{"id":12943,"date":"2024-08-25T16:19:18","date_gmt":"2024-08-25T14:19:18","guid":{"rendered":"https:\/\/www.varodem.com\/faq-faq-for-the-fitter\/"},"modified":"2026-02-27T15:01:02","modified_gmt":"2026-02-27T14:01:02","slug":"faq-faq-for-the-fitter","status":"publish","type":"page","link":"https:\/\/www.varodem.com\/en\/faq-faq-for-the-fitter\/","title":{"rendered":"FAQ FAQ for the fitter"},"content":{"rendered":"\t\t
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The Frequently Asked Questions, or FAQ. On this page, you’ll find a list of the most frequently asked questions by hosiery wearers. Also check out our regular five tips on using and caring for stockings here<\/a>. If you have questions about fitting stockings and they are not listed here? If so, please contact us! <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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What can you do about wrinkles on the instep in a round-knit stocking? <\/span><\/span><\/span><\/div>

Is the leg edematous? These wrinkles give a distinct constriction with deeper grooves on the instep. You see this more often in people who don’t move much. Advise your patient to wiggle their feet regularly while sitting. Padding is also a solution, as this has a relieving effect. Ask yourself the following questions: Is the stocking not too long? Is the stocking pulled on properly? Is the foot too short, too wide or is it creeping back due to a hollow foot or wearing the wrong shoes? All these signs can be the reason a stocking ripples on the instep. Always have patients put the cuff in place first and then, using a rubber gripping glove, spread the stocking well over the leg. Often, people with type 3 lip edema (ankle pockets) who wear a round-knit stocking will develop wrinkles in the stocking. Advice: switch to a flat-knit stocking and pad the ankle\/instep. <\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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What can you do about wrinkles on the instep in a flat-knit stocking? <\/span><\/span><\/span><\/div>

For this, again, check that the leg is edema-free. Padding around the instep and ankle can provide relief. If the patient has foot position deviations such as severe flat feet, extreme hollow feet or splayfeet, use a stocking with a toe piece. A toe piece prevents creeping back and thus wrinkling on the instep. People with foot position deviations do not wrap their feet properly while walking. As a result, the foot and calf muscles are not used properly. You will often see oedema start to manifest on the back of the foot and around the ankles. You can refer the patient for orthotics and you yourself can make the choice for a firmer stocking, such as the Eurostar 2 or the Euroform 3. <\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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What can you do if a stocking is too long? <\/span><\/span><\/span><\/div>

In this case, wrinkles may appear and the stockings may sag. The rule is: pulling up the stockings up to four times a day is normal. If this has to be done more often or if the stockings are already hanging halfway down the leg after half an hour, it is wise to find another solution. Where stockings drop off quickly, it is important to check several things: are the stockings washed regularly, is the stocking put on and distributed correctly, have the legs\/arms become smaller in size, has the patient lost weight and at what time of day do the stockings drop off. <\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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My patient reports getting corns from the stocking, what can I do?<\/span><\/span><\/span><\/div>

If you feel that the stocking presses too much at the level of the little toe, you can order a stocking with a toe piece next time. Placing a felt ring can reduce the pressure locally. Be careful not to place the ring all around, in connection with vacuuming the corn. The seam of a flat-knit stocking can be torn off under the foot over a length of one inch. The pressure will disappear acutely. Also, always look at the shoes the patient is wearing. It is often the shoe that presses against the edge of the stocking that causes a corn to form right there. Good shoes with a last at the correct size are a godsend. <\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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What do the blue, white or red discolorations of the legs\/toes mean?<\/span><\/span><\/span><\/div>
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    Blue discoloration: this is a sign that too much blood remains in the extremities. Advise your patient to exercise more to promote circulation. <\/p>\n<\/li>\n

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    White discoloration: this is a sign of arterial failure or lymphatic congestion. White skin means that no blood flow is visible. <\/p>\n<\/li>\n

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    Red discoloration: there is good blood flow and nothing is wrong.<\/p>\n<\/li>\n<\/ul>\n<\/div>\n\t\t\t\t\t<\/div>

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    What do tingly legs say when wearing the stocking(s)? <\/span><\/span><\/span><\/div>

    This often means that too little pressure is given by the stocking. Blood cannot be drained adequately and oedema is in danger of breaking through the stocking. Tingling is often a precursor to breaking through oedema. Choose a firmer stocking (Eurostar 2 or Euroform 3) or increase the compression class. <\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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    What to do in patients who report getting cold feet while wearing the stocking(s)?<\/span><\/span><\/span><\/div>

