Compression levels and when to wear which one (2024)

Compression levels explained

What medical issues are the various compression levels used for? Here’s a guide. These are general guidelines. The severity of a certain issue will help determine the level needed.

As mentioned,you should talk to your doctor about which compression level is right for you.

8-15 mmHg

  • Mildly aching and tired legs
  • Support and comfort for either standing or sitting for long periods
  • When just a little support is needed for general health and energy

15-20 mmHg

  • Slightly more support, offering day-to-day relief from achy, heavy, slightly swollen legs
  • Extra support on busy, active days, or when traveling
  • An aid for enhanced circulation, especially in the legs
  • During pregnancy, they can help prevent varicose and spider veins

20-30 mmHg

  • The most commonly prescribed compression level by doctors
  • Used to help a variety of minor to moderate medical conditions
  • Used to help chronically painful, heavily fatigued legs
  • Helpful in the treatment of varicose veins
  • Relief from the swelling associated with mild edema
  • Used in combination with elective surgicalprocedures such as sclerotherapy and phlebectomy
  • Used to help treat orthostatic/postural hypotension, a form of low blood pressure

30-40 mmHg

  • Relief from moderate and severe edema and lymphedema
  • Helps prevent and relieve more serious cases of varicose veins
  • Used in the treatment of deep vein thrombosis (DVT)and post thrombotic syndrome
  • Can help heal active venous stasis ulcers
  • Used after bone fractures and orthopedic surgeries
  • Used to treat phlebitis
  • Used in treating skin changes with healed ulceration

40-50 mmHg

  • Used as part of the treatment for chronic venous insufficiency
  • Used for the most severe cases of DVTand post thrombotic syndrome
  • Used in treating severe skin changes with active ulceration

Determining the right size for the lower-strength compression stockings you can purchase without a physician:

You can use our sizing wizardto easily find your size online. You can then use that information to make your purchase at alocal store or online.

Shoe size is usually a factor in the sizing of compression stockings, as well as measurements of the ankle and calf. When measuring the ankle, measure at the thinnest point. For calf measurements, measure at the thickest point. For calf length, measure from the floor to the right-angle bend of the knee (in sitting position). It’s also best to take measurements as soon as possible after waking in the morning, when swelling is at a minimum.

When should I consider using compression stockings, or see a doctor for their recommendations?

  • Legs that are chronically swollen, painful, or fatigued
  • Poor blood flow in the legs
  • A known risk for blood clots, especially in the legs
  • A history/family history of deep vein thrombosis
  • Long bed rests, for example after surgery
  • Varicose veins or venous leg ulcers

Compression stockings are often used to relieve a minor issue, before it turns into a major one.

What existing health issues could mean that compression stockings are not right for me?

  • Arterial insufficiency, intermittent claudication, ischemia
  • Uncontrolled congestive heart failure (CHF)
  • Acute dermatitis, weeping dermatosis, cutaneous sepsis
  • Signs of infection in the legs
  • There may be others. Be sure your physician is familiar with your medical history before they prescribe compression socks.

What is the difference between compression stockings and support stockings?

The term “support stockings” is widely known and often also used for medical compression wear. The principles of the two types of stockings are different, though.

Support stockings exert passive resistance to swelling, while compression stockings apply active pressure on the veins of the leg. This prevents them from dilating and facilitates venous return.

Medical compression garments are produced under strict medical and technical specifications to guarantee adequate ankle pressure and graduated compression along the leg.

Compression levels and when to wear which one (2024)

FAQs

Which is better, 15/20 mmHg or 20/30 mmHg compression socks? ›

A good rule of thumb to follow is: 15-20 mmHg: Great for daily wear, travel, and sports. They help improve circulation without being too tight. 20-30 mmHg: Great for sports recovery, daily wear, medical recovery, and to manage mild symptoms of varicose and spider veins.

What does 20-30 mmHg compression stockings mean? ›

Millimeters of mercury is a measurement of pressure, which is also used in locating one's Blood Pressure. 10-20mmHg= Good for people who stand a lot during work or have swelling or there good to wear during airplane flights. 20-30mmHg= Moderate swelling & this amount really helps with varicose veins from forming.

