Friday, December 28, 2012

I am healing so incredibly well - one thing in which I have always said about my body is that it is quick to get sick but always responds to treatment in a rapid manner; the sight of the infection looks substantially better. That's the thing with KTS  though - everything can look amazing on the outside while there is still a momentous amount of trouble lurking beneath the surface. This is why it is vital to always finish your medication down to the very last pill - you'd be surprised how quickly the seemingly gone infection can appear yet again (I have learned this the hard way).

A couple of pictures from the holidays:




Forget about all of the presents - this is the stuff that truly matters in life.

- A

Wednesday, December 26, 2012

Hope that those of you who celebrated had a Merry Christmas!

xoxo

Friday, December 21, 2012


I looked down at my leg and thought, is this really happening five days before Christmas?
It was, though, and now I had to decide what to do about it and fast. Cellulitis infections of this nature spread rapidly.
Christmas in the hospital didn't mean much to me, but I couldn't stomach the thought of my supportive family spending it there, they deserved to have a nice and relaxing holiday.
& so I went into my mom's medicine drawer and snuck out the emergency antibiotics she had on hand; I've been told in the past by numerous doctors to never take one without consent, but I couldn't be talked out of this one. This is by far one of the most rebellious things I've done thus far (utterly pathetic, I know).
So, by getting the pill in me at the onset of the infection, I was able to prevent systematic symptoms from furthering and an infection from spreading.
& now, I am writing this from home, as opposed to a stuffy hospital room with wires attached to me.
Sometimes, doing the wrong thing turns out to be alright.



Thursday, December 20, 2012


This is a picture of a cellulitis infection in which I have right now; for those of you who may not be aware, cellulitis can be a common occurrence for those with Klippel-Trenaunay Syndrome.

I will write more soon, I am off to rest as I am feeling super tired.

Happy Holidays to everyone!

Saturday, December 8, 2012

Hey guys,
Please pay attention to this; just take a minute or two out of your day and you will not be disappointed  I have a lovely KTS friend whom I met in Minnesota who I still keep in touch with regularly. Her case is very involved and she has been susceptible to a multitude of pulmonary embolisms despite how young she is, causing her to face a series of severe medical episodes.

During a period in which Cat was incredibly sick, she started painting as a way to help pass the time in which she was stuck being home-bound - little did she know, something much more profound would become of it.. She discovered a hidden talent so unique and awe-inspiring and has since been working on multiple art pieces. And, as a testament to just how generous and compassionate of a soul she is, a lot of her proceeds from these sales go to helping fund KTS in a few areas, including research and the biennial KT Conference in Minnesota.  Go to her site here to see all of the amazing work in which she does. 












Miss this chick!


Sunday, December 2, 2012

My leg has been getting these terrible "headaches" these past couple of days. What do I mean by that? Well, basically the bottom portion of my leg feels similar to that of the pain in your head during a headache - except that it is, of course, in my leg. My pain medicine is not doing anything to alleviate it at all which is frustrating. I think this is occurring because the temperature has dropped from cold to way colder - it's New England and December, so it's to be expected.

Two more weeks and I am finished with my last semester of sophomore year; I will then be considered a junior in college. To be honest, I have loathed this term and academically found it to be really challenging (which hasn't typically been the case with me in previous ones). That combined with tackling my anxiety and depression issues made me want to pull my hair out strand by strand. I was able to get through it because of my support system and the fact that I was willing to open up to people when I felt as though I was struggling emotionally.

Always keep a support system by your side; they can help you work through even what seems like the most stressful of situations.

Thursday, November 29, 2012

Follow me on Twitter https://twitter.com/ariannakts


It's a weird feeling to be scared of your own two hands – only when this fear was evoked deeply within me did I become aware of the power in which they held. These were the hands that made my bed, drove me to school and back along with various other mundane tasks – yet, in reality, they were so much more. They had the power to choose whether or not I would wake up the next day – and sometimes, being in a deeply depressed state, I couldn't honestly say I always wanted to. Death, it seemed, was simpler than living. All of the anxiety and negative feelings that relentlessly filled my mind could be gone – just like that, with just a few simple actions. I think it's important for me to make a distinction here, however. It wasn't that I wanted to die, necessarily, it was just that I didn't want to continue living in the state I was in.

