Published on
April 10, 2023

The Best 10 Compression Stockings for Varicose Veins

Discover the best compression stockings for varicose veins. Get the top 10 recommendations from experts and find the perfect fit for your needs.

Compression stockings recommendations
Top 10 Compression Stockings for Vein Health

Discover the best compression stockings for varicose veins. Get the top 10 recommendations from experts and find the perfect fit for your needs.

Varicose veins are manifestations of chronic venous disease and affect over 20% of the United States adult population 20. Chronic venous disease costs between $150 million and $1 billion in medical expenses each year in the US.

The main way to treat long-term vein problems is by using compression therapy and supportive methods like physical therapy and phlebotomists.

Varicose veins, which are often seen as just cosmetic issues, can actually lead to more serious problems.

Do Compression Stockings Help to Treat Varicose Veins?

Compression therapy for varicose veins has been utilized since ancient times 12.

Compression stockings are commonly used as the first treatment for varicose veins. They come in knee-length, thigh-length, and full tights 13.

It’s not too hard to use, doesn’t involve any surgery, and helps with chronic venous disease by squeezing the veins and making the muscles work better.

Compression therapy is crucial for treating leg ulcers1, 2 and can greatly reduce symptoms like leg swelling and heaviness in the early stages of chronic venous insufficiency (CVI) 3.

There are different ways to compress something, but the most popular ones are using compression stockings4 or compression bandages.

Compression stockings for medical purposes come in various compression levels, lengths, knitting techniques, and styles, including those specifically designed for treating leg ulcers.

It is still uncertain if using multiple layers to compress wounds results in quicker healing compared to using only one layer.

Some studies suggest that single-layer and multi-layer systems have the same effectiveness 5, 6, but others indicate that multi-layer systems can help ulcers heal faster 7, 8.

Compression therapy is a crucial treatment for people with venous leg ulcers, but about one-third of those affected don’t receive the right amount of compression 9.

Physical therapy can make your muscles work better and help your ankles move more easily 10. If you have swelling in your legs, manual lymphatic drainage and compression bandaging can help reduce it 11.

Compression therapy is a good alternative to surgery for treating venous reflux symptoms 18.

How Effective Are Compression Stockings for Varicose Veins

In 2018, a study discovered that wearing compression stockings with pressures between 18 to 21 mm Hg for a week can alleviate discomfort and pain caused by varicose veins, compared to regular stockings 15.

Using medical compression stockings with pressure levels of 23 and 35 mmHg after catheter foam sclerotherapy and phlebectomy of varicose veins was effective and well tolerated in the short term 16.

Wearing medical compression stockings with a pressure of 35 mmHg after surgery resulted in fewer negative symptoms and improved healing of the affected tissue16.

In 2017, a study found that wearing stockings with a pressure of 22 mm Hg for 6 months can help control leg swelling during pregnancy in people with varicose veins. However, the study also found that taking an oral medication called Pycnogenol, which is made from pine bark extract, was more effective than using stockings 17.

The most commonly recommended compression stocking is the European Standard Class II, which applies pressure between 23 mmHg and 32 mmHg13.

The optimum lengths and pressures are not known, but studies suggest that a compression pressure between 20 mmHg and 30 mmHg is tolerated better than higher levels 14.

Which Type of Compression Stocking for Varicose Veins Should I Use?

Stockings are the compression garments that are commonly used 19.

Compression stockings may not be appropriate for everyone. Prior to suggesting them, a Doppler investigation is necessary to evaluate your blood flow. There are different sizes and pressures of compression stockings20.

People with varicose veins usually get class 1 (light compression) or class 2 (medium compression) stockings 20.

Wearing knee-high socks helps improve blood flow in the lower leg during exercise. Most patients, especially the elderly, prefer knee-length socks 21.

Knee-length and thigh-length graduated compression stockings have no variation in their effectiveness in preventing deep venous thrombosis (DVT) among postoperative patients 22.

The appropriate amount of pressure and type of stocking needed for varicose veins vary depending on the number, type, and root cause of the condition.

Picking the Correct Compression Method

Compression stockings for varicose veins have different levels of compression measured in millimeters of mercury (mmHg). The higher the mmHg level, the more compression there is, and the lower the mmHg level, the less compression there is.

  • Gentle pressure (8-15 mmHg): These stockings are great for pregnant women who want to avoid getting varicose veins while pregnant. They are the most basic option available.
  • Mild pressure (15-20 mmHg): People with varicose veins often use it to alleviate pain and prevent the condition from getting worse.
  • Strong pressure (20-30 mmHg): After surgery for varicose veins, it is often recommended to use this method to avoid the reappearance of varicose veins.
  • Very strong compression (30-40 mmHg): These stockings are often recommended after surgery to avoid blood clots. They are the most effective option available.

Picking the Correct Size

To buy compression stockings that provide the right amount of pressure, you will have to take specific measurements based on the style you want.

  • Knee-high Compression Socks: Measure the widest part of your calf and the length of your leg from your heel to the back of your knee.
  • Thigh-high Compression Socks: Measure the widest part of your calf and thigh, and the length of your leg from heel to the highest part of your thigh.
  • Compression Stockings: Measure the length of your leg from heel to thigh, the widest part of your calf and thigh, and your waist circumference.

A Quick Look at the Best Compression Stockings for Varicose Veins:

Our Picks Of The 10 Best Compression Stockings For Varicose Veins:

Compression Stocking for Varicose Veins Prevention & Early Stages of CVI

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. 

