Welcome to the Conservative Care Resource Center


The Conservative Care Resource Center is an on-line source with valuable content to aid  patients with vein disease with their conservative care plan. Use the links in the box below to explore areas of conservative care that you could use help with like identifying inflammatory foods, learning how to strengthen your calf pump, & locating conservative care items.


What is Conservative Care?

  • Conservative Care Vein treatment includes non-invasive techniques used in the prevention and treatment of vein disease.
  • These methods require no surgery and can be beneficial in slowing or minimizing the progression of chronic vein disease and for relieving pain, swelling, and discomfort associated with the disease.
  • None of the Conservative Care methods will remove the diseased veins, but they can be effective in reducing the symptoms of a vein problem.

Connect with Dr. Sellers



McClellan Medical Mall & Meeting Center

256- 237-1624 Office • doctor@lewisesellersmd.com

171 Town Center Drive, Anniston, Alabama 36205 Lewis E. Sellers MD

Content on this website is not considered medical advice. Please see a physician before making any medical or lifestyle changes.

Recommended Links



Conservative Care Resource Center
Ulcer CARE
SURVEY Vein Disease

Conservative Care Methods

Click on the method to learn more about it.


1. Wearing Graduated Compression Hose

  • How Graduated Compression Hose Work

    As a person walks, the contraction and relaxation of the calf muscles around the veins aid the blood in moving toward the heart. The external graduated compression of socks and stockings acts as a layer of muscle by gently squeezing the stretched vein walls together, allowing the valves to close. The cavity of the vein is reduced, thereby restoring blood flow to a normal state and aiding overall circulation.


    The compression is greatest starting at the foot and ankle and decreases as the stocking fits up the leg.




  • FAQ on Graduated Compression Wear
  • Doff & Donning and Care Instructions for Your Hose

    Doff & Donning instructions

    Caring for your Hose

    1) Always use the special rubber gloves when doff & donning.

    2) File your nails and toenails to avoid nicking your hose with sharp edges or broken nails.

    3) Avoid wearing rings or bracelets when doff or donning to avoid damaging your hose.

    4) Do not cut off any projecting threads inside the stockings.

    5) Only use safe and recommended washing solutions.

    6) Wash by hand & don't use fabric conditioner.

    7) Do not put them in a dryer, dry clean or iron your hose.

    8) You may want to invest in some skin glue. This will help keep knee high and thigh highs in place on your legs.


  • Where to Purchase Graduated Compression Hose On-line

    BrightLife Direct

    Description: This on-line store carries a variety of graduated compression stockings, including some very fashionable choices, & other vein care related products.
    Brands: Jobst, Mediven, Juzo, Sigvaris and Allegro


    High Tide Health

    Description: This on-line store carries a variety of graduated compression stockings, including some very fashionable choices, & other vein care related products. Free shipping on orders over $25.
    Brands: Jobst, Mediven, Juzo, Sigvaris, Solaris, and Circ-Aid


    Ames Walker

    Description: Offers a wide variety of compression hose and devices.

    Brands: Ames Walker, Jobst, juzo, medi, Sigvaris, Therafirm, Venosan & more.


  • Where to Purchase Graduated Compression Hose Locally (Calhoun County)


    Artificial Limb & Brace Center

    218 E. 16th Street

    Anniston, Alabama 36207

    (256) 236-2562


    Downey Medical

    317 E. 10th Street

    Anniston, AL 36207

    (256) 238- 8991


    The Hanger Clinic formerly known as
    Northeast Alabama Prosthetic & Orthotics

    Suite 200, 731 Leighton Avenue

    Anniston, AL 36207

    (256) 235-5664

    Inside the Tyler Center on the 2nd floor.




  • How to Get a Proper Fit

    Wearing the right size is crucial to getting the best results from your graduated compression hosiery. Ideally patients will be measured by a hose expert at their local store. If ordering online, before you measure yourself, you'll need to know four things: compression level, style of hosiery, hosiery brand, and brand-line.


    If you've chosen to purchase your hose at BrightLife Direct then you can download their measuring guide and call them for additional help. 1 (877) 545-8585. High Tide Health also has friendly associates to help you make the right choice 1 (877) 437-0754 . Patients of Dr. Sellers NOTE: If you have a negative experience at either on-line store please notify him using the contact form on this site.