On of my more notable nights, I ended up on a depression forum. I ventured into a thread in which people spoke explicitly about their desire to die – however, whether it was for religious reasons or what not, they had chosen not to take their own life. Rather, they were waiting for the end of the world to happen in 2012 – not only were they waiting, but they were passionately anticipating it. I should have clicked off the page immediately, but my depression kept me fixated upon the thread. When I told my counselor the next day, she said “this is the kind of depression people get hospitalized for.”

I was scared numb after she said that. How had I gotten to this point? How had I morphed into a simpering young person full of zest for life to that of a besotted teenager? There was so much in which I didn't have the answers to, and so much in which my depression was preventing me from seeing.


  

Wednesday, November 28, 2012

Wednesday, November 14, 2012

Went to two different appointments today - I'm good.

Iron level is adequate due to daily pill supplements.
Am good to stay on Meloxicam 15 mg a day which has helped a lot with my chronic pain. In fact, I credit it with allowing me to have somewhat of a normal life back (mainly going to school).

The one thing I hate is when they ask about all of the pills in which I am on - of course this is vital information for their records, but I still feel insecure about all of the mental health medication in which I am on. Even though said doctors always maintain a poker face, I am scared that inside, they are judging me. Like I said, it's my own insecurity and not based upon actual happenings, so I'll just leave it at that.

For now, though, things are going beautifully with this lovely leg of mine & I am very fortunate. 

Just my thigh area ( : The scar you see is from a debulking procedure I had done an extremely long time ago.

A side of my KTS anyone has really seen. Those lumpy raised areas extend from my upper thigh all  up and over my left buttock. This makes sitting painful; I usually have these legions worked on every couple of years. I am currently coming up to "that time" again, but I have been doing so well KTS wise that I am reluctant to go back to the hospital - for anything (as if that even needed to be said).


Sometimes I take the rarity of my body for granted. I am just so used to it that its appearance on a day-to-day basis just doesn't faze me. Only when I take pictures, however, do I really focus on the unique design and features that inhibit this portion of my body. It is something seldom seen, and I am happy to share : )



Arianna


Sunday, November 11, 2012

I have added some new pictures to the patient picture's section. Thank you to those of you who have sent yours in thus far; it's really fantastic to have one collective page featuring the different cases photographically. I also know it is not easy to expose yourself in such a way, so I really appreciate the courage in which you guys have displayed.

If you would like yours added,
you can email me at faroa@merrimack.edu

Hope you all had a lovely weekend.

Arianna

Friday, November 9, 2012

Hi everyone <3 p="p">
I still have patient pictures to put up which I will get to at some point this weekend. This school semester has been utterly exhausting; between various mental health appointments along with a full school schedule and other external stresses, I have felt so incredibly fatigued.

Will write more later during the weekend.

Sunday, November 4, 2012


Hey all. So just a couple of quick things I would like to say.

  1. Congrats to Adam and Jessica Cole; they just got married yesterday. I had the pleasure of meeting them both at the KT Conference this summer, and one would be hard-pressed to find souls as kind. Some of you may know Adam from the KT Foundation; he does a ton of work for it! Click here to visit the official site and here to visit the facebook page.
  2. Thanks to those who have sent pictures in – I am extremely pleased with how well that page is coming together. A couple of more people have recently sent pictures in that I have yet to post but will within the next couple of days – I apologize, right now is an extremely hectic time at school (about a month out from the end of the semester)
  3. Last but not least (how cliché am I), please check out a friend as well as KT patient's art page here – and be sure to click like (which will be a no-brainer once you lay eyes on her exquisite work). Besides being an amazing artist, she also does some work in which proceeds go towards helping those with KT.   

Wednesday, October 31, 2012


Everyone has their highs and lows, and it can be hard to differentiate between what is normal and what is part of a complex condition (bipolar). I do know, however, that about a week ago, I fell into a deeply depressed state one night. Nothing had gone awry, nothing in particular had triggered it, but there it was, present deep within me; I couldn't shake it despite how hard I tried. During that time, I was talking to a dear friend of mine who was hospitalized and also recently diagnosed as being bipolar. It is really amazing to have her as a support system, and she has given me some really good advice. One of the things in which she told me was “Be honest about what you need from those around you, right now.” She inspired me to get out of bed and go tell my mom just how lousy I was feeling. And then we talked, and I cried, and so forth. Still, it was important to release that pent up negativity; did you know crying actually helps to release stress hormones from your body? 

