Frequently Asked Questions About Compression Stockings

1. Can I wear one compression stocking on top of another instead of a higher compression stocking?

Yes, there is an additive effect when layering compression stockings. For example, some doctors may recommend wearing a pantyhose-style compression stocking and then layering a knee-length compression stocking over it to achieve the desired compression level.

2. Who can benefit from wearing compression stockings?

Compression stockings can benefit anyone, especially those who spend extended periods sitting, standing, or in sedentary positions. Gradient compression stockings are particularly useful for the following conditions:

• Tired, aching, or heavy-feeling legs
• Leg swelling
• Varicose veins
• Venous insufficiency
• Post-thrombotic syndrome
• Healed venous ulcers
• Active venous ulcers
• Lymphedema

Important: Always consult your doctor before wearing compression stockings with 20 mmHg or higher compression. If you have arterial circulation issues, consult your physician before wearing any compression stockings.

3. What is gradient compression?

Gradient compression provides a squeezing effect that is tightest at the ankle and gradually decreases as it moves up the leg. For arm sleeves, the greatest compression starts at the wrist and decreases up the arm. Compression levels are measured in mmHg (millimeters of mercury)—the higher the mmHg, the stronger the compression.

4. Is uniform compression effective?

Yes, uniform compression can help manage edema. However, research shows that gradient compression is more effective in improving venous return and reducing swelling in the legs compared to uniform compression.

5. What is compression therapy?

Compression therapy uses specialized stockings or bandages to manage conditions like chronic venous insufficiency and lymphedema. It provides two key benefits:

1. Reduces Swelling: Compression increases subcutaneous tissue pressure, helping to move excess fluid back into capillaries and prevent leakage from blood vessels.
2. Prevents Vein Overfilling: Compression reduces the expansion of superficial veins, preventing backward blood flow, congestion, and associated symptoms like leg swelling and skin changes.

6. What is the best time of day to measure for compression stockings?

The ideal time to measure is early in the day before swelling develops in the legs. If measuring later in the day when swelling is present, the results may lead to choosing a stocking size that is too large. In clinical settings, legs may be elevated, bandaged, or pumped to reduce swelling before measuring.