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Venous diseases: Different characteristics

Chronic venous diseases:

Acute venous diseases:

Spider veins: These are dilated veins that are small but clearly visible veins in the uppermost layer of the skin. Phlebitis: The phlebitis often arises in connection with varicose veins in the leg veins. It is characterized by marked redness, swelling, a strong feeling of warmth and severe pain along the vein.
Varicose Veins: Varices are enlarged superficial leg veins that emerge as bluish, tortuous protrusions under the skin. Thrombosis:  A deep vein thrombosis occurs when a blood clot (thrombus) clogs a deep vein of the leg so that little or no blood can flow through the vein. Thrombosis can be manifested by swelling, pain and reddish or bluish discoloration of the skin. However, in many cases, thrombosis causes a few ailments in the initial phase, which can promote sequelae.
Venous insufficiency: Chronic venous insufficiency (CVI) describes a clinical picture due to permanently impaired function of the veins. Above all, the veins on the legs are affected. Typical signs of CVI may be swelling and discoloration.

Causes of vein problems

If the venous valve function diminishes, for example due to advanced age or hormones (pregnancy), then the blood flows back into the veins and collapses there. The vein wall relaxes and expands: spider veins, varicose veins and – in a very advanced stage – a lower leg ulcer (“open leg”) develop.

Risk factors

In terms of risk factors, experts distinguish between factors that can not be influenced and influenced by factors:

Non influenceable factors (among others): Influencing factors (among others):
Advanced age Lack of exercise (for example in standing or sitting occupations)
Genetic predisposition overweight
(women are more affected than men)
alcohol consumption
(for example during pregnancy)
Too much heat
Tight clothing and high heels

Symptoms and signs – how to recognize venous disease?

Long before varicose veins or other changes become visible, the first signs are usually noticeable: tension and heaviness, tired, tingling or aching legs – especially in the evening. This can also cause swelling due to stored water. This leads to the so-called “fat legs” or “swollen ankles”.

At these signs, sufferers should go to the doctor so that he can initiate early treatment.

Venous function measurement – easy, fast and painless

The venous check is done while sitting. About ten centimeters above the ankle, small probes are attached to the inside of the lower leg. Now powerful rocking with your feet activates the muscle pumps. As a result, the venous blood is pumped upwards and the veins empty. The probes record how quickly the veins fill with blood again. The normal value is about 25 seconds, a shorter refill time may be an indication of venous insufficiency. Many medical vendors offer vein function measurement. The technical term is light reflection rheography (LRR measurement).

Stages of chronic venous disease – the CEAP classification

Doctors define the severity of chronic venous disease based on CEAP classification 1 from C0 (no signs) to C6 (most severe):



0 No visible signs of venous disease Spider veins,
1 telangiectasias or reticular veins
2 Varicose without clinical signs of chronic venous insufficiency
3 Varicose with edema
4a Varicose with trophic lesions subdivided into: pigmentation or eczema
4b lipodermatosclerosis or atrophy blanche varicosis
5 with healed ulcus cruris
6 varicose with florid ulcus cruris


A venous disease should not be underestimated. Varicose veins are more than a question of aesthetics: Left untreated, serious illnesses can arise. Appropriate therapy can alleviate symptoms and possibly slow the progression of the disease.

Possibilities of prevention

The most effective way to prevent varicose veins and other venous diseases is to consistently wear medical compression stockings with light compression (eg, compression class 1).

The investment in your health is worthwhile in any case, especially since compression stockings with proper care last at least six months. Your doctor may prescribe medical compression stockings up to twice a year if you are in need of medical attention.

Preventive compression stockings are recommended when …

  • You have an inherited connective tissue weakness. This is often the case when varicose veins and other venous disorders occur in your close relationship.
  • You have a job where you have to sit, stand or squat for a long time. Only when moving the joint and muscle pumps can work fully and the veins are pumped out by muscle activity.
  • You are suffering from chronic constipation. The pressure on the abdomen increases, the veins are additionally loaded.
  • They drink alcohol regularly (a lot). Alcohol has a vasodilator effect.
  • You are pregnant or have just given birth, take the pill or a hormone supplement for menopause. Hormone changes favor varicose veins.
  • You need to sit or stand for a long time in special situations – for example, on long trips (especially on the plane) or while working at trade fairs. Then it is also recommended to prevent healthy women by wearing compression stockings.

Products from medi


  • Flexikon: Rabe, Eberhard; Gerlach, Horst E. (2005): Practical phlebology. 2nd revised. A. Stuttgart: Georg Thieme Verlag.
  • Medi.de

Medical thrombosis prophylaxis stockings (MTPS)

The stocking for thrombosis prophylaxis

In the case of immobility and bed rest, it is important to offer you not only efficient thrombosis prophylaxis but also maximum comfort. medi has the solution: mediven thrombexin 18.


