[Hinews] [Physician's Column] By Dongki Lee, MD, Ulsan Doctor Vein Clinic

Varicose veins, a progressive vascular condition caused by impaired vein valve function, often worsen over time if left untreated. This dysfunction leads to blood pooling in the lower legs, resulting in visible bulging veins and symptoms such as leg fatigue, pain, swelling, and a sensation of heaviness. In severe cases, complications like skin discoloration, inflammation, or ulcers may develop, underscoring the importance of early intervention.

Treatment for varicose veins varies depending on the stage of the condition. In its early phases, non-surgical options, particularly medical-grade compression stockings, can significantly alleviate symptoms and slow disease progression. However, choosing the right product and understanding proper usage are critical for effectiveness.

Dongki Lee, MD, Ulsan Doctor Vein Clinic
Dongki Lee, MD, Ulsan Doctor Vein Clinic
Compression stockings work by applying consistent pressure to the leg veins, facilitating smoother blood flow toward the heart. Designed with graduated compression—highest at the ankle and gradually decreasing toward the thigh—they promote improved circulation. For patients with early-stage varicose veins, these stockings are more than a simple accessory; they are considered a cornerstone of conservative treatment. Benefits include reduced leg swelling, relief from fatigue, enhanced blood flow, and prevention of blood clots. They are also widely used as a preventive measure by individuals in occupations requiring prolonged standing or sitting, such as teachers, healthcare workers, or office employees—a common scenario in many countries, including South Korea, where long work hours (often 9 a.m. to 6 p.m. or longer) are typical.

Medical-grade compression stockings are highly effective in managing varicose veins and curbing their progression, particularly for patients not yet requiring surgery. Consulting a healthcare professional to select the appropriate pressure level and fit is essential. Unlike regular stockings, medical compression garments are engineered with a specific pressure gradient: 100% at the ankle, approximately 70% at the calf, and about 40% at the thigh. Self-prescribing can lead to complications—stockings with excessive or insufficient pressure may exacerbate symptoms, and an improper fit can cause discomfort, tingling, or swelling.
Compression stockings remain a leading conservative treatment for slowing the progression of varicose veins and relieving symptoms. Selecting a product tailored to one’s condition and receiving proper guidance on usage are paramount for optimal outcomes.

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