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Legs Go

Frequently asked questions

Click through our frequently asked questions below.

Can I wash my compression garments?

Know your legs
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All stockings should be hand washed at 40°C and should be left to dry flat away from direct heat. DO NOT wring, iron, tumble dry, dry clean or bleach your stockings Ensure you have a pair to wash and a pair to wear. Hosiery should be replaced every 3-6 months to ensure the right level of compression.

What’s the best sort of exercise to keep my circulation healthy?

Move your body
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Any type of movement that is achievable to you. Whether it is stretches in a chair, dancing around the kitchen, a good walk or more strenuous exercise if you can manage it. Speak to your health care professions about NHS Health and wellbeing coaches. They support people to increase their ability to self-manage, motivation levels and commitment to change their lifestyle. They are experts in behaviour change and focus on improving health related outcomes by working with people to set personalised goals and change their behaviours.

How does food affect your skin?

Feed your body
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One of the most important factors in keeping the skin healthy is nutrition and hydration. This is because the body needs protein, energy (calories), vitamins and minerals (such as vitamin C, iron, and zinc), and plenty of fluids to support skin structure and aids the wound healing process if a leg ulcer has developed.

Will I be able to remove or reapply dressings or compression wear?

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Depending on your mobility and dexterity, you may be able to remove and reapply compression stockings or wraps yourself. Your healthcare provider can provide instructions and demonstrations on proper application techniques.

How do I know if I have a leg ulcer?

Know your legs
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If you have a break to your skin below the knee and above the ankle for 2 weeks or more, it is not showing any signs of improving or is deteriorating, then it is classified as a leg ulcer, contact your health care professionals for a full lower limb assessment to be performed and treatment started. The earlier you start treatment such as compression therapy, then the easier it will healed.

Are there any local support groups for people with leg problems?

Mind your soul
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Ask your healthcare professionals if there is provision in your area such as Well Leg clinics or groups. You can check the website www.legclub.org, these Leg Clubs are an initiative which provide community-based treatment, health promotion, education and ongoing care for people of all age groups who are experiencing leg-related problems. Also, ask your GP practice about social prescribing which has been developed by NHS England. It is an all-age, whole population approach that works particularly well for people who:

  • have one or more long term conditions.
  • who need support with low level mental health issues.
  • who are lonely or isolated.
  • who have complex social needs which affect their wellbeing

What will happen if I remove them while I sleep?

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Removing compression while sleeping can lead to swelling and discomfort, particularly if you have venous insufficiency. It’s best to wear compression consistently, even while sleeping, unless advised otherwise by your healthcare provider.

Can I exercise if I have a leg ulcer?

Move your body
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Absolutely! It will aid your venous system in activating the foot and calf muscle pumps to get blood flow up your legs.

What is the best way to get good vitamins and minerals into your body without buying expensive supplements?

Feed your body
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The NHS Eatwell Guide shows how much of what we do eat should come from food groups to ensure a balance over each day. The micronutrient content of each food is different, so it’s best to eat a variety of foods to get enough vitamins and minerals. Vitamins and minerals are vital for growth, immune function, brain development and many other important functions. The Legs Go Website Feed your body page has recipes and more information about how to get the best elements from food choices.

My leg ulcer has healed, how can I prevent another leg ulcer occurring?

Know your legs
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Wearing graduated compression hosiery is recommended to prevent recurrence of leg ulcers (NICE guidelines 2021). Also, taking good care of your skin with washing, application of emollients daily and checking your legs and feet carefully for any changes. Keep moving according to your abilities to activate the calf muscle pump and aid the venous blood flow return.

Can I change my own dressing on my leg ulcer?

Know your legs
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Speak to your health care professional if you, a carer or family member would like to be more involved in your wound treatment. Although, at the beginning, it may be best to be seen by the healthcare professional to prevent infection, they can assess when you can start to manage your leg wound. Suitable supported self-care pathways can be put into place following assessment.

What are the best activity ideas to improve anxiety and distract from my leg ulcer?

Mind your soul
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The Mind your soul section of the Legs Go website has some great information and links to podcasts and videos to show you techniques such as mindfulness. Also the Move your body section has good ideas on types of activity that are not too strenuous but give you a boost in overall wellbeing.

Can I wear compression when exercising?

Move your body
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Yes, it will support the veins to push the blood up the body as you move.

If it is painful, can I have less compression?

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If compression is causing excessive pain or discomfort, it may need to be adjusted. There are lower compression options, so consult with your healthcare provider to determine the appropriate level of compression based on your individual needs and tolerance.