2. Avoiding High Heel Shoes

  • Why High Heels are a Problem for those with Vein Disease

    When patients wear high heels, they frequently notice an increase in leg aching and swelling. The problem with high heels is that they limit the ankle motion and this interferes with the efficiency of your vein pump. Your vein pump relies on the contraction of your calf and foot muscles to get blood from your feet to your heart. For these muscles to contract and squeeze the blood out of your deep veins in the most efficient way, you need to be able to flex and extend your ankle fully. Heels keep this from happening which leads to increased pressure and inflammation in the legs and feet.


    Visit Dr. Sellers Pinterest Page for Adorable Flats.


    Follow Lewis E. Sellers, M.D.'s board Adorable Flats on Pinterest.

  • What if I am Required to Wear Heels for My Job?

    Heels are a must because of some occupations. If that is the case for you, then consider implementing these practices:

    1) Limit your time in your heels as much as possible.
    2) Be sure to wear graduated compression hose with them.
    3) Take frequent breaks during the day and walk without your heels.
    4) Slide the heels off and do calf pump exercises.

3. Attaining & Maintaining a Healthy Weight

  • How Obesity Effects Vein Disease

    Obese individuals have a much higher recurrence rate of vein disease. It is very important to lose excess weight and maintain that weight loss to help prevent disease recurrence. Find out if you need to lose weight. Calculate your Body Mass Index or BMI.

  • Get Help with Weight Loss

    Click Here for Weight Loss Help.

4. Elevating Your Legs above your Heart

  • Why Leg Elevation Works

    Leg Elevation involves getting your feet & legs up above your heart. When individuals elevate their legs & feet, this puts gravity to work for them. It drains pooled blood in the legs back to the heart. This can be done by laying on the floor and propping your feet up on a wall or door, by using pillows, or by stacking several books under the foot of your mattress.

  • Where to Buy A Wedge Pillow

    The Lounge Doctor makes a great elevation pillow--available with and without memory foam in two sizes. Prices start at $80.00


    See more wedge pillow and price options on Dr. Sellers Pinterest Page.


5. Exercising

  • Importance of Exercise

    We need well toned muscles in our legs and especially in our calves for the proper flow of venous blood. Exercise strengthens the calf and can reduce our  leg vein problems.


    Learn More.

  • Calf Pump Exercises


  • Where to Walk in Calhoun County (Alabama, USA)

    Chief  Ladiga Trail             
    Oxford Civic Center 
    Golden Springs Community Center

    Friendship Community Center

    Jacksonville Community Center

  • Exercise Related Clubs in Calhoun County

    Finding individuals who have similar exercise goals as yourself, can be key to your exercise success. Consider checking out & joining one of these local clubs to find support and companionship.


    Northeast Alabama Bicycle Association (NEABA) 
    Individual Membership $30

    Family Membership $50




    Anniston Runners Club 

    Individual Membership $15

    Family Membership $20



  • Tools to Help you Walk


    Walking Books

    Walking Videos

    Walking Playlists

6. Eating Anti-inflammatory Foods

  • How Inflammatory Foods Effect Vein Disease

    Inflammation is quite the little trouble maker. It's the inflammation in the veins that leads to so many vein disorders. We can help reduce the level of inflammation in our bodies by reducing the number of inflammatory foods we eat while increasing the number of anti-inflammatory foods we consume daily.

  • Top 9 Most Inflammatory Foods

    1. Sugars

    2. Common Cooking oils

    3. Trans Fats

    4.  Dairy Products (milk)

    5.  Feedlot-Raised Meat

    6.  Red Meat and Processed Meat

    7.  Alcohol

    8.  Refined Grains

    9.  Artificial Food Additives


  • Anti-inflammatory Foods

    1) Ginger Root

    2) Kelp

    3) Broccoli

    4) Brussel Sprouts

    5) Cauliflower

    6) Turmeric

    7) Sweet Potato

    8) Green Tea

    9) Pumpkin

    10) Avocado



    11) Pineapple

    12) Papaya

    13) Broccoli

    14) Brussel Sprouts

    15) Almond Butter

    16) Macadamia Nuts

    17) Parsley

    18) Peppers

    19) Mackerel

    20) Anchovy


    21) Wild Alaskan Salmon

    22) Onions

    23) Curry

    24) Spinach

    25) Blueberries

    26) Shitake Mushrooms

    27) Cinnamon

    28) Flax Seed

    29) Cantaloupe

    30) Watermelon


7. Using Dietary Supplements

  • Options & How They Work

    •  French Maritime Pine Bark

    •  Rutin

    •  Resveratrol

    •  Citrus Bioflavanoid Capsules

    •  Grapefruit

    •  Horse Chestnut Seed Extract

    Supplements can be very helpful in treating vein disease by decreasing the inflammation that has shown to be critical in weakening vein walls & damaging the valves.