  • Physical thrombosis prophylaxis in immobile patients pre-, intra- and postoperatively
  • Prevention of edema
  • Women in childbed
  • Bedridden


  • Anatomically knitted stocking with a precise graduated pressure gradient
  • Simple handling and time-saving.
  • Takes the pressure off nursing staff and optimises patient care
  • Colour coded size system for quick and simple selection of the correct stocking size
  • Increased compliance with its high elasticity and the specially soft, skin friendly and active breathing knit
  • High efficiency and multiple usage

Length: Knee and Thigh Length

Sizes: XS, S, S X-wide, M, M X-wide, L, L X-wide, XL

Size Leg Measurement (Circumference in cm) Color Code
Ankle cB Calf cC Below Knee cD Thigh cG Heel Thigh
Knee Length
XS 17 – 19 26 – 32 25 – 31 Orange
S 20 – 22 30 – 38 29 – 37 Green
M 23 – 25 34 – 44 33 – 43 Violet
L 26 – 28 38 – 48 37 – 37 Blue
LX 26 – 28 44 – 55 43 – 54 Grey
Thigh (AG)
XS 17 – 19 26 – 36 25 – 35 40 – 50 Orange Orange
S 20 – 22 30 – 342 29 – 41 48 – 60 Green Green
S X-wide 20 – 22 30 – 42 29 – 41 56 – 70 Green Grey
M 23 – 25 34 – 46 33 – 45 56 – 70 Violet Violet
M X-wide 23 – 25 34 – 46 33 – 45 64 – 80 Violet Grey
L 26 – 28 38 – 51 37 – 50 64 – 80 Blue Blue
L X-wide 26 – 28 38 – 51 37 – 50 72 – 90 Blue Grey
XL 29 – 31 42 – 55 41 – 54 72 – 90 Red Red

Compression Garment

CCL1, 2, 3


  • Safe and reliable care
  • Suitable for both male and female
  • Perfect fitting at toe section and broader cuff
  • Excellent durability
  • Antibacterial effect on the whole leg with Clima Fresh
  • Skin-friendly, suitable for sensitive skin


  • After sclerotherapy/surgery
  • Varicosis in pregnancy with tendency for slight to severe oedema
  • Inflammatory venous disease (Superficial thrombophlebitis, varicophlebitis) with tendency for slight to moderate oedema
  • Thrombosis prophylaxis for mobile patients
  • Primary and secondary varicosis with a slight to severe tendency for odema
  • Chronic venous insufficiency stage 1-3 with tendency for slight to severe oedema/CEAP – classification C1 to C5
  • Deep venous thrombosis, post-thrombotic syndrome with tendency for slight oedema

Length: Knee, Thigh, Panty, Leotard

Color: Skin and Black

Sizing information:



eB eD eG
I 18cm – 20cm 27cm – 33cm 43cm – 57cm
II 20cm – 22cm 29cm – 36cm 45cm – 62cm
III 22cm – 24cm 32cm – 39cm 49cm – 67cm
IV 24cm – 26cm 34cm – 42cm 53cm – 72cm
V 26cm – 28cm 36cm – 45cm 56cm – 77cm

Mediven Ulcer Kit


  • Easy and efficient handling of care kit
  • Inspection opening in the sole of the foot for simple visual inspection
  • The soft border ensures comfort without constriction
  • Special Knitting technique – with an antibacterial action to prevent odor


  • Venous leg ulcer
  • Ulcer-stadium because of signs of inflammation
  • Chronic-venous insufficiency stadium III: Acutephase resp, CEAP-Classification C5.C6

The kit includes:

  • 2 X liners (Under-stockings)
  • 1 X Mediven Plus over-stocking
  • 1 X easy-on applicator


Size: 2, 3, 4, 5 and 6

Sizing information:

Size cB cC cD
2 20cm – 22cm 30cm – 37cm 29cm – 36cm
3 22cm – 24cm 33cm – 40cm 32cm – 39cm
4 24cm – 26cm 35cm – 43cm 34cm – 42cm
5 26cm – 28cm 37cm – 46cm 36cm – 45cm
6 28cm – 30cm 39cm – 49cm 38cm – 48cm

Mediven JuxtaCURE


  • Measurable graduated compression
  • Custom built for a perfect fit on a vast majority of leg shapes
  • Lightweight, breathable and slim-line
  • Machine washable


  • Improved healing rates
  • Can help to promote self management
  • Suitable for all venous leg ulcers
  • Quick and easy to apply
  • High levels of patient concordance
  • Allows use of normal footwear and wide range of motion at the ankle

The kit includes:

  • 1X JuxtaCURE legging
  • 6 X Velcro Stays
  • 1 X pair Comfort Leg Liners
  • 1 X pair Comfort Compression Anklets
  • 1 X Built-In Pressure System Guide Card
  • 1 X Paper Measuring Tape

Size: Short, Standard and Long

Size Length of lD
Length: Short 28cm
Length: Standard 33cm
Length: Long 38cm

Lymphoedema, colloquially known as “dropsy” is a swelling. It is caused by the accumulation of fluids that leak out of the vascular system into the tissues. Lymphoedema is often associated with another illness, for example, it can start after an operation for cancer and can also develop secondary to heart failure, kidney failure or cirrhosis of the liver. Drugs such as cortisone or antidepressants can also contribute to the onset of lymphoedema.

Doctors prescribe compression garments for treating lip- and lymphoedema, which are then fitted at the medical retailer. Since the treatment of oedema is highly individual, the garments are mostly made to measure. Off the shelves garments are also available if the size fits.

medi compression garments for the treatment of oedema are marked by their comfort in wear and durability: only the highest quality breathable materials are used. For patients with oedema who also have a bunion of the big toe – so-called hallux valgus – there is the mediven 550 Leg with its hallux pressure-relief zone. The patient can choose from various modern colours. Fashionable highlights and sophisticated details such as the toecap or the comfort heel round off the product.

Flat knit medical compression garments are disease-modifying treatment for lipoedema and lymphoedema of the arms and legs. Their aim is to prevent renewed “tissue congestion”, for example, after lymphatic drainage. Compression garments are worn for lipoedema to slow down or even stop progression of the oedema.

Compression garment for flight use are also available.

Contact Us for Your Compression Garment Specialist