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Compression stocking
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{{NeedsImage}} Compression stockings are tight clothing designed for medical use that covers the lower legs fully. ==Theory== Wearing compression stockings on the lower legs may improve [[orthostatic intolerance]],<ref name="vanCampen2022" /> which is a group of conditions that are very common in ME/CFS patients, and are recognized as a potential symptom in diagnosis according to the most recent CDC criteria.<ref name="CDC-symptoms">{{Cite web | url = https://www.cdc.gov/me-cfs/symptoms-diagnosis/symptoms.html | title = Symptoms {{!}} Myalgic Encephalomyelitis/Chronic Fatigue Syndrome | website = [[Centers for Disease Control and Prevention]] | date = Jan 27, 2021|access-date = 2021-02-25}}</ref><br> Orthostatic intolerance (OI) causes ME/CFS symptoms to worsen when the patient stands or sits. is It affected by blood circulation, which may reduce the severity of some [[:Category:Cardiovascular signs and symptoms|cardiac or circulatory symptoms]] in ME/CFS patients.<ref name="vanCampen2022" /> ==Evidence== A small study by van Campen et al. (2022) found that ''CEP Run 2.0'' knee-high lower leg compression stockings, with a closed toe, improved both average cardiac output and blood flow to the brain during a [[tilt table test]] in [[ME/CFS]] patients. Both cardiac output and cerebral blood flow (CBF) reduce when patients sit or stand, and the compression stockings reduced this effect but made no difference when patients were putting down.<ref name="vanCampen2022" /> According to the authors of the study, CEP Run 2.0 compression stockings provide 20–25mm Hg of compression.<ref name="vanCampen2022" /> ==Clinicians== ==Risks and safety== ==Costs and availability== Compression stockings are widely available although it is often unclear which stockings have been assessed as appropriate for medical use, and what pressure they provide.<ref name="vanCampen2022" /> ==Notable studies == *2022, Compression Stockings Improve Cardiac Output and Cerebral Blood Flow during Tilt Testing in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) Patients: A Randomized Crossover Trial<ref name="vanCampen2022">{{Cite journal | title = Compression Stockings Improve Cardiac Output and Cerebral Blood Flow during Tilt Testing in Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) Patients: A Randomized Crossover Trial | date = Jan 2022 | url = https://www.mdpi.com/1648-9144/58/1/51/htm|journal=Medicina|volume=58 | issue = 1 | pages = 51 | last = van Campen | first = C. (Linda) M. C. | authorlink = Linda van Campen | last2 = Rowe | first2 = Peter C. | authorlink2 = Peter Rowe | last3 = Visser | first3 = Frans C. | author-link3 = Frans Visser|language=en|doi=10.3390/medicina58010051|pmc=PMC8781100|pmid=35056360|access-date=|issn=1648-9144|quote=|via=}}</ref> - [https://www.mdpi.com/1648-9144/58/1/51/htm (Full text)] *2018, Quantification of the beneficial effects of compression stockings on symptoms of exercise and orthostatic intolerance in chronic fatigue/myalgic encephalomyelitis patients<ref name="Stockings2018">{{Cite journal | title = Quantification of the Beneficial Effects of Compression Stockings on Symptoms of Exercise and Orthostatic Intolerance in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis Patients | date = 2018 | url = http://www.scirp.org/journal/doi.aspx?DOI=10.4236/ijcm.2018.95032|journal=International Journal of Clinical Medicine|volume=09 | issue = 05 | pages = 367–376 | last = van Campen | first = C. (Linda) M. C. | authorlink = Linda van Campen | last2 = Verheugt | first2 = Freek W.A. | authorlink2 = | last3 = Visser | first3 = Frans C. | author-link3 = Frans Visser|doi=10.4236/ijcm.2018.95032|pmc=|pmid=|access-date=|issn=2158-284X|quote=|via=}}</ref> - [https://www.scirp.org/journal/paperinformation.aspx?paperid=84392 (Full text)] ==See also== *[[Postural orthostatic tachycardia syndrome]] (POTS) *[[Orthostatic intolerance]] *[[Orthostatic hypotension]] *[[Tilt table test]] ==Learn more== <!-- *Outside articles: e.g. WebMD, Merck Manual, drugs.com, drugbank.ca, Memorial Sloan Kettering, or ScienceDirect --> ==References== {{reflist}} [[Category:Potential treatments]] [[Category:Mechanical interventions]]
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