When it comes to managing vein-related conditions, few tools are as simple yet effective as compression stockings. These specialized garments are more than just tight socks—they’re clinically designed to support healthy circulation, reduce swelling, and prevent complications like blood clots or chronic venous insufficiency. At Laser Vascular Center, we often recommend compression stockings as a conservative first step or an essential part of post-procedural recovery. But for many patients, choosing and using them properly can feel confusing. What’s the difference between gradient and uniform compression? Do you need a prescription? How do you know you’re wearing the right size or pressure level? This comprehensive guide will walk you through everything you need to know about compression stockings: their types, benefits, how to find the right fit, and when to seek professional guidance.

Compression stockings work by applying controlled pressure to the legs, which helps veins push blood back toward the heart more efficiently. In a healthy circulatory system, valves in the veins prevent blood from flowing backward. But in individuals with varicose veins, chronic venous insufficiency, or deep vein thrombosis (DVT), these valves become weakened or damaged. This can cause blood to pool in the legs, leading to swelling, heaviness, aching, and visible vein bulging. Compression therapy addresses these symptoms by narrowing the vein diameter, improving valve function, and boosting overall venous return. This not only reduces discomfort but also lowers the risk of serious complications like skin breakdown or venous ulcers.

There are several types of compression stockings available, and understanding their differences is key to making the right choice. The most common style is graduated compression, which applies the highest pressure at the ankle and gradually decreases up the leg. This design mimics the natural pumping action of the calf muscles and is ideal for treating venous insufficiency, managing swelling after procedures, and preventing clot formation during travel or long periods of immobility. Uniform compression, on the other hand, applies consistent pressure along the entire leg and is sometimes used for other types of circulatory support. Stockings also come in a range of lengths—ankle-high, knee-high, thigh-high, and full pantyhose—each suited to different conditions and severity levels. For example, patients with localized varicose veins in the lower leg may only need knee-highs, while those with more widespread swelling might benefit from thigh-high compression.

Equally important is selecting the correct compression level. Compression stockings are categorized by the amount of pressure they deliver, measured in millimeters of mercury (mmHg). Lower levels (8–15 mmHg or 15–20 mmHg) are typically available over the counter and used for minor swelling, fatigue, or travel prevention. Moderate to higher levels (20–30 mmHg or 30–40 mmHg) usually require a prescription and are recommended for patients with diagnosed venous disorders, post-surgical recovery, or chronic symptoms. It’s crucial not to self-prescribe high-pressure stockings, as incorrect use can cause more harm than good. At Laser Vascular Center, we always evaluate your circulation, perform necessary imaging if needed, and recommend the appropriate compression level as part of a personalized treatment plan.

Proper fit is another essential factor that determines how effective—and comfortable—compression stockings will be. Ill-fitting stockings can dig into the skin, bunch up at the ankles, or fail to deliver the intended therapeutic pressure. Accurate measurement is key. Patients should measure their legs first thing in the morning, when swelling is minimal. Depending on the stocking style, you may need to measure your ankle circumference, calf circumference, thigh circumference, and leg length. Some brands offer custom sizing charts to help you find the best match. At Laser Vascular Center, we’re happy to assist with measurements during in-person visits or offer virtual guidance if you’re meeting with us via telehealth.

Getting into compression stockings can be challenging at first, especially with higher-pressure garments. To make the process easier, consider using a stocking donning aid or rubber gloves for better grip. Always smooth out any wrinkles once the stocking is in place, and make sure the top band doesn’t roll or fold over, as this can reduce circulation instead of improving it. It’s also important to wear them consistently. Your provider may recommend wearing them all day and removing them at night, or wearing them only during travel or times of prolonged sitting or standing. Follow care instructions closely—most stockings should be hand-washed or washed on a delicate cycle and air-dried to preserve elasticity.

While compression stockings are incredibly useful, they aren’t a one-size-fits-all solution. For some patients, they may be enough to manage early-stage symptoms or prevent recurrence after a procedure. For others, compression is just one component of a larger treatment plan that may include ultrasound-guided sclerotherapy, endovenous laser therapy (EVLT), or vein ablation procedures. The best way to know what your legs need is to consult with a vascular specialist who can assess the underlying cause of your symptoms and tailor your care accordingly. At Laser Vascular Center, our team uses the latest diagnostic tools and clinical expertise to guide every patient toward the most effective and least invasive solution.

Compression stockings are more than a temporary fix—they’re a proven, medically supported tool in the prevention and treatment of venous disease. Whether you’re managing daily swelling, recovering from a laser vein procedure, or preventing complications during travel, the right compression stockings can make a significant difference in your vascular health and quality of life. But like any medical device, they must be used correctly to be effective. If you’re unsure about which type or level is right for you, don’t hesitate to ask our team. We’re here to help you understand your options, avoid common mistakes, and feel confident in your care every step of the way.

We are offering FREE vein screenings for a limited time

Please fill out the form below and a member of our team will promptly contact you!