In chronic venous insufficiency with edema and stasis dermatitis, what is the initial recommended intervention?

• A. Altering anticoagulation therapy
• B. Radioablation therapy
• C. Warm compresses
• D. Compression stockings

Answer: (D)

Managing chronic venous insufficiency with edema and stasis dermatitis starts with external support to promote venous return. Compression stockings provide graduated pressure that reduces venous pooling and capillary hydrostatic pressure, which in turn decreases edema and the skin inflammation that drives dermatitis. This mechanical help addresses the root problem of venous hypertension, making skin healing more likely and symptoms more manageable.

Other options don’t fit as the initial step. Altering anticoagulation isn’t indicated for venous insufficiency with edema; it’s a vascular valve problem, not a thrombotic issue. Radioablation targets refluxing veins and is a procedure considered after conservative measures if symptoms persist. Warm compresses don’t provide the sustained external compression needed to reduce venous pooling and edema, so they’re not the primary intervention here.