REXX Compression Socks For Women

Compression Pressure: 8-15 mmHg

Size: Knee-high graduated compression socks

Buy REXX Women’s Therapeutic Compression Socks online!

Step Up Your Game with ACTINPUT Compression Socks

Compression Pressure: 8-15 mmHg

Size: Plantar-length compression socks

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Happy Legs: Men’s Light Compression Socks for Improved Circulation

Compression Pressure: 8-15 mmHg

Size: Knee-high graduated compression socks

Buy PEMBROOK Men’s Graduated Compression Socks online!

Elevate Your Wellness Game with VIM & VIGR Compression Socks

Compression Pressure: 15-20 mmHg

Size: Knee-high graduated compression socks

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Step Up Your Leg Game with LEVSOX Wide Calf Support Socks

Compression Pressure: 15-20 mmHg

Size: Knee-high graduated compression socks

Buy LEVSOX Wide Calf Support Socks online!

CHARMKING Compression Socks: Elevate Your Athletic Performance

Compression Pressure: 15-20 mmHg

Size: Plantar-length compression socks

Buy CHARMKING Compression Socks online!

MudGear: Elevate Your Performance with Our Premium Compression Socks

Compression Pressure: 15-20 mmHg

Size: Knee-high graduated compression socks

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Compression Stocking for Varicose Veins Treatment

Patients with varicose veins, with or without swelling, should wear stockings that have a compression pressure of 20 to 30 mmHg (C2 to C3) 23.

Wearing elastic stockings with a pressure of 8 mmHg can prevent swelling in both patients with varicose veins and healthy individuals. However, stockings with higher compression levels (22 mmHg and 30-40 mmHg) are more effective in preventing foot swelling in patients with varicose veins 24.

Buy JOBST Relief Compression Socks online!

ACTIVITAL Compression Socks: Comfort and Protection for Your Feet

Compression Pressure: 20-30 mmHg

Size: Plantar-length compression socks

Buy CTIVITAL Compression Socks online!

Revolutionize Your Workout with PHYSIX GEAR Compression Gear

Compression Pressure: 20-30 mmHg

Size: Knee-high graduated compression socks

Buy PHYSIX GEAR Compression Gear online!

Outlook

Patients with severe venous skin damage or an ulcer (C4 to C6) should wear stockings with a pressure of 30 to 40 mmHg.

People who have a repeating sore should wear stockings that apply a pressure of 40 to 50 mmHg 23.

Compression stockings are effective for medical treatment, but they have limitations. Some people may find it hard to put them on due to physical conditions like frailty or arthritis. They may also not be suitable for people who are obese or have sensitive skin. Additionally, they may not be appropriate for those with poor blood circulation 24.

About half of the patients are unable to continue compression therapy due to reasons like feeling tightness and warmth, as per several articles 25, 26, 27, 28, 29.

Frequently Asked Questions

How do compression stockings work?

Compression stockings work by applying pressure to your legs, which helps to improve blood flow and reduce swelling. The pressure is highest at the ankle and gradually decreases as the stockings go up your leg. This helps to push blood back up towards your heart and prevent blood from pooling in your veins.

How long should I wear compression stockings?

Your doctor will advise you on how long you should wear compression stockings based on your individual circumstances. In general, it’s recommended that you wear them during the day and take them off at night.

Are compression stockings effective for treating varicose veins?

Yes, compression stockings can be an effective treatment for varicose veins. While they may not eliminate varicose veins completely, they can help to reduce associated pain and swelling.

What are compression stockings?

Compression stockings are specially designed stockings that apply pressure to your legs, helping to improve blood flow and reduce swelling. They are often used to treat varicose veins and other vein-related conditions.

Do I need a prescription for compression stockings?

It depends on where you live and the severity of your condition. In some cases, your doctor may recommend compression stockings and provide a prescription for them. In other cases, you may be able to purchase them over the counter.

References

Fitnature uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

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  • Belcaro, Gianni, et al. “Postpartum Varicose Veins: Supplementation with Pycnogenol or Elastic Compression—A 12-Month Follow-Up.” The International Journal of Angiology : Official Publication of the International College of Angiology, Inc, vol. 26, no. 1, Mar. 2017, https://doi.org/10.1055/s-0033-1363784.
  • Bourne, I. H. “Vertical Leg Drainage of Odema in Treatment of Leg Ulcers.” British Medical Journal, vol. 2, no. 5919, June 1974, pp. 581–83, https://doi.org/10.1136/bmj.2.5919.581.
  • Castonguay, Gisele. “Short-Stretch or Four-Layer Compression Bandages: An Overview of the Literature – PubMed.” Ostomy/Wound Management, vol. 54, no. 3, Mar. 2008.
  • Cavezzi, Attilio, et al. “Compression with 23 mmHg or 35 mmHg Stockings after Saphenous Catheter Foam Sclerotherapy and Phlebectomy of Varicose Veins: A Randomized Controlled Study.” Phlebology: The Journal of Venous Disease, vol. 34, no. 2, May 2018, pp. 98–106, https://doi.org/10.1177/0268355518776127.
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  • Diadiun, Tetiana, et al. “Commodity Analysis of Compression Products for Varicose Veins.” Pharmacia, vol. 68, no. 3, Sept. 2021, pp. 607–11, https://doi.org/10.3897/pharmacia.68.e67587.
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