How to Fit and Size Compression Stockings

Women Trying on Compression StockingMany people complain about compression stockings, such as their stockings are too tight, or they dig into their legs, or they are falling down.  The first step to successful compression therapy is to wear the correct size of compression hosiery.  You should not just grab a pair off the shelf at your local pharmacy.  Your legs need to be measured.  Your correct size is not based just on shoe size or the standard of small, medium and large.

Compression stockings, such as Jobst, Sigvaris, Medi and Juzo have graduate compression, which mean the socks are tightest at the ankle and the compression of the stocking reduces as it goes up the leg.  This helps venous return of blood and reduces swelling.

Compression Stocking Size Chart

 Measuring

Knee-high stockings require three separate measurements to get the proper size.  Using a tape measure, take the following measurements:

1)      the smallest part of the ankle right above the ankle bone;

2)      the largest part of the calf; and

3)      while in a seated position, with the knee at a 90 degree angle, measure from the heel to just below the back of the knee (down1-1/2” or the width of two fingers).  Both legs should be measured and it can be in either inches or centimeters.

Too Tight

So, when stockings are too tight, typically it is because of incorrect measurements (too small) at either the ankle or the calf or both.  When a sock cuts in to your legs, they are typically too long for your legs and tend to fold over behind the knee or gather at the ankle.

Too Big

When stockings are falling down, the measurement at the calf is too big.  Also compression stockings may sometimes fall down as the swelling goes down.  In this case, a new smaller size of stockings is needed.

It is best to measure first thing in the morning before any swelling develops.  Also it is good to be remeasured from time to time in case your leg size has changed.  Compression stockings are used for tired/aching legs, edema, venous insufficiency, varicose veins, deep vein thrombosis (DVT), lymphedema and swelling due to pregnancy to name a few.

Liberty Oxygen and Medical Equipment has certified fitters at all of our seven Minneapolis and St. Paul metro locations.  Our fitters can also assist in selecting style, fabric, and color.

Posted on: February 18th, 2013 by Francis Sheehy in Compression Therapy | No Comments

CPAP Cleaning Schedule

CPAP machines and masks require regular cleaning. If you don’t clean them, you create an environment that bacteria love to grow in and that’s something you definitely shouldn’t be breathing in every night! Here’s what you need to clean and when.

Every Day

  • Wipe off your CPAP mask with a warm damp cloth, or with a mask wipe.
  • Empty and set out water chamber to dry.
  • Drain excess water from tubing and hang up to dry.

Every Week

  • Soak the mask, headgear, tubing, and water chamber in warm soapy water for 30 minutes – rinse and dry thoroughly.

Every Month

  • Rinse the foam reusable filter out with warm water.
  • Wipe down your CPAP machine as needed.

Remember, you should replace your CPAP accessories as follows:

  • Mask and foam reusable filter every 6 months
  • Tubing every 3 months
  • Disposable (white) filters every 2 weeks

Care and Cleaning of CPAP SuppliesLiberty sells CPAP mask wipes and CPAP tube wraps in addition to all other supplies you might need for your CPAP machine. If you have any questions about these, feel free to leave a comment or call any one of our Twin City area locations.

You can also download our Care and Cleaning of CPAP Supplies – Cheat Sheet. Print it out and keep it by your CPAP machine to help you remember the schedule.

 

Posted on: February 11th, 2013 by Francis Sheehy in CPAP | No Comments

CPAP Care Tips

Pictured: S9 Autoset CPAPHere’s our top five CPAP care tips.

1) The best soaps for cleaning are mild and fragrance-free. Think Ivory, Dove, or baby soap.

2) Before you use a new mask, soak it in warm soapy water for 45-60 minutes.

3) If you are experiencing redness or irritation on the bridge of your nose, try adjusting your mask and headgear. If that doesn’t help, place a piece of adhesive moleskin bandage on your mask on the spot that’s causing the irritation. It can help cushion the area that rests on your nose.

4) Always place the machine in a carrying case when traveling. Make sure your water chamber is completely empty before doing so.

5) For excessive condensation in tubing (rain out), try decreasing your humidity setting or insulating your tubing with tube wrap.