    Cold feet while wearing stockings is a common occurrence and is not a cause for concern. Advise the patient to exercise more. This will work the foot and calf muscles, stimulating blood flow. If the patient is immobile, it may help to move the feet and avoid holding the legs at a 90\u00b0 angle. On the contrary, it is better to elevate the legs. Did you know that just moving the big toe gives muscle contractions in the foot and calf that help improve blood flow? This moving of the big toe can be done by people by themselves or by the caregiver. Just one minute three times a day works wonders. <\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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    Above a stocking develops congestion, and now what?<\/span><\/span><\/span><\/div>

    It makes sense that the compression stops where the stocking stops. In legs made thin by bandages and in legs that are not completely edema-free, you will see the knee above the stocking become thick. Whole discs of hardened fluid can begin to form around the knee. In many cases, this can be resolved, for example, by bandaging with a VaroCare knee bandage or by using an under stocking with light compression over the knee. The use of a long stocking is not always necessary. A sports knee brace can also solve the problem. If congestion occurs above an AG stocking, the choice of a stocking with knit pants (ATFT) or bermuda shorts (flat-knit custom pants, TinkFit or Curetex compression pants) worn in addition to the AG is more advisable. If there is congestion above an arm stocking, additional bandaging above the stocking may be chosen, but this requires a great deal of technique on the part of the caregiver as well as the patient. <\/p>\n

    Tip: buy a heavy quality lycra sports shirt with sleeves one size too small. Compression shirts are also available under the name Curetex upper-body bandages. <\/p>\n<\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    How do you determine the B1 size? <\/span><\/span><\/span><\/div>

    Sometimes it’s hard to find the B1 size. Use this calculator to determine the correct size and length: <\/p>\n

    Size or length B + Size or length C divide by 2 minus 1 cm = cB1 \/ lB1.<\/p>\n

    Example: if B size = 22 cm and C size = 32 cm
    22 + 32 = 54 cm \/ 2 minus 1 cm = 26 cm.<\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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    How do you measure and calculate the LK1T and lK2T? <\/span><\/span><\/span><\/div>

    lK1T = the length from waist to crotch on the front\/abdominal side of the body. Your tape measure follows the bulge of the abdomen. You measure this size down to the crotch. <\/p>\n

    lK2T = the length from waist to buttock crease. Your tape measure follows the curve of the buttocks. The recommendation is to measure over either buttock and not in the middle so you can easily measure down to the buttock crease. <\/p>\n

    To check if this length of the front and back of the pants is too correct, use the following checksum:
    lT minus lG= lGT (length from G to T)
    The lK1T is often equal to the lGT.
    The lK2T is longer than the lGT in most postures (because of the buttocks).
    In any case, the lGT never differs much from the lK1T and the lK2T\/ <\/p>\n<\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tComplex situations\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    You have an adiposity patient under your care. The patient has very substantial legs and is advised to start wearing stockings. What should you be sure to look out for? <\/span><\/span><\/span><\/div>

    The motto here is: limit care to an AD stocking. All other designs are doomed to failure. Folds in the skin allow the stocking to constrict, resulting in skin breakage. The flared shape of the thigh will cause an AG stocking to roll over and sag. The choice of tights is also impractical because they are difficult for the patient, caregiver or caregiver to put on. <\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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    Many immobile wheelchair-dependent people suffer from dependency oedema (thick foot ridges). How do you deal with this? <\/span><\/span><\/span><\/div>

    Put a pad under the stocking at the level of the forefoot over the entire length and width on the dorsal side of the foot (on top of the foot). For these people, it is comfortable if the stockings are measured long at the feet, i.e., to over the base of the toes. By wearing a VaroCare Lite foot bandage over the stocking, you can also easily combat oedema in the feet. Also, wearing a Feelgood toe sock or VaroSilk toe bandage can relieve or even eliminate the pressure created by congestion in the toes. Also advise changing the position of the legs during the day (then up, then down). <\/p>\n<\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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    What can you do if AD stockings keep sagging? <\/span><\/span><\/span><\/div>