Hours later, I still felt extremely sad but I did not feel alone. Even though I don't like to admit any perceived “weakness” of any kind to anyone, I know it is important to in situations like these. Letting go of your pride may be difficult, but it's absolutely worth it, especially if it  helps to stabilize you and not feel locked in by your own negative feelings.

But I really liked the advice she gave me because I think it can apply to all of us with medical conditions.

“Be honest about what you need from those around you, right now.”

I think this is important when it comes to not just family, but friends as well.
How else are they supposed to know what we are feeling and how to best accommodate us unless we let them in?



Tuesday, October 30, 2012


Even though it was enough for two days of my college classes to be canceled, my area (15 miles north of Boston) only got the leftovers of the hurricane. The remains still did some damage though; such as power outages and fallen trees. However, no massive flooding like is being seen in pictures from New Jersey and New York.

Wherever you may be while reading this,
hope you are safe & healthy

Monday, October 29, 2012

Some old (and a couple of recent) hospital pictures that I had in my room. My mom has way more but these will suffice...at least for now : )

Activity room 
 Physical therapy after removal of growth plate in 5th grade
 Leaving the hospital after one of my debulking surgeries
 With one of my favorite nurses
 My sister was just weeks before one of my surgeries
Me & my sister






 After one of my 11 hour surgeries last year. I was in recovery.
Still in recovery. I wanted my sister by my side.


Sunday, October 28, 2012


Being immersed into the world of an adult is a strange feeling when you feel as though your teenage years barely even existed. Until the end of eighth grade, I was living relatively normal and then everything changed in a flash. I didn't know what I was in for, and sometimes I think that naivete was for the best as I was so young, I wasn't aware of the complexities that would be thrown my way.

My younger sister is in high school and I see her living the high school life in which I wanted, the one in which I thought I would have. Seeing her involved in activities, going out with friends constantly and having boyfriends makes me realize just how much I did miss out on. High school is the years in which you really begin to find your independence – and dare I say even revel in it, to a certain extent. In some ways I did find my independence, in other ways I was halted by my life circumstances. I learned to drive years after my friends did, but I did eventually learn. Sometimes, I feel as though I am just learning things that people my age have known how to do for years, and it frightens me. I feel threatened because at this point, I am expected to function as an adult, but there are so many days in which I do not feel ready, especially in a social context.

Every now and then, it feels as though I have been whisked onto an arena stage without any say. It's as though beaming lights come on and there are throngs of people so ready to see me do something, a performance of some sort. Only thing is, I have no clue what I am doing up there and have no prior performance skills; I didn't ask for this, nor was I ready for this. So I just stand there, mute, and the crowd watches with curiosity to see if I will do something, anything.

Friday, October 26, 2012


I am not sure where to begin, or where I am even going with this post exactly. However, I want to acknowledge how good of a place I am in with my Klippel-Trenaunay Syndrome. Last year at this time (prior to finding a working pain medication) I was in heaps of pain if I walked around for only a little while. Now, I can wander a great deal with very little pain and I am still astonished by how this one tiny pill has so much impact and force within my body.
Blood clots and cellulitis infection have been extremely minimal, and I have not been hospitalized since June.

I recall in years past doctors crooning over how good they thought my KTS looked. This is what you call good looking, really? I was looking at it in comparison to my other leg, while they were looking at it in comparison to the radical cases in which they had been exposed to over the years, as a part of the job.
And now, years later, I see what they meant in regards to its appearance. For one, you can make out that it's the shape of a leg, foot and all. The texture is (with the exception of a few small areas) is smooth and a lot of my problematic hermangiomas are a thing of the past.

I can bend it and straighten it with ease, and can wiggle my toes and all that.

I've been exposed to so many worse cases now (primarily via pictures) that I cannot grasp just how unaffected mine looks. I did have two debulking surgeries done in the past, but that doesn't really negate my main point. KTS wise, I am healthy, and while some of that can be attributed to luck, a very large portion of my success with KTS has been my doctors. The right combination of luck and fantastically skilled doctors has left me in a good place.

The importance of finding doctors who you trust is crucial. It saddens me to read how many people dislike their doctors or don't know where to go in an area near them and what not. I can't solve everything, but I can (given my KTS fortune) help advocate for others who are too unhealthy to actively advocate for themselves within society. That's the place in which I find myself at now with my condition.