  • Horse Chestnut Seed Extract

    Horse Chestnut Seed Extract is the most impressive & widely used natural supplement used for vein disease. It's derived from the horse chestnut tree, Aesculus hippocastanum. It relieves aching, heaviness, & swelling in the legs, but won't prevent vein disease or make abnormal veins disappear.


    It's important to note that horse chestnut seed extract can have the side effects listed below. You should consult your physician before adding any supplements to your diet.


    1) Gastro-intestinal upset

    2) Calf muscle spasms

    3) Headache

    4) Nausea


    Available at GNC

    Available at the Vitamin Shoppe

    5) Allergic Reactions

    6) Increased risk of bleeding

    7) Diabetics: this supplement can effect blood glucose levels

8. Using Over-the-Counter Medications

  • Options & Precautions

    For temporary relief for leg pain and discomfort associated with vein disease doctors often recommend pain medications that can be purchased over the counter. There are several choices. Be sure to take these medications as instructed by your physician and pay close attention to the warning labels.


    Anti-inflammatory Options:

    1) Ibuprofen, brand names are Motrin or Advil  
    2) Naproxen, brand name Aleve


    Both Ibuprofen and Naproxen increase stomach acids. This can lead to stomach distress especially in pateintes who are prone to ulcers, gastritis, & heartburn. Patients may want to combine them with medications that reduce stomach acid output like Pepcid, Zantac, Prilosec, or Tagament.


    Non Anti-inflammatory Option:

    Acetiminophen, brand name Tylenol

    This is a mild pain medication without anti-inflammatory properties. It has the advantage of not increasing stomach acid output. It is a good alternative for patients with kidney complications or stomach concerns. However patients should NOT take this medication following alcohol use due to liver toxicity concerns!


  • Homeopathic Medicines

    Boiron makes oral and topical homeopathic options for pain, swelling, and bruising relief using Arnica Montana, a yellow daisy-like flower. It's available over the counter. The recovery procedure kit can be used 3 days before the EVLA procedure and for 3-5 subsequent days.


    Be careful to use Arnicare as instructed. Long term usage or high doses of Arnica Montana, causes various ill effects on human health. The major Arnica Montana side effects include skin rashes, organ damage, mouth ulcers and even heart failure. For more information and a list of places to purchase these products visit the Arnicare website.

9. Using Skin Care Products

  • Products for Treating Varicose Eczema

    Varicose Eczema is a skin condition that can effect individuals suffering with vein disease (especially the elderly). The skin on the lower legs and ankles can become red, inflamed, dry, cracked, broken, itchy or thickened.


    Syrinx Za offers an Eczema Cleansing Bar & Natural Emollient Cream Combination without steroids, parabens, petroleum or chemicals.

    Click here for a discount offer when purchasing both products.


  • Lanolin & Fragrance Free Moisturizers



    1) Lubriderm Daily Moisturizer Fragrance Free

    2) Lubriderm Daily Moisturizer for Sensitive, Normal to Dry Skin

    3) Lubriderm Mens 3-in-1 Fragrance Free Lotion

    4) Sigvaris Hypoallergenic Skin & Foot Cream (amazon.com) pictured left

    5) Syrinx Za Soap, Cream, and Balm Products (syrinxza.com)

    6) Epizyn Spray or Gel Products (epizyn.com)

    7) Gluten Free Savonnerie Moisturizing Lotion (gfsoap.com)

    8) Gluten Free Savonnerie Massage & Body Oil (gfsoap.com)

    9) Dakota Free Baby Your Skin Balm (dakotafree.com)

    10) Dakota Free Fragrance-Free Moisturizer (dakotafree.com)

    11) Aveeno Active Naturals Eczema Therapy Moisturizing Cream (made in a facility with gluten ingredients)


10. Lymphatic Massage Therapy

  • How Lymphatic Massage Therapy Works

    The vessels of the lymphatic system parallel those of the circulatory system, but the two differ in that lymph moves in one direction only and has no pump of its own. And lymph it is moved through the body by the action of the muscles, and it can stagnate if there is little exercise or if there is scarring or damage from disease.


    Lymphatic Massage Therapy uses "feather light" pressure in gentle strokes to increase lymphatic flow and remove toxins, boost the immune system and relieve swelling from the body.


    • RMC (Regional Medical Center of Anniston) has two Licensed Physical Therapists who hold National Certifications in Lymphedema Management.


    • A Physician Prescription/Referral is required for this service and an appointment is necessary.