Have you got any good recipes ideas?

Feed your body
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The Legs Go website Feed your body page has recipe ideas that incorporates all food groups and supports the skin and leg health.

Who do I contact if I am concerned about my leg health?

Know your legs
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Contact your health care professionals to arrange an appointment to discuss further, that may be your GP, practice nurse, district nurse or pharmacist.

Where can I access specialised care?

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Specialised care for leg ulcers, including assessment and management of compression therapy, is available through wound care clinics, vascular specialists, and primary care providers with expertise in wound management.

I smoke, I know it’s not good for my health, where do I find support in stopping?

Mind your soul
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Find NHS Stop Smoking Services near you or call the Smokefree National Helpline on 0300 123 1044 (England only). Support is also available in Wales, Northern Ireland, and Scotland.

The British Heart Foundation website has information to support www.bhf.org.uk/informationsupport/risk-factors/smoking

What exactly is a ‘balanced’ diet?

Feed your body
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This means eating a wide variety of foods in the right proportions and consuming the right amount of food and drink to achieve and maintain a healthy body weight. The NHS Eatwell food guide has information on all the food groups and making the best choices, it can be found on the Legs Go website on the Feed your body page.

What do I do if it gets wet while I am bathing?

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If compression gets wet while bathing, gently pat it dry with a towel and consider replacing it with a dry dressing if necessary. Avoid rubbing or pulling on the wound to prevent further irritation.

I am a carer for someone with a leg ulcer, can I help them and how?

Know your legs
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Yes, you can, assistance in cleansing the legs and applying emollient, application of the compression garments. Encourage or support leg movements, elevate their legs when resting. Talking and listening about their concerns and liaising with the health care professionals with support systems.

I have no sensation in my lower legs, what can I do to prevent leg ulcers occurring?

Move your body
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If you can, move your legs or get assistance, seek advice from physiotherapists on the best type of movement for your individual needs. Monitor your legs and feet regularly for any changes or breaks to the skin and get a health care professional assessment.

Wearing my usual footwear with compression garments:

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In most cases, you should still be able to wear your shoes while wearing compression bandages or stockings. Choose shoes that are comfortable and provide adequate support.

I want to get better motivated to move more and also enjoy different activities, what do you recommend?

Mind your soul
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Look at the Move your body page on the Legs Go website for some great tips on activities to try. Swimming or aqua aerobics, going for a stroll in a nice park, basic gardening or tapping the feet, swaying along to favourite music. Even shopping and carrying a few bags of purchases is exercising, but enjoyable too, throw in a coffee or healthy lunch!

I can’t mobilise well, are there any tips to keep moving sat in a chair?

Move your body
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It is important to keep moving even if you cannot walk and stand long periods. Sitting for prolonged time can also increase the risk of pressure ulcer (sores). The auto massage technique for seated stretching to improve blood flow is demonstrated on the Legs Go move your body page. The NHS website has good information and videos on how to do seated exercises but also check if there are any local groups or classes available. www.nhs.uk/live-well/exercise/strength-and-flexibility-exercises/sitting-exercises

How much fluid should you drink in a day and what is the best to have, I don’t want to be going to the toilet to often!

Feed your body
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Water, lower-fat milks, lower-sugar or sugar-free drinks and tea and coffee all count. Fruit juice and smoothies also count towards your fluid consumption, but they contain free sugars that can damage teeth, so limit these drinks to a combined total of 150ml a day. Caffeine is a diuretic, therefore would not be recommended.

Are all bandages and stockings the same?

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Not all bandages and stockings are the same. Different types of compression garments have varying levels of compression and are designed for specific purposes. Your healthcare provider can recommend the most suitable for you in terms of comfort, colour, slippage, and compression level.

My legs are often swollen and achy, especially if I have been standing a long time; why is that?

Know your legs
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Venous disease, or insufficiency can develop for various reasons. The blood is trying to reach the heart, pumped through the veins when we activate the foot and calf muscle pumps. Inside the veins are valves which usually close to stop the blood dropping back down, but sometimes these are damaged, and it causes pressure on all the veins. It also impacts on the lymphatic system, which removes excess fluid. So, we have a build-up causing swelling and that achy feeling. Standing for long periods can make this worse, however compression therapy can help relieve this.

Could alternative therapies help with lower limb problems?

Mind your soul
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These treatments range from acupuncture and homeopathy, to aromatherapy, meditation and reflexology. This is often not available on the NHS.