Thursday, October 25, 2012

"You can take everything I have 
You can break everything I am
Like I'm made of glass
Like I'm made of paper
Go on and try to tear me down
I will be rising from the ground
Like a skyscraper, like a skyscraper

Go run run run I'm gonna stay right here
Watch you disappear yeah
Go run run run yeah it's a long way down
But I'm closer to the clouds up here"

Sunday, October 21, 2012

Check Out Pictures of other KTS Patients


Approximately one week ago I came up with the idea of making a “Show Others your KTS” page, in which patients could submit their own pictures of KTS to be posted. So I reached out and have received amazing support, and several people have already submitted their pictures. Go check out the page to see for yourself. It is amazing to see pictures of others' KTS and compare/contrast it to your own or even other patients' pictures. Thank you all for your support, as blogging truly does make me a happier person. I could not be prouder to be a part of the KTS community as it's filled with the most accepting and empathetic people you will ever meet. If one of us falls, there is someone there to help pick us up, and there is something absolutely beautiful to be said about that.

Friday, October 19, 2012

Re-post: Pure O


Pure-O I always had signs of OCD and more recently that of Pure-O (a form of OCD) since I was a child. I remember being in church and I would be scared I would think something bad in such a sacred place. My mind, feeling threatened, would of course come up with some ridiculous pejorative thought, and then I would go into a state of panic for thinking said thought. Maybe because I had the thought my mom would die, or maybe it would be my dad. I remember tracing the number of lines that divided tiles on the floor. I would think that if I didn't count in multiple of three’s or what not, something bad would happen to someone I love. Then, I would get frustrated at those around me. At times, I would think if you only knew all of the work I have done today just to keep you alive; and what I really meant by “work” was, well, compulsions. When I was in high school, I would rewrite certain written assignments two or three times, because if I started the first word and the first letter of it didn’t look "right," something bad was bound to happen. Maybe I would die, or maybe someone else close to me would. Rewriting the assignment made me feel better, that is until the next anxious thought came along. Maybe it was turning the sink or light switch on and off three times, maybe not. The strange thing is that I was able to keep this relatively quiet amongst my closest friends and family. No one knew I was going through this while I was, and that’s because I took extra precautions to make sure they didn't. At the time, I began to sense that this was not a normal way of life however I felt it was the only way to survive at that point. I remember feeling so much sorrow inside, so much anxiety and such an abundance of fear. In the next three years or so until college, I was able to calm some of my physical compulsions, actually most of them. If I felt like I needed to do a physical compulsion to calm my nerves, I would force myself not to do it, and let the anxiety dwell within me for however long it took to pass back to a state of normal. I came to realize gradually that I would not drop dead if I didn't do it or nothing catastrophic would happen right after if I didn't give in to these compulsions. Slowly, they fell to the wayside. Not to say I am 100%, and I still have my hard times with it. After these compulsions started to ease up, I fell head first into a different form of OCD entitled Pure-O. This is basically having repetitive, irrational fears and mentally “checking” and ruminating in your mind about them. Generally, the ruminating is focused on one irrational fear that the person sees as a legitimate threat. I could go on and on about Pure-O, but I am not much up for typing about that part of my life with OCD thus far at this moment in time. I will say that things started to get majorly out of control with it my freshman year and I have since been on OCD medication and had regular counseling sessions. Yet, everyday is still a battle for me; although some days are easier than others. It’s hard though, as no one else I know around me has gone through anything relatively like this and can’t relate at all. I have read and talked with other people on the internet who have gone through the same thing, and while it was helpful, it would be awesome if I could physically interact with someone who understands. Every day with this is a battle, and sometimes I get really down from it but I just keep going. Life has its sweet moments, and in order to get to those, you just have to get through these, even if you take life minute by minute. As hard as things get, there is always a time in the future when I look back and am glad I kept going because I wouldn't want to miss this or that. Sometimes it seems doubtful that period of bliss will ever come again, but it always does. Perhaps the number one thing I learned is to find a balance between being busy enough in my daily live, but not too busy.

