this issue? What’s the solution? I'm wondering how my skin is going to manage long term. Thanks.

[Lynora]

Please let your lymphoedema clinic know what’s happening. It could be resolved by adding a silk insert at the trouble spot - this can be done by the manufacturer. Also, rather than wearing full on compression overnight, have you been offered wraps or Comfiwave or Jobst Relax overnight compression?

Make sure there is no moisturiser evident on the skin surface before donning the garments - this can cause friction at ‘pinch points’.

If possible, use pure silk as your temporary patch cover - I used an antique silk scarf!

[caroline111 in reply to Lynora]

Thanks for the info, Lynora, glad I'm not the only one!

[211044]

I wear open toe compression stockings on both legs and I find that the foot part works it’s way along the foot throughout the day and causes the stocking to crease exactly where you say, where the foot joins the leg and this causes ridge marks, soreness and redness. My lymphoedema nurse gave me an antiseptic spray which does help but it isn’t the total answer I am afraid. I just have to keep adjusting them throughout the day which isn’t ideal. However, if you have double compression on, this will not be as easy for you.

[caroline111 in reply to 211044]

Thanks, I'm hoping that eventually I may be able to do with out the extra stocking and that may ease things.

[1vern0n]

I am new to compression stockings. What does flat knit mean?

[caroline111 in reply to 1vern0n]

This was quite a useful site in terms of explanation

mediuk.co.uk/shop/product-c...

The main thing about flat-knit tights compared to circular-knit, which a lot of lymphoedema sufferers are given initially if it's only moderate, is that they are made-to-measure, and are more effective at controlling the swelling. They are, however, more difficult to get on and particularly horrible in the summer as they are thicker.

[Stella_Starr]

Look for Skin Prep Protection sprays.

[caroline111 in reply to Stella_Starr]

Thank you, will look for this, haven't heard of it before.

[Discoverlife]

Hi caroline111

What works really well for me is Algoplaque film thin. It’s a hydrocolloid dressing that is very thin and comfortable .

“Sterile adhesive composed of hydrocolloids. The product, when in contact with the wound, forms a protective gel layer that creates favorable conditions for early recovery and healing.”

If this brand is not available in the UK there is probably an equivalent.

[caroline111 in reply to Discoverlife]

Thank you, it looks like I can buy this in the UK

[Keb22]

Hi, I developed a rash on the front of my leg and behind my knee after going on a long walk, I panicked at first thinking it might be cellulitis but luckily I happened to have an appointment at the lymphoedema clinic the next day, they had a look at it and thought it was a heat/sweat rash - they gave me some Zinc and Caster Oil Cream and this has taken the rash away - just thought I would mention it in case that is any good for you as it works as a barrier. Karenx

[caroline111 in reply to Keb22]

That's really helpful, thank you.