Why Natural Rubber for Class 3 Compression

Natural rubber compression stockings provide exceptional durability and consistent compression delivery for patients requiring the highest standard therapeutic pressure (30–40 mmHg Class 3). Unlike synthetic compression fabrics that can lose elasticity over time, natural rubber maintains firm, reliable compression throughout extended wear periods and multiple washing cycles. The material's inherent elastic properties create powerful graduated compression that effectively manages severe venous insufficiency, significant edema, and complex lymphatic conditions. Natural rubber's robust construction withstands the mechanical stress of Class 3 compression while providing the sustained pressure needed for advanced therapeutic applications. Full Long length extends coverage beyond standard stockings, accommodating taller individuals or providing comprehensive support when venous disease affects the entire lower extremity from toes through upper thigh.

Key Features & Benefits

• Extra-firm 30–40 mmHg (Class 3) graduated compression for advanced medical conditions
• Natural rubber construction provides exceptional durability and compression consistency
• Graduated pressure maximizes at ankle, decreases progressively up leg
• Full Long length offers extended coverage for taller users or comprehensive support
• Medium (U Medium/M4) sizing ensures proper therapeutic fit
• Beige color provides neutral, professional appearance
• Unisex design accommodates both men and women
• Maintains compression integrity through repeated wear and washing
• Prescription-strength compression for severe venous and lymphatic disease
• Suitable for daily therapeutic wear under medical supervision

Clinical Applications

Appropriate for individuals with:

✓ Severe chronic venous insufficiency (CVI) with advanced symptoms ✓ Severe varicose veins with complications or skin changes ✓ Post-thrombotic syndrome following deep vein thrombosis ✓ Significant leg edema requiring maximum compression ✓ Venous leg ulcers (active or healed) requiring Class 3 support ✓ Moderate to severe lymphedema under specialized care ✓ Post-surgical recovery requiring maximum venous support ✓ Failed response to lower compression levels (20–30 mmHg) ✓ Complex venous disease requiring comprehensive leg coverage

Important: 30–40 mmHg Class 3 compression REQUIRES physician prescription and professional fitting. Do not use without medical evaluation. Contraindicated in severe arterial disease, acute DVT without anticoagulation, severe neuropathy, or untreated heart failure.

Usage & Application - User Guidance

For Class 3 Natural Rubber Compression Under Physician Direction: This prescription-strength stocking requires physician authorization and professional fitting. Natural rubber compression demands proper application technique and medical supervision.

Understanding Class 3 Compression:

• Classification: 30–40 mmHg = Class 3 = Extra-firm = Prescription
• Highest standard level: Maximum therapeutic compression
• Physician prescription: MANDATORY for Class 3
• Professional fitting: REQUIRED for safety and effectiveness
• Medical supervision: Ongoing monitoring essential

Natural Rubber Characteristics:

• Material: Latex-based natural rubber (allergy consideration)
• Durability: Superior compression maintenance vs. synthetic
• Firmness: Very firm feel, less flexible than synthetic fabrics
• Consistency: Reliable compression throughout wear period
• Care requirements: Specific washing/drying protocols for rubber
• Longevity: Maintains therapeutic pressure longer than synthetic

Latex Allergy Considerations:

• Natural rubber contains latex
• Do NOT use if latex allergy present
• Severe reactions possible in latex-sensitive individuals
• Alternative synthetic Class 3 stockings available if latex allergic
• Consult provider about latex sensitivity before use

Understanding Full Long Length:

• "Full" refers to complete leg coverage (toes to upper thigh)
• "Long" indicates extended length for taller individuals
• Accommodates leg lengths longer than standard sizing
• Prevents inadequate coverage in tall patients
• Ensures therapeutic compression throughout entire leg
• Check sizing chart for exact length measurements

Professional Fitting Requirements:

• MUST be fitted by certified compression specialist
• Multiple precise measurements required
• Ankle, calf, knee, thigh circumferences measured
• Full leg length from heel to gluteal fold measured
• Medium (U Medium/M4) accommodates specific measurement ranges
• Re-fitting every 3–6 months or with body changes
• Improper fitting causes complications with Class 3 compression

Medical Evaluation Before Use:

• Physician must rule out arterial disease
• Ankle-brachial index (ABI) testing typically required
• Vascular assessment ensures safe compression use
• Medical history review for contraindications
• Diagnosis of condition requiring Class 3 compression
• Prescription documentation necessary for dispensing

Preparing to Apply Natural Rubber Stockings:

• Apply in morning before legs swell
• Skin must be completely clean and dry
• Remove all jewelry from leg
• Have donning aids ready—essential for Class 3
• Rubber gloves mandatory for gripping rubber material
• Allow 15–20 minutes for application initially
• Consider professional donning instruction

Application Technique - Natural Rubber:

