Thanks for the links! The SoC study should be dismissed:
http://docs.google.com/...lmZjY0MDM3&hl=en
The sample size of 21 is too small considering the non-conclusive results, and non-blind design. An error or contamination regarding one person could have produced the published results. It also only tested compression, not graduated compression, nor compression amount.
- How would you ever do a blind test for compression socks? Sure if you were able to do that it would be ideal but test subjects would know if they had compression socks on verses regular socks, which ones were tighter and so on. Studies are expensive and I know that we will come out with more down the road. We know what compression levels effect the veins so recovery is given with proper compression levels. There’s also a recovery benefit to products that effect the superficial level and help move lactic acid into the main circulatory system. - If you read the study in detail you’ll see that they used CEP Running 02 Max (Running) socks. The levels of compression may not be disclosed but they are as follows: 23-25mmHg in the ankle , 18mmHg (consistent) compression on the calf. It shows the difference and key to this product is the consistent compression on the calf. We understand the study isn’t full proof but no study really is. We can go back and forth but out of all the products on the market who has a published medical study and athlete feedback that is in line with the study? CEP and Zoot because we make their current socks.
The other study you point to:
( http://www.ncbi.nlm.nih.gov/...articles/PMC2727767/)
Identified clots as asymptomatic, so there’s no real problem that compression socks could possibly correct.
Asymptomatic means “producing or showing no symptoms”. This doesn’t mean there isn’t a problem. This study and another done at the Lancet show similar results. (http://docs.google.com/fileview?id=0B0Z9AwNvDjXJZGRhNzMyZWEtNDJhYi00NzcyLWE3OTQtNGVkMjcxZjM1OWI1&hl=en) This study used our mediven Travel sock and has similar results of the above study. It was also done at Lancet which you mentioned. Of course these are for a test group older than what we’re discussing and they’re also not endurance athletes. 83% of all DVT’s in the USA from Travel are endurance/marathon athletes. . . that’s a staggering number. The reason is athletes have a slower resting heart rate and when sitting the blood can pool in the veins and clot. They may show no symptoms and can discover later they have a DVT but that’s why it’s so important to recognize there IS / can be a problem and that GRADUATED compression socks are widely used and proven to reduce the risks. We’re not saying only CEP will help but we’re saying that a lot of products in endurance sports aren’t graduated. We have the data to prove some products are opposite compression and tighter in the calf. Athletes would be better off buying a 15-20, 20-30 medical stocking that measures ankle and calf. Of course no one wants to wear something their Grandpa might have on… check out our medical stockings on this site for more info on medi medical stockings. (http://www.foryourlegs.com/Mediven-15-20mmHg-Travel-Socks-for-Men-Women-p-16818.html)
A 20-30mmHg compression amount suggestions for bed-stricken patients seems irrelevant to a trained athlete’s situation. Regardless, the 2009 study published in The Lancet and European Stroke Conference in Stockholm:
http://www.thelancet.com/...9)60941-7/abstract
showed graduated compression stockings do not prevent blood clots in stroke patients.
I don’t think this study is relevant given that it’s for stroke patients. There’s many symptoms here that can effect the use of stockings. It’s similar to not Rx 40-50 mmHg compression for someone with CHF (Congestive Heart Failure) or arterial disease or putting a Lymphedema patient in support hose with minimal compression. There’s certain problems that need to be addressed in different ways. I think we’re discussing ambulatory patients during travel here… not bed ridden stroke patients. There’s too many factors that can pollute the data.
The Lancet study by Rodney Hughes et al found compression stockings don’t prevent DVT during air travel. Fear sells, but there’s mounting evidence that compression doesn’t solve a problem that doesn’t exist because the tiny travel blood clots are asymptomatic anyway and dissolve on their own.
******The 2006 Skins study you link may not have shown recovery improvement, but good scientific methodology doesn’t bury a study just because it doesn’t sell product. Unfortunately, that study had a sample of 11 people, so it seems weak.
Few people invoke money-back guarantees, even when a product is useless or harmful. Despite some of the wacky gear in the Retro TT stuff thread, our time and lives are more valuable than committing to random trial and error. You write “athlete feedback is really key”? No! Data is key! Evidence that compression aids performance or recovery is the only thing that should sell even one compression sock.
We agree that a study and evidence of effectiveness should sell a product. That’s why we had a study done to test our Running socks. We wanted to know if they could improve performance. You do however need feedback from real athletes and not just PAID athletes or data from a PAID doctors. That’s all we are saying. We don’t discount feedback or studies; you need both. The difference is we have a study that’s published and accepted by a medical journal. This says a lot about a product… it isn’t saying everyone is going to have a 10 minute decrease in their marathon time but it is saying you will experience a benefit. Some athletes will PR their run by 5min, 7min 10min one athlete was 35min. Each person is different and we understand that.
We want athletes to know ALL the benefits to CEP. There’s too many products out there making the same claims but yet they have 0 data to back it up. They’re just selling product because “compression” is selling… they’re marketing is driving the sales not the word of mouth. CEP is the number one sock in Kona and has been since 2007. Why would these guys wear CEP during the World Championships if they didn’t feel a benefit? Do you think they’d wasted a minute putting them on if they didn’t think they’d help? Andy Potts starting wearing CEP for recovery but then started training with our socks. He noticed and felt better in CEP so he wears them in the FULL IM’s now. Dave Scott wears CEP because he had a DVT (didn’t know it until it was there: asymptomatic) and the doc told him to pick up compression. He was wearing medical compression already but tried CEP and loved our socks. That’s why he’s now one of our athletes. These guys believe in our products. Not because they have too but because they want to.
We guarantee the product because it’s the RIGHT thing to do. We’ve both invested time writing these repsonses so how would buying compression be a waste of time if one wanted to try it? I think it solidifies the product quality of a brand when it’s guaranteed. I know if I spent $60 on a pair of socks and didn’t like them I’d be upset if they weren’t guaranteed.