Whilst there is no evidence to support the benefits to lower limb health improvement, complementary therapies may improve a feeling of well-being. It is important to seek advice and access reputable qualified practitioners.

Do you have video links for good exercise aimed at older persons?

Move your body
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The NHS website have guidance on activity for the older adult with links to exercise videos www.nhs.uk/live-well/exercise/exercise-guidelines/physical-activity-guidelines-older-adults/#what-activities-strengthen-muscles

Check out the videos on our Move your body page. You will also find information on the NHS web page.

My skin is a dark tone, how do I assess if the colour has changed?

Know your legs
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Identify what is your usual skin tone, if any areas on your legs have changed, it may be darker than your usual tone, appear bluish or purple or red. This is the iron in the blood which is staining the skin as it is spilling into the smaller capillaries when it is not been pumped sufficiently inside the larger leg veins

What if I remove my compression wear?

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Removing compression prematurely can impede the healing process and increase the risk of complications such as swelling and infection. It’s important to follow your healthcare provider’s instructions and wear compression as directed. Remember that you can discuss different options with your healthcare provider and be involved in decisions about your treatment.

I am overweight and worried it is affecting my legs, is there any support in the NHS to help me?

Feed your body
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Speak to your health care professions about NHS Health and wellbeing coaches. They support people to increase their ability to self-manage, motivation levels and commitment to change their lifestyle. They are experts in behaviour change and focus on improving health related outcomes by working with people to set personalised goals and change their behaviours. Try to make small changes in nutrition and movement initially, look at the information on our feed your body and move your body sections for more information.

I have been prescribed compression hosiery; do I wear it at night in bed?

Know your legs
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You can wear compression in bed, if you have a leg ulcer or swelling it is beneficial. Speak to your healthcare professional about your individual, person centred care.

What do I do if it slips off?

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If compression slips off, it may need to be reapplied or adjusted. Ensure proper application techniques and consider using additional aids such as cohesive bandages or adhesive wraps for added support. Not all compression is the same, so discuss the options that are right for you with your healthcare provider.

I hate running, but like a little stroll, is that ok for exercise?

Move your body
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Walking is one of the easiest exercises to improve blood flow and activate the calf muscle. Being outside in the fresh air, getting important vitamin D during the summer is vital for good bone and muscle health. A stroll around a nice park or to the shops improves mood and wellbeing, can alleviate anxiety and we may bump into friends for a chat along the way.

I’ve been diagnosed as pre diabetic, can I reverse this and how?

Feed your body
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A healthy diet and keeping active will help you manage your blood sugar level. Eat a wide range of foods – including fruit, vegetables, and some starchy foods like pasta, keep sugar, fat, and salt to a minimum. Get advice and support from your health care professionals in monitoring.

I have brown areas of skin on my shin, what does that mean?

Know your legs
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This is called Hemosiderin staining. It is caused when the blood that is pumped through the veins drops back down if the valves are damaged inside. The blood spills through the smaller capillaries and into the tissue / skin, the iron in the blood causes the skin pigment to change colour.

Are there any surgical procedures available for varicose veins?

Know your legs
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This is something you should discuss with your GP. Patients with a healed leg ulcer in compression should be assessed for suitability of corrective endovenous ablation surgery to reduce the risk of recurrence and treat the cause of the disease. The procedure is undertaken as a day case under local anaesthetic and is viewed as a minimally invasive procedure. It should be considered for all patients with venous insufficiency, to reduce risk of ulceration and recurrence (NICE, 2021).

Will I get financial support for bandages and dressings?

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Financial assistance for bandages and dressings may be available through various healthcare programs or insurance coverage. Speak with your healthcare provider or insurance provider to explore available options.

If I have a leg ulcer, can what I eat, and drink help the healing?

Feed your body
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If a wound has developed, nutrition plays a vital role in the healing process. This is because the body needs protein, energy (calories), vitamins and minerals (such as vitamin C, iron, and zinc), and plenty of fluids to support the wound healing process.

The body may need more protein if a wound is present. Foods that are high in protein include meat, fish, eggs, dairy products, nuts, beans, and pulses. Having at least one of these foods at each meal will benefit.

My leg ulcer has healed, can I stop wearing compression garments / hosiery now?

Know your legs
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Compression is a lifelong treatment. It is important to continue to wear hosiery once your ulcer has healed. The compression will continue to aid your venous blood to return up your legs, and also manage any swelling. This can prevent the reoccurrence of a leg ulcer.

What is the best moisturiser to use on the legs if they are dry?