Posted on: February 4th, 2013 by Francis Sheehy in CPAP | No Comments

Top Selling CPAP Masks For 2012

As you contemplate your next CPAP mask replacement, would it be helpful to know the top selling masks on the market?  CPAP mask manufacturers consistently compete to create a better mask for a more comfortable night’s sleep and to treat your Obstructive Sleep Apnea (OSA).  As a result, new masks are coming out on the market all the time.  Just like any other product, some masks are better than others.  Some are popular and some are a flop.  It’s a good idea to check with your provider to see what new masks have come out when you are due for a replacement and inquire about what masks have been getting good reviews.

 For maximum therapeutic benefit, it is recommended you replace your CPAP mask every six months – which is also the intended useful life of a mask by the manufacturer.

 The top 10 best selling masks at Liberty Oxygen and Medical Equipment in the Minneapolis / St. Paul market for 2012 are:

#1
Minneapolis CPAP Mask Mirage Swift FX
Mirage Swift FX by Resmed
Type: Nasal Pillow

 

#2
Minneapolis CPAP Mask Mirage Quattro

Quattro by Resmed
Type: Full Face Mask

 

#3
Minneapolis CPAP Mask Mirage Quattro FX

Quattro FX by Resmed
Type: Full Face Mask

 

#4
Minneapolis-CPAP-Mask-ComfortGelBlue
Comfort Gel Blue by Respironics
Type: Nasal Mask

 

#5
Minneapolis CPAP Mask Zest Q

Zest Q by Fisher & Paykel
Type: Nasal Mask

 

#6
Minneapolis CPAP Mask EasyLife by Respironics

EasyLife by Respironics
Type: Nasal Mask

 

#7
Minneapolis CPAP Nasal Pillow Mask Opus

Opus by Fisher & Paykel
Type: Nasal Pillow

 

#8
Minneapolis CPAP Mask TrueBlue

TrueBlue by Respironics
Type: Nasal Mask

 

#9
Minneapolis CPAP Mask Mirage Activa LT

Mirage Activa LT by Resmed
Type: Nasal Mask

 

#10
Minneapolis CPAP Mask Zest

Zest by Fisher & Paykel
Type: Nasal Mask

 

Note:  Respironics has come out with the new Amara full face mask that’s becoming more popular.

Posted on: January 28th, 2013 by Kate Murphy in CPAP | 1 Comment

Seasonal Affective Disorder

The major cause of SAD is lack of sunlight.

Seasonal affective disorder (SAD) is a medical condition, a type of depression, that affects many people in the late fall, winter, and early spring.  The major cause of SAD is lack of sunlight.  SAD has been referred to as many things over the years, such as winter blues, winter depression, cabin fever, etc.  SAD was made a clinical diagnosis in the early 1980’s.  On average only 2% of the population has SAD, the incidence of it goes up the farther north you live.  Women are twice as likely to have it as men.  Also, in Canada it is estimated that 20% of the population has some symptoms of SAD.  The symptoms are depression, lack of energy, increased appetite, lethargic, over sleeping, socially withdrawn, irritable, difficulty concentrating, and a low sex drive to name a few.

One of the methods of treating SAD is with light therapy.  The therapy is provided through use of a light box or SAD light, which a person sits within two feet of for thirty minutes a day – typically first thing in the morning.  The SAD light emits a bright light simulating sun light, and should be a minimum of 10,000 Lux (a metric measurement of light intensity).  The light stimulates a receptor in the eye that in turn causes a chemical reaction in the brain, and is believed to help reset your circadian rhythms.

The SAD light, sometimes referred to as happy lights, work for people with mild to very severe seasonal affective disorder.

A Litebook Elite. A portable light box.

SAD light therapy is typically covered by most insurance companies, if the individual has a diagnosis of SAD, and a prescription for light therapy from their doctor.  The light box must produce 10,000 Lux.  Insurance companies tend to rent the light box for the first two months, and then purchase it if the therapy is successful.  You should check with your insurance company for specific coverage criteria – they may vary.  Many people purchase light boxes at their own expense because it makes them feel happier and more energetic in the winter.  You do not need a prescription to purchase them, only if you want an insurance company to pay for them.

Liberty Oxygen and Medical Equipment provides light boxes for purchase and rental. We have seven Twin Cities locations, and we are a provider for most insurances: BCBS HealthPartners, Medica, Preferred One, Ucare.

For more information on seasonal affective disorder visit:

The Society for Light Treatment and Biological Rhythms

Posted on: January 21st, 2013 by Francis Sheehy in Medical Issues | No Comments