• Turn stocking inside out to heel pocket
• Powder inside of stocking lightly if recommended
• Insert foot, position heel precisely in heel pocket
• Pull stocking over foot and ankle with steady pressure
• Natural rubber requires more force than synthetic
• Work gradually up calf to knee
• Stand to pull over thigh to full length
• Ensure Full Long length reaches 2–3 inches below gluteal fold
• Smooth all wrinkles—extremely important with rubber
• Top band should lie flat without rolling

Donning Aids Essential for Natural Rubber:

• Rubber gloves: Provide critical grip on rubber material
• Donning frames: Metal/plastic devices assist application
• Talcum powder: Inside stocking helps slide (sparingly)
• Silk liner socks: Some wear underneath for easier application
• Professional instruction: Training from fitter highly recommended
• Donning butler: Specialized device for Class 3 compression

Throughout the Day:

• Monitor for any circulatory compromise signs
• Check top band hasn't rolled or cut into thigh
• Natural rubber should maintain compression without loosening
• Smooth wrinkles if any develop
• Remove immediately if severe pain, numbness, or discoloration
• Elevate legs when possible to enhance compression benefits

Removing Natural Rubber Stockings:

• Remove at end of day or as prescribed
• Peel top band down carefully
• Work down leg slowly—rubber adheres firmly
• Turn inside out as removing
• Use barrier cream on fingers if needed
• Takes several minutes—do not rush
• Inspect leg carefully after removal

Caring for Natural Rubber Compression:

• Hand wash only in lukewarm water
• Use mild soap—no harsh detergents
• Rinse thoroughly to remove all soap residue
• Press water out gently—do not wring
• Air dry flat away from direct heat or sunlight
• Never machine wash or machine dry
• Never use bleach or fabric softeners
• Natural rubber requires gentle care for longevity

Natural Rubber Specific Care:

• Rubber degrades with heat exposure
• Direct sunlight damages rubber elasticity
• Store in cool, dry, dark location
• Avoid petroleum-based lotions before application
• Check for rubber deterioration regularly
• Replace when elasticity diminishes or material cracks
• Typically lasts 4–6 months with proper care

Managing Class 3 Compression Challenges:

• Extremely difficult to apply: Use all available donning aids, consider professional help
• Very uncomfortable initially: Build up wear time gradually under supervision
• Top band cuts into thigh: May need different size or style
• Cannot tolerate: Consult provider immediately—may need alternative
• Skin breakdown: See provider urgently—may need wound care
• Allergic reaction: If latex sensitivity, discontinue and contact provider

Adjustment Period for Class 3:

• First 2–3 weeks most challenging
• Start with shorter wear periods if needed (4–6 hours)
• Gradually increase to prescribed duration
• Severe discomfort after adjustment not normal
• Regular provider follow-up during adjustment
• May need compression level reassessment

Signs of Circulatory Compromise:

• Severe pain, cramping, or burning
• Complete numbness or loss of sensation
• Skin color changes (blue, purple, white, gray)
• Extreme coldness in toes or foot
• Loss of pulse in foot
• Increased swelling rather than decreased
• These require IMMEDIATE stocking removal and medical attention

Monitoring Treatment Effectiveness:

• Track reduction in leg circumference measurements
• Document improvement in pain and heaviness
• Note decrease in edema and swelling
• Monitor venous ulcer healing if present
• Record skin condition improvements
• Measure increase in activity tolerance
• Report progress at all follow-up appointments

Regular Medical Follow-Up:

• Provider appointments every 3–6 months minimum
• More frequent if active ulcers or complications
• Regular compression level assessment
• Arterial status monitoring periodically
• Sizing verification with each visit
• Prescription renewal as needed
• Ongoing condition management

When to Contact Physician Immediately:

• Severe pain, numbness, or circulation problems
• Signs of infection (redness, warmth, fever)
• Skin breakdown or ulceration
• Sudden increase in swelling despite compression
• Signs of blood clot (sudden pain, swelling, warmth)
• Cannot tolerate compression despite proper fit
• Allergic reaction symptoms
• Any concerns about safety or appropriateness

Product Specifications

• Product Code: 503C
• Compression Level: 30–40 mmHg (Class 3, extra-firm, graduated)
• Classification: Prescription medical device
• Material: Natural Rubber (contains latex)
• Length: Full Long (complete leg, extended length)
• Size: Medium (U Medium / M4)
• Gender: Unisex
• Color: Beige
• Prescription: REQUIRED
• Professional Fitting: MANDATORY
• Best For: Severe venous/lymphatic conditions
• Wear Time: As prescribed (typically 8–12 hours daily)
• Care: Hand wash only, air dry
• Replacement: Every 4–6 months
• Medical Supervision: Ongoing required
• Contraindications: Latex allergy, severe arterial disease, acute DVT, severe neuropathy