Know your legs
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There are many emollients to use for adding moisture to dry skin. Ask your GP, nurse or pharmacist what they recommend buying or prescribe for you.

Does massaging help my legs and circulation?

Move your body
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Gentle massaging the legs may help relieve aches and tired muscles and can improve a feeling of wellbeing. It can stimulate the lymphatic system which supports our immune system. Ask about specialist techniques if you have a diagnosis of lymphoedema from your health care specialist lower limb services.

My wife has dementia and has a small appetite, her skin is very fragile; what advice can you give me to increase calories?

Feed your body
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If a person isn’t eating enough, it can lead to weight loss and less muscle strength. They may also feel tired and weak. In addition to increasing calorie intake, one pint of milk per day or a variety of milk and dairy foods such as milk puddings, cheese or yoghurts is encouraged as a food first approach. This can be achieved by simple adjustments to diet and texture of food can also be changed if swallowing problems are present or appetite is low. Further support can be accessed from Age UK and www.alzheimers.org.uk/get-support/daily-living/poor-appetite-dementia

I have itchy skin on my legs which weeps sometimes, can I prevent this?

Know your legs
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Skin conditions such as eczema and dermatitis can occur on the leg from having venous disease, or adverse reaction to products used. Get advice from your health care professionals, but you can support yourself with washing in PH balanced soaps, applying an emollient twice daily. Resist the urge to scratch as it may lead to leg ulceration and infection.

What does compression do?

Know your legs
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Compression is an aid to your venous system, it helps the return of blood pumping up from your lower legs through the veins and into the lungs to receive oxygen, before retuning through the heart and arteries delivering oxygen rich blood and nutrients around the body. If a leg ulcer is present, it needs access to the enriched blood to heal. If swelling is present and legs are achy, compression will help resolve this by getting fluid back into the lymphatic system.

What does smoking do to affect the legs?

Mind your soul
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The chemicals in cigarettes can cause a build-up of fatty deposits in the blood vessels. This makes the space in your arteries narrow so the blood struggles to squeeze through it. You can experience severe pain in the legs especially when walking up a slope or stairs. The blood supply to the legs has less oxygen so increases risk of leg ulceration and any hard to heal wounds. There is increased risk of blood clots, stroke and heart attack and types of cancer.

My legs are swelling, why is that and can I do anything to help with it?

Move your body
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It is important to have an assessment to determine the cause of the swelling and start treatment relating to diagnosis. Venous disease can cause oedema, that is soft swelling that may be relieved on leg elevation. If left untreated it can develop into chronic oedema / lymphoedema. Other causes of swelling especially in one leg can be Deep vein thrombosis (DVT) and needs urgent assessment. If prescribed compression therapy, wear it as advised to reduce swelling

What are the signs of a leg ulcer infection and what should I do?

Know your legs
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Signs of infection may be increased pain, inflammation, more leakage, a change in colour of what is leaking form the wound, maybe green or yellow, brown. You notice a smell from the ulcer. The skin surrounding the ulcer may have changed colour and be spreading and is warm to touch. You may feel unwell and have a fever, this can be signs of spreading infection or sepsis which you need urgent medical assessment and treatment for.

I am struggling with rising food costs; how can I get a healthy diet on a budget?

Feed your body
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Buying fresh food and cooking meals does not have to be an expensive choice. Many supermarkets now supply ‘wonky’ vegetables and fruit at cheaper prices. Late in the day price reductions, or if you have markets close by these are an option. Batch cooking and freezing food limiting waste. Nutritious soups and stews, pasta and curries go a long way. There are multiple foodbanks throughout the UK, you can check eligibility online. Ask your GP practice about any lifestyle groups and social prescribing if you need further help with this and any other financial concerns.

I struggle to apply compression hosiery, what are tips to support with this?

Know your legs
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There are various devices designed to aid application such as sock aid, ask your healthcare professional to discuss the right one to be prescribed for you.

I have veins visible and raised around my ankle, what is that?

Know your legs
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This is known as ankle flare. The pressure on the smaller veins around the ankle from the reflux of blood causes them to bulge and become visible.

What are ‘good fats?

Feed your body
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Fats are often given a bad reputation, but they are necessary for energy and the absorption of vitamins and fatty acids. Fats supply a lot of energy, which is needed during a leg ulcer healing process. Wounds increase the number of

calories that are needed per day. Fats that are high in saturated fat can keep the body in a state of inflammation, so it is important to select foods that are unsaturated. Cheese, whole milk, cream, butter, olive oil, avocado, nuts seeds, fish.

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