Take all my vicious words And turn them into something good Take all my preconceptions And let the truth be understood Take all my prized possessions Leave only what I need Take all my pieces of doubt And let me be what's underneath Courage is when you're afraid, But you keep on moving anyway Courage is when you're in pain, But you keep on living anyway We all have excuses why Living in fear something in us dies Like a bird with broken wings It's not how high he flies, But the song he sings Courage is when you're afraid, But you keep on moving anyway Courage is when you're in pain, But you keep on living anyway, You keep on living anyway It's not how many times you've been knocked down It's how many times you get back up Courage is when you've lost your way, But you find your strength anyway Courage is when you're afraid Courage is when it all seems grey Courage is when you make a change, And you keep on living anyway You keep on moving anyway You keep on giving anyway You keep on loving anyway Courage Is - The Strange Familiar

Thursday, October 18, 2012


So the other night, I took some pictures in which my KTS leg was apparent. I posted one on a social networking profile of mine and was appalled at all of the positive feedback I received from friends and family. It was really heart-warming to read all of their kind words, and it inspired me to keep being who I am, which is someone who advocates for people of all shapes, sizes, and colors. Below, I posted more pictures from the night in which I posted one on my social networking profile.

I am currently feeling a momentous amount of pain because I was heedless and let myself run out of pain medicine for the past few days, which for me is Meloxicam 15mg. I called CHB pain management a couple of hours ago and am waiting eagerly for them to get back to me, but for the time being I am stuck in bed feeling the burning/throbbing sensations. I was unable to sleep last night because of the pain, and had to skip class this morning as walking was, well, a challenge. When my pain level is this elevated, I have a hard time focusing on anything else as the pain consumes my mind. & to think this all could have been prevented had I not been so lax. I always seem to forget how bad the pain (prior to finding a pain med. that worked) really was until I am off the Meloxicam for a day or more. Note to others: Be wiser than I am and don't allow yourself to run out of your pain medication prior to getting the prescription refilled.

Tuesday, October 16, 2012

Want to know what a true friend is like?
Well, let me tell you a story in which demonstrates a friend who is truly there for you through thick and thin.

I was supposed to go out last Saturday night, and I had been looking forward to a night out with one of my best friends and other people my own age. It would be a fun opportunity to get a little dressed up, go out, and socialize, something in which I was in dire need of. However, when that day came, not only was I having a bad pain day, but my emotions were running high. I didn't want to break my commitment, though, and inside I truly did want to go out and feel like a normal 21 year old, even if just for a little while. So, I decided I would just grin and bear it, and besides, my best friend would be with me, so that of course provided me some consolation.

Saturday afternoon, I called my friend to come over to help me pick my outfit. The place in which we were going was kind of a club/bar hybrid, and I had never been to one before. So, my friend came right over and raided my closet for me. Since my leg was hurting, I was elevating my leg in bed and she was holding up different options. We had nearly gone through my entire closet when I looked at her and said “I am so sorry right now, you are going to hate me, but I really don't think I can do this tonight.” Mind you, this is after about an hour of having gone through all my clothes for me. Instead of lashing out at me, she came and sat down next to me in bed and we just talked about things going on in our lives. At that point of time, I had been feeling really anxious and depressed and what not, and what I really needed was for someone to just be present and talk or not talk with me.. She gave me absolutely no grief about not going out that night, and I later on I remained in bed and rested as my body just felt so incredibly fatigued.

Anyways, I have spoken a great deal about friends who have not been there for me lately, but I wanted to talk about one who always has. She's actually more like a sister than a friend, and I am so fortunate to have her in my life. There are good friends who will be there for your through thick and thin; that doesn't mean you will never get frustrated with one another, but it means you make an effort to work through and communicate. While my friend doesn't know exactly what I am going through (no one could, unless they were implanted into my body ), she is always there. And sometimes, that's all you need, is just for a person to be there.

Wednesday, October 3, 2012


One crucial discovery I made in my life was acknowledging how screwed up my thought process had become from medical trauma in years past. I didn't pay much any attention to it, however, until it was pointed out to me by a psych. Professional.

By medical trauma, I mean not just the infections and surgeries and what not, but the ginormous impact in which those had on my everyday life, whether it be social or mentally.

Changing my thought process is honestly one of the hardest journey's I have ever embarked on; my mind is solidified by stubbornness and negative thoughts. I am still at the very beginning, but I hear the end result is more than worth the effort.

One thing that had an enormous impact on my social well-being was the amount of friends who betrayed me in high school while I was at my sickest, when I needed them the most. The loss and hurt this caused me left a sticky residue on my heart – and over the years, I have found that I have become much less trusting of all friends/people in general.

