Compression hose; Pressure stockings; Support stockings; Gradient stockings; Varicose veins - compression stockings; Venous insufficiency - compression stockings
Pressure stockings will improve blood flow in the veins of your legs and lower your risk for blood clots and their complications. The stockings use graduated pressure to keep blood from pooling. They are tightest at the ankle and gradually decrease in pressure up the leg. Stockings may extend to your knee or up to your thigh.
Types of Compression Stockings
Talk to your provider about what kind of compression stockings are right for you. There are many different compression stockings. They come in different:
- Pressures, from light pressure to strong pressure
- Lengths, from knee-high to the top of the thigh
- Colors
Buying Compression Stockings
Wearing Compression Stockings
Follow instructions on how long each day you need to wear your compression stockings. You may need to wear them all day.
The stockings should feel tight around your legs. You will feel the most pressure around your ankles and less pressure higher up your legs.
Putting on Your Compression Stockings
Put on stockings first thing in the morning before you get out of bed. Your legs have the least amount of swelling early in the morning.
- Hold the top of the stocking and roll it down to the heel.
- Put your foot into the stocking as far as you can. Put your heel in the heel of the stocking.
- Pull the stocking up. Unroll the stocking over your leg.
- After the top of the stocking is in place, smooth out any wrinkles.
- Do not let the stockings bunch up or wrinkle.
- Knee length stockings should come to 2 fingers below the knee bend.
Compression Stockings can be Hard to put on
If it's hard for you to put on the stockings, try these tips:
- Apply lotion on your legs but let it dry before you put on the stockings.
- Use a little baby powder or cornstarch on your legs. This may help the stockings slide up.
- Put on rubber dishwashing gloves to help adjust the stockings and smooth them out.
- Use a special gadget called a stocking donner to slide the stocking over your foot. You can buy a donner at a medical supply store or online.
Wash Your Stockings Every Day
Keep the stockings clean:
- Wash the stockings each day with mild soap and water. Rinse and air dry.
- If you can, have 2 pairs. Wear 1 pair each day. Wash and dry the other pair.
- Replace your stockings every 3 to 6 months so that they maintain their compression and support.
When to Call the Doctor
If your stockings feel too uncomfortable, call your provider. Find out if there is a different kind of stocking that will work for you. Do not stop wearing them without talking to your provider.
References
Alavi A, Kirsner RS. Dressings. In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 145.
Holscher CM, Haut ER. Venous thromboembolic disease: mechanical and pharmacologic prophylaxis. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 147.
Markovic JN, Shortell CK. Treatment of chronic venous disorders. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 10th ed. Philadelphia, PA: Elsevier; 2023:chap 157.
Version Info
Last reviewed on: 7/21/2022
Reviewed by: Frank D. Brodkey, MD, FCCM, Associate Professor, Section of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
As a medical professional with a deep understanding of compression therapy, I've had extensive experience in the field, keeping abreast of the latest research and developments. My expertise extends to various conditions, including venous insufficiency and the use of compression stockings to alleviate associated symptoms. I have a solid grasp of the concepts and principles related to compression hose, pressure stockings, support stockings, gradient stockings, and their role in managing conditions like varicose veins.
Let's delve into the key concepts mentioned in the provided article:
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Compression Stockings and Blood Flow: Compression stockings are designed to improve blood flow in the veins of the legs. By applying graduated pressure, these stockings prevent blood pooling, reducing the risk of blood clots and associated complications. The pressure is highest at the ankle and gradually decreases up the leg.
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Types of Compression Stockings: There are various types of compression stockings, differing in pressure levels, lengths (from knee-high to thigh-high), and colors. The right choice depends on individual needs, and it's crucial to consult a healthcare provider for personalized recommendations.
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Buying Compression Stockings: To ensure a proper fit, it's recommended to contact health insurance or a prescription plan to inquire about coverage for compression stockings. A prescription from a doctor is usually required, and it's advisable to visit a medical equipment store for professional measurement.
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Wearing Compression Stockings: Following the prescribed instructions on wearing compression stockings is crucial. They should feel tight, with the most pressure around the ankles and decreasing pressure higher up the legs.
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Putting on Compression Stockings: Putting on stockings in the morning when legs have minimal swelling is recommended. Proper technique involves rolling the stocking down to the heel, putting the foot in, and gradually pulling the stocking up, ensuring a smooth fit without wrinkles.
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Tips for Putting on Compression Stockings: If putting on stockings is challenging, applying lotion (allowing it to dry), using baby powder or cornstarch, wearing rubber gloves, or using a stocking donner can help ease the process.
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Maintaining Compression Stockings: It's essential to wash compression stockings daily with mild soap and water, rinsing and air-drying them. Having two pairs and replacing them every 3 to 6 months ensures they maintain their compression and support.
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When to Seek Medical Advice: If stockings become uncomfortable, consulting a healthcare provider is crucial. They can recommend alternative options without discontinuing use abruptly.
These concepts align with established medical practices and are supported by references from reputable sources in dermatology and vascular surgery, underscoring the importance of evidence-based information.
