The Use of Fuzzy Wale Elastic Compression Stockinet* for Initial Stages of Refractory Venous Leg Ulcers

Background: Patients who present with refractory venous ulcers require compression to treat the underlying pathology. Many patients cannot tolerate a multilayer compression system (MCS) due to stasis dermatitis symptoms, including itching, burning, and pain. Fuzzy Wale Elastic Compression Stockinet (FWECS*) is a low grade compression stocking that decreases the symptoms of stasis dermatitis permitting the patient to transition to a MCS. The stocking leaves “cornrow” indentions in the skin, which allows for improved lymphatic drainage by not compressing all dermal lymphatic channels simultaneously. FWECS can be easily removed for showers and dressing changes and does not require significant hand strength to don.

Methods: We monitored three patients with refractory venous stasis ulcers for compliance, calf circumference measurements, subjective pain level, and symptoms of stasis dermatitis on initial presentation and after subsequent weeks of treatment with FWECS. At their initial visit, appropriate dressings were applied to the wound and patient was instructed to wear FWECS at all times, except for showering and dressing changes. In addition, patient was instructed to elevate legs, increase walking, and flex ankles. Measurements were obtained prior to initiation and after one week of therapy. After adequate vascular studies, the patients were transitioned to MCS for ongoing therapy.

Results: All patients tolerated the FWECS, resulting in decreased calf circumference measurement, pain, and symptoms of stasis dermatitis. Thus, patients were transitioned to MCS and demonstrated higher tolerance to compression therapy.

Conclusion: FWECS is often associated with increased compliance due to its ease of use and ability to help decrease pain and symptoms of stasis dermatitis. It is a safe initial treatment for patients with venous ulcers who are awaiting vascular studies or who are unable to tolerate MCS. *EdemaWear (Compression Dynamics, LLC)