Conservative

The principles of conservative management are first to reduce the duration of high pressure. So, first, advise the patient to:

• avoid standing for too long (stops gravity from creating a hydrostatic column of blood)
  
• put their feet up when resting.

Second, fight pressure with pressure, which means compression stockings:

• Patients with VVs without ulceration can wear Class II (25–35 mmHg) BK graduated compression stockings. They are graduated from high pressure distally to lower pressure proximally
  
• When ulceration has developed, patients should have four-layer compression bandaging, which usually results in healing in approximately 6 weeks.