How to Prevent Pressure Sores with Anti-Embolism Stockings

Quick answer

To prevent pressure sores while using anti-embolism stockings, ensure a correct fit by measuring calf circumference and thigh length, apply the stockings smoothly without wrinkles, and inspect your skin at least twice daily for redness or irritation. Remove the stockings for short periods as advised by your clinician and keep the skin clean and dry. If you notice persistent marks or pain, stop use and consult your healthcare provider.

Measure for a Proper Fit

Correct sizing is the foundation of pressure sore prevention. Anti-embolism stockings work by delivering graduated compression, and a poor fit can create pressure points that damage skin. Use a soft tape measure to record calf circumference at the widest point and thigh length from the heel to the gluteal fold. Compare your measurements to the manufacturer's sizing chart—do not guess based on shoe size or height alone. If you are between sizes, choose the larger size to avoid excessive tightness. For thigh-length stockings, also measure thigh circumference to ensure the top band does not bind. Re-measure if your leg swelling changes significantly, as post-op edema can alter fit.

Apply Stockings Without Wrinkles

Wrinkles or folds in the fabric concentrate pressure and are a leading cause of skin breakdown. To apply, turn the stocking inside out and slide your foot into the toe area first. Gradually roll the stocking up your leg, smoothing it as you go. Ensure the heel pocket sits correctly at your heel and the open toe (if present) allows you to check circulation. Avoid pulling the top band too high; it should sit comfortably, not roll down. If the stocking bunches behind the knee, readjust immediately. For those with limited hand strength, a stocking applicator can help achieve a smooth fit.

Inspect Skin Twice Daily

Pressure sores can develop quickly, so check your skin at least every 12 hours. Look for red patches, blisters, or areas that feel warmer or cooler than surrounding skin. Pay close attention to the heel, ankle, and behind the knee—common pressure points. Use a mirror or ask a caregiver to check the back of your leg. If you see any redness that does not fade within 20 minutes after removing the stockings, leave them off and contact your clinician. Document any changes to share with your healthcare team.

Follow a Wear Schedule

Anti-embolism stockings are typically worn continuously, but your clinician may recommend removing them for 30 minutes every 8 to 12 hours to allow skin care. During these breaks, gently wash your legs with mild soap and water, pat dry, and moisturize if advised. Do not massage red areas vigorously. If you are prescribed intermittent pneumatic compression or other therapies, coordinate timing to avoid overlapping pressure. Adherence to the schedule matters—skipping breaks can increase skin risk, while removing stockings too often reduces DVT prevention benefits.

Handle Laundry and Replacement

Dirty or damaged stockings lose their compression and can cause friction. Wash them by hand in lukewarm water with mild detergent, rinse thoroughly, and air dry away from direct heat. Do not use bleach or fabric softener, which can break down elastic fibers. Check for tears, holes, or stretched-out tops. Most manufacturers recommend replacing stockings every 2 to 3 months with daily wear, or sooner if they no longer stay in place. Keep a spare pair so you can maintain wear during laundering.

Step-by-step: How to prevent pressure sores with anti-embolism stockings

1. Measure and select the correct size: Measure calf circumference at the widest point and thigh length from heel to gluteal fold. Use the manufacturer's sizing chart. If between sizes, choose the larger size to avoid excessive pressure. Checkpoint: Stockings should feel snug but not painful. You should be able to slip a finger under the top band.
2. Apply stockings smoothly: Turn the stocking inside out, slide your foot into the toe, and roll it up your leg. Ensure the heel pocket aligns with your heel and the fabric is wrinkle-free. Adjust any bunching behind the knee immediately. Common mistake: Pulling the top band too high or letting it roll down, which creates a tourniquet effect.
3. Inspect skin every 12 hours: Remove stockings and check for redness, blisters, or warmth. Focus on heels, ankles, and behind the knee. If redness persists after 20 minutes, leave stockings off and call your clinician. Next step: Document any skin changes and share with your healthcare provider.
4. Follow the wear schedule: Wear stockings as prescribed, typically continuously. Remove for 30 minutes every 8–12 hours for skin care. Wash legs gently and pat dry. Do not massage red areas. Checkpoint: Set reminders to stay on schedule; consistency is key for DVT prevention and skin health.
5. Care for and replace stockings: Hand wash in lukewarm water with mild detergent, air dry. Avoid bleach and fabric softener. Replace every 2–3 months or sooner if they lose elasticity or develop tears. Common mistake: Using hot water or dryer, which damages elastic fibers and reduces compression.

Product facts

• T.E.D.™ Thigh Length Anti-embolism Stockings: T.E.D. Thigh Length Anti-embolism Stockings are made of nylon in a circumferential knit pattern that ensures proper pressure and prevents slippage, with a contoured seamless construction, defined heel pocket, and full foot with open toe for inspection. The open toe allows you to check circulation and skin without removing the stocking, while the seamless design reduces friction that can lead to pressure sores.
• Shoe Post Op Vinyl Lace-Up Men SM: Shoe Post Op Vinyl Lace-Up Men SM features a rigid sole that prevents excessive foot motion after surgery, a heel and toe pitch that encourages a natural gait, and a skid-resistant bottom for safe traction. If you need post-op footwear, this shoe supports safe walking and reduces the risk of falls that could cause skin injury or dislodge stockings.