Medical compression stockings are far more than ordinary socks — they are CE-marked medical devices that deliver graduated compression, highest at the ankle and progressively decreasing up the leg. This controlled pressure gradient assists venous blood return to the heart, reducing venous hypertension, swelling and symptoms of venous insufficiency.
Who Needs Compression Stockings?
- Patients with varicose veins
- After treatment of DVT (post-thrombotic syndrome prevention)
- Chronic venous insufficiency and leg swelling
- Frequent long-haul travellers
- Occupations involving prolonged standing: nurses, surgeons, teachers, flight attendants
- Pregnancy
- Pre- and post-operatively for lower limb procedures
Compression Classes Explained
- Class 1 (15–21 mmHg): Mild — travel, mild varicose veins, pregnancy, general fatigue
- Class 2 (23–32 mmHg): Moderate — the most widely prescribed class — established varicose veins, DVT prophylaxis and treatment, moderate chronic venous insufficiency
- Class 3 (34–46 mmHg): Strong — severe chronic venous insufficiency, post-thrombotic syndrome, active venous ulcers
- Class 4 (>49 mmHg): Very strong — prescribed under specialist supervision only
⚠️ Contraindications
Compression stockings are contraindicated with severe peripheral arterial disease (ABI <0.5), some skin conditions and certain neuropathies. Always check with your doctor before starting, especially if you have any arterial disease or diabetes.
How to Measure for the Right Fit
- Measure ankle circumference just above the heel, first thing in the morning before swelling develops
- Measure the widest part of the calf
- Measure leg length from heel to knee (for knee-length) or heel to groin (for thigh-length)
- Use the manufacturer's size chart to select the correct size
How to Put Them On
- Apply first thing in the morning, before any swelling has developed
- Turn the stocking inside-out to the heel, place over the foot and gradually roll up the leg
- Smooth out all wrinkles — bunched fabric creates pressure points
- Rubber gloves aid grip when pulling the stocking up
- Remove at bedtime
✅ Stocking Care and Lifespan
Wash daily in cool water with mild soap — avoid tumble dryers. Replace every 3–6 months as elastic properties degrade with repeated washing. Never share stockings between patients.
Need Help Choosing the Right Compression Class?
Book a consultation with Dr. Mohamed Haggag for a proper venous assessment and personalized compression recommendation
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