It's vital to recognize where your self-destructive thought process began to go awry – to have some understanding of the life events that triggered such a surge of negative thoughts into your everyday conscious. It is vital to begin to hold yourself accountable for the thoughts in which fill your mind on a daily basis.

Like I said, I am just beginning this journey of transforming my thoughts now and it is by far one of the hardest things I have had to face.

In fact, I find this much harder than when I do get sick from an infection or am recovering from a surgery or what not. That may seem like a strange statement to make, but I will explain it to the best of my ability.

When I do get extremely sick in relation to my KTS, I play a much less prominent role in getting better. Basically, all I have to do is sit in a bed and wait for IV medications to begin to work their wonders, and, they always do. The medicine is soaked up by my ill-ridden body and returns it to a somewhat normal state in a matter of days.

This cognitive process is nothing like that; it involves me being an active agent in my own recovery, whereas it was previously the medication. I determine which way this thing will or will not go, and it takes constant work and effort. I'm the only one who can take initiative, no one else can come into my mind and reverse the damage that has been done.

It's a hard battle, and one in which I do not think most people can understand unless they have been through it themselves, much like a physical disability.





- Arianna

For those of you who have faced similar challenges, what has helped you?

Thursday, September 27, 2012


I love being a college student, I really do. It gives me an incredible sense of normalcy that I would otherwise lack in my daily life. However, on nights like tonight, I wouldn't mind having summer back for a short period of time.

I am in work overload, and while I freakishly enjoy doing my academics on some nights, I am not feeling quite so stellar about them right now. What does any of this have to do with my KTS?

Well, a little over a month ago I went and had my iron levels checked; I have been bleeding a lot, but have not wanted to go for the surgery that temporarily stops it (my last one was a while ago). Prior to getting checked, I was exhausted all of the time and slept more than I ever had before. It was as though some dreary spell had been cast upon me.
Anyways, my iron levels had dropped a lot since the last time I had been checked (June, when I was hospitalized last). My doctor said that this could explain the tiredness I had been feeling. So, he put me on some daily iron supplements to help bring the levels back up. I am going to have them checked again in about a month, to see how the supplements are working. If my level is working its way back up, I can hold off the surgery for longer.

Even though I do feel less tired, I am still more dreary and get exhausted really easy. Overall, my body feels week, and my immune system could use some more help from my diet. My body is telling me to sleep, but my schedule says otherwise, and in order to be successful, I have no choice but to try and abide by it the best I can. So I study, and then study some more, classes, club meetings, etc. Then the weekend comes, and guess how I spend my Friday night? Sleeping. I love it! Waking up the next day and feeling refreshed and well-rested is the best.

I do count myself as really lucky though. As tired as I may be, I am otherwise pretty healthy; unfortunately, not everyone shares my luck. A dear friend of mine is back in the hospital after just being released a couple of days ago. When I do feel overwhelmed, I think of her and how much she would love the freedom to go to school and live the “normal” life that I am for the most part living. It's a reminder to myself to not take my own hectic days for granted.

& then, I carry on.



Saturday, September 22, 2012


A couple of days ago, I woke up with a cellulitis infection, albeit a very tame one. By tame, I mean there were no systematic symptoms and very little pain. The redness, however, was undeniably that of a typical cellulitis infection for me.

I am sure the pain and systematic symptoms would have followed soon thereafter had my mom not called a doctor of mine right away; he prescribed me Avelox 400 MG per day (typical dosage in situations akin to these). I got the medicine in me shortly after and was able to continue my day as usual, which included school.

The two pictures below were taken at different times.
The first is when I woke up in the morning, and the second is shortly after I got home several hours later in the day.
The lighting in these are inconsistent (and one was taken with a cellphone) but it progressed from a purplish-red to that of a pinker-red.

& As for right now? I'm doing great.


Monday, September 17, 2012


This is a picture I took of a portion of my lower KTS leg. These legions are certainly treatable through simple procedures. I usually have mine tended to every couple of years of so but I am approaching the three year mark I believe. When they grow back, they can actually cause some tenderness; any material rubbed up against them can provide discomfort (especially the support stocking). They are also prone to bleeding, which can provide a source for infection so it is of the utmost importance to care for the area as gently as possible while maintaining impeccable hygiene.