Compression Stockings
Benefits · Who Needs Them · Diagnosis · How They Help
What Are Compression Stockings?
Compression stockings are specially designed therapeutic garments worn on the legs that apply graduated pressure — meaning they are tightest at the ankle and gradually loosen as they move up the leg. This controlled squeeze encourages blood and lymphatic fluid to move upward, toward the heart, rather than pooling in the lower extremities. They are available in a range of lengths (knee-high, thigh-high, and full pantyhose), materials, and compression levels, from mild over-the-counter support to prescription-grade medical stockings.
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The Benefits of Compression Stockings
Who Should Get Compression Stockings?
Compression stockings are suitable for a broad range of people. You may benefit if you:
- Sit or stand for long periods — office workers, drivers, surgeons, retail staff, and teachers
- Travel frequently — particularly on long-haul flights where immobility increases DVT risk
- Are pregnant — hormonal changes and increased blood volume strain leg veins significantly
- Have varicose veins or spider veins — compression slows progression and relieves symptoms
- Have chronic venous insufficiency — where vein valves are damaged and blood pools in the legs
- Have a history of DVT or blood clots — compression is often prescribed to prevent recurrence
- Have lymphedema — compression garments are essential for daily fluid management
- Are recovering from leg surgery or injury — to reduce post-operative swelling and clot risk
- Are an athlete — particularly runners, cyclists, and triathletes seeking faster recovery
- Have diabetes with associated circulation issues (under medical guidance)
- Are overweight — excess weight increases pressure on leg veins
Diagnosis & Prescription Process
It is important to consult a professional before wearing prescription-grade stockings, as high compression levels can be harmful in certain conditions. Here's what the process involves:
Step 1 — Medical Consultation
A physician, vascular specialist, or physiotherapist will assess your symptoms and medical history to determine whether compression therapy is appropriate.
Step 2 — Physical Examination
The clinician examines the legs for signs of swelling, skin changes, and varicose veins, and may perform an ankle-brachial pressure index (ABPI) test to measure arterial blood flow and confirm compression is safe.
Step 3 — Leg Measurement
Precise measurements are taken at multiple points — typically the ankle circumference, calf circumference, and leg length — to ensure the stocking fits correctly. An ill-fitting stocking can be ineffective or even harmful.
Step 4 — Compression Level Selection
Compression is measured in millimetres of mercury (mmHg) and prescribed based on your condition: 15–20 mmHg for mild support and travel; 20–30 mmHg for varicose veins and DVT prevention; 30–40 mmHg for chronic venous insufficiency and lymphedema; 40+ mmHg for severe conditions under specialist supervision.
Step 5 — Garment Selection
The clinician or fitter selects the appropriate length, material, and style based on your condition, lifestyle, and ability to put them on independently.
Step 6 — Fitting and Education
You'll be shown how to put on and remove the stockings correctly — which can be challenging at higher compression levels — and advised on how long to wear them each day.
Medical Grade Compression
Medical grade compression stockings usually fall under two ranges: 20–30 mmHg and 30–40 mmHg. 20–30 mmHg is typically used for those with varicose veins, low blood pressure, or edema. 30–40 mmHg is recommended for more serious medical conditions such as deep vein thrombosis.
These medical compression stockings may also help reduce joint pain caused by arthritis or muscle inflammation. However, you should only purchase and use compression stockings that your healthcare provider has recommended specifically for you and your situation.
Getting the Right Fit
The Delta Physiotherapy & Rehab team can determine what best suits your needs; choosing the correct level of compression is essential to ensure you get the most out of each and every wear. If you struggle with putting on your compression stockings, our experts can further offer solutions and aids to help you put on and take off these garments with ease.
Ideally, you should replace compression stockings every three to six months to retain the elasticity and allow for any adjustments in pressure to be made by your healthcare provider.
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Part of a Holistic Approach
At Delta Physiotherapy & Rehab, our team believes that a holistic approach is best when it comes to making a full recovery. Whether you’re looking to manage a certain medical condition or striving to bounce back after an injury, compression stockings can play a vital part in helping you achieve your goals.
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