What Do Compression Stockings Do? Choosing the Right Pressure and Size

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This article is for informational purposes only. The correct pressure level and model should be selected with a physician or qualified healthcare professional.

Compression stockings apply controlled pressure to the leg. They help support venous return, reduce swelling and improve symptoms in selected patients with venous disease, lymphedema risk or post-procedure recovery needs.

How Do They Work?

Medical compression is usually graduated, meaning pressure is higher around the ankle and gradually decreases upward. This supports blood flow toward the heart and helps reduce pooling in the lower leg.

Why Does Pressure Selection Matter?

Too little pressure may not help enough. Too much pressure may be uncomfortable or unsafe in patients with arterial disease. The pressure class should match the diagnosis, symptoms and circulation status.

How Is the Correct Size Measured?

Measurements are usually taken from the ankle, calf and sometimes thigh, preferably in the morning before swelling increases. Choosing a stocking only by shoe size or height can lead to poor fit and poor adherence.

When Should They Be Worn?

Most patients wear compression during daytime activities and remove it while sleeping, unless the physician recommends otherwise. After varicose vein procedures, the duration of use depends on the procedure and the patient’s risk profile.

Common Mistakes

  • Buying without proper measurement
  • Using the wrong pressure class
  • Rolling the top edge down
  • Stopping use too early after a procedure
  • Using compression despite severe pain or color change without medical advice

Compression is often part of a broader plan. See Chronic Venous Insufficiency, Venous Ulcer and Lymphedema and Lipedema.

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