    This often happens with legs that are tapered and where there is too large a difference between the C and D circumferences (D>C). Tighter with circumference differences has a negative effect. The stocking will then roll at the cuff and pinch off below the knee. Measuring looser at the C size and making the difference between C and D smaller can be a solution. Sometimes applying a VaroCare non-slip bandage can be the solution. Using Compressana skin glue can also be tried. Another reason a stocking may sag is the fact that the stocking wants to sit in the crease between the ankle and instep (narrowest point). Solve this by filling the hollow with padding material. For extreme size differences, you can opt for a stocking that is longer on the lateral side than on the medial side (a so-called D-D1 or G-G1 finish). <\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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    What can you do if AG stockings keep sagging? <\/span><\/span><\/span><\/div>

    You can solve this problem by wearing the AG stocking in combination with TinkFit or Curetex compression pants, for example. Also consider special compression pants (bermuda shorts) the AG stocking is held in place. Alternatively, a strip of VaroCare non-slip bandage can be applied around the lower limbs, at the level of the Silicone border. The advantage of this anti-slip bandage is also that, in the case of flared legs and lower limbs, you can restore the shape in the limb. Also consider special Compressana skin glue with which to keep stockings in place (available from Varodem). <\/p>\n<\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    \n\t\t\t\t\t\t\n\t\t\t\t\t\t\tBroken stockings\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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    What do I do with stockings affected by heat? <\/span><\/span><\/span><\/div>

    Rubber threads will be damaged by exposure to heat sources, think of drying stockings on the heater or frequent exposure to direct sunlight. The rubber threads become porous and split. This causes a stocking to give no or reduced pressure. Varodem does not guarantee stockings affected by heat sources. Advise the patient not to put the stockings in the dryer or let them dry in the sun. Precisely do dry the stockings on the clothesline and roll them in a towel to remove excess moisture. <\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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    What do I do with stockings affected by grease? <\/span><\/span><\/span><\/div>

    Everyone knows that you should not use greasy products under a stocking. We therefore recommend that these products be used only in the evening after the stocking is removed. In the morning, the ointment or cream should be removed with soap and water before putting the stocking back on. Yet we often face a stocking in which there are obvious irregularities in the knitting and cracked rubber threads, caused by the action of grease. Where is the responsibility if it turns out that a stocking is nevertheless affected by grease? The warranty is void if the stockings are affected by cream or grease. Tip: You can apply Varodem Aloe Vera Gel under the stockings! <\/p>\n<\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    Why and how do I pad and what are the different padding materials? <\/span><\/span><\/span><\/div>

    Polsters are used to protect the skin from the stocking where it gives localized constrictions. This can happen when a leg or arm has large size differences binsilicone bandages. Think of an ankle or wrist. Or when the stocking pinches in the knee or elbow sockets, for example. By applying the padding materials so that cavities are filled (padding), you distribute the pressure better. Polsters can also be used to protect the forefoot from localized overpressure on the medial and lateral side. You thus make the radius of curvature larger so that the pressure is reduced. The most well-known padding materials are synthetic cotton wool. You can protect the instep, knee hollows and\/or elbow hollows by using a silicone bandage. <\/p>\n<\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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    What do you do when a patient experiences discomfort in the calf while wearing the stocking(s)? <\/span><\/span><\/span><\/div>

    First rule out arterial failure or thrombosis. If the supply is good and a duplex examination has shown no thrombosis, then pain in the calf may be an indication of too little pressure from the stocking on the leg. Choose a stocking with a higher stiffness or higher pressure. <\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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    What do you do when a patient experiences irritation in the knee area when wearing an AD stocking?<\/span><\/span><\/span><\/div>

    The AD stocking is too long or is pulled up too high, causing it to double in the hollow of the knee. Some people slap on stockings that are too long at the cuff, which can cause pinching of the veins. <\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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    What do you do when a patient experiences pain in the groin when wearing an AD stocking?<\/span><\/span><\/span><\/div>

    In this case, always refer to a specialized physician.<\/p>\n<\/div>\n\t\t\t\t\t<\/div>

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    What do you do when a patient experiences pain in the groin when wearing a pressure class 3 or 4 AG stocking? <\/span><\/span><\/span><\/div>

    This means there is too much lymph flow in the groin. The lymph nodes and pathways cannot handle the amount of lymph drainage. In this case, refer the patient to an edema therapist. A referral to a specialized dermatologist is certainly in order as well. This also applies to pain in the armpit or upper arm when wearing an arm stocking. Note: The use of an intermittent pneumatic compression (pump) set to too high a pressure can also cause lymphatic congestion in the groin or armpit. <\/p>\n<\/div>\n\t\t\t\t\t<\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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    <\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

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