Do you need a prescription for 20/30 mmHg compression socks? ›

Compression stockings of 20 mmHg or higher need to be prescribed by a physician. They are used for the treatment of various medical conditions, and should be used under the supervision of a doctor.

What is the difference between grade 1 and grade 2 compression stockings? ›

Class 1 stockings exert pressures below 20 mmHg and are used to prevent oedema. Class 2 stockings exert pressures between 20 and 30 mmHg and are used in the prevention of venous insufficiency and varicose veins.

How long do you wear 20 30 compression socks? ›

Yes, compression socks are safe to wear all day. In fact, you'll get the most benefits if you wear them all day. For the best results, put them on first thing in the morning before your feet have a chance to swell. Take the socks off at night before you shower or go to bed.

Is there a downside to wearing compression socks? ›

Is there a downside to wearing compression socks? Compression stockings are generally safe but can cause you pain or even cut off your circulation if you don't wear the proper size. The pressure also can cause minor bruising or skin ulcers, and tightly fitting socks also can cause dry skin, redness, and itching.

What is the number one brand for compression stockings? ›

The LEVSOX 20-30 mmHg Compression Socks for Women and Men met all these requirements when we tried them ourselves, so we've selected them as our best overall pick. The fit, feel, support, and value were all perfect. They weren't hard to wear; they were about as snug and flexible as tights or leggings.

How do you know if compression socks are tight enough? ›

They should not be too tight as to feel uncomfortable after a while, but not so loose that they feel like any other pair of socks.

Where does the fluid go when wearing compression stockings? ›

The leg can be so edematous (swollen) that once the sock is on, it will squeeze fluid out of the tissue to above the sock. When the circumference of the leg covered by the sock is reduced, the squeeze becomes less and the remaining fluid in the leg remains.

Should I wear compression socks while sitting? ›

Besides venous insufficiency, Dr. Botek says that another common reason for wearing compression socks is to aid in blood flow when you're sitting for long periods of time, like on a long flight.

Will insurance pay for compression socks? ›

You are only eligible for reimbursem*nt if you have a medical diagnosis from your doctor. If this is the case, you will often receive 100% of the purchase price with a basic insurance, provided the stocking is purchased from a supplier who is affiliated with your health insurer.

When should elderly wear compression socks? ›

We recommend compression socks for the elderly in order to combat the swelling associated with decreased activity and venous insufficiency. A positive byproduct of compression socks for the elderly is increased energy due to better circulation. This is another way to combat swelling in the feet and ankles.

What level of compression socks do I need for standing all day? ›

For example, for those who have any pre-existing issues with swelling, venous insufficiency or who are at risk of blood clots, we recommend a higher compression level, such as our 20-30 mmHg medical grade firm compression socks, whereas office workers with desk jobs or those who stand all day would benefit most from ...

What level of compression socks for long flights? ›

The general rule of thumb is that class 1 (18-21 mmHg) stockings are best for healthy veins that just need a bit of extra assistance on a flight, while class 2-4 (23-49+ mmHg) are more suited to those struggling with venous and lymphatic disorders.

What number compression socks should I wear? ›

15-20 mmHg (medium)

This is most common entry level of compression socks, and most doctors will recommend that you start with 15-20 mmHg if you've never worn compression socks before. These socks also help relieve tired, aching legs and prevent or reduce lower body swelling.

What is the best pressure for travel compression socks? ›

It's generally accepted that 20-30 mmHg is the ideal compression level for travel. This mid-level of compression is comfortable enough for everyday wear and applies proper pressure that helps with swelling and leg fatigue.

What brand of compression socks is best? ›

Our picks include a snug-yet-soft merino/bamboo blend from Sockwell; a rugged budget option, Go2Socks; a stretchy cotton-nylon blend from Comrad that boasts appealing modern styling; warm, cozy socks from Wellow that also come in wide calf sizes; ultra-comfy socks from Dr. Segal's that are notably easy to pull on and ...

How do I know what size compression socks to buy? ›

When you buy regular socks, you choose your size based on your shoe size. For compression socks, you also need to measure your calf circumference. Remember in order to get the most accurate measurements, you should measure yourself first thing in the morning before you've had anything to eat or drink.

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