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Your complete guide to compression socks.

Compression Basics

What is compression therapy?

Compression therapy is a simple and effective means of increasing blood flow in the lower limbs by strengthening the support system of the veins. It involves wearing specially designed socks or stockings that apply gentle pressure to your legs and ankles, promoting blood flow from your legs back to your heart.

Compression therapy is the standard of care for managing chronic venous insufficiency, lymphedema, and other circulatory conditions. It can help reduce swelling, prevent blood clots, and alleviate symptoms like tired, heavy, or aching legs.

How do compression socks work?

Compression socks work by applying graduated pressure to your legs, with the most pressure at the ankle and gradually decreasing up the leg. This graduated compression helps:

  • Counteract the effects of gravity on blood flow
  • Assist your body in pumping blood back to your heart
  • Reduce the diameter of distended veins
  • Increase venous blood flow velocity
  • Prevent blood from pooling in the legs
What is graduated compression?

Graduated compression means the pressure applied by the sock is strongest at the ankle and gradually decreases as it moves up the leg. For example, a 20-30 mmHg sock provides 20-30 mmHg of pressure at the ankle, but only about 70% of that at the calf, and even less at the thigh (for thigh-high styles).

This graduated design is essential for promoting blood flow upward toward the heart, rather than allowing it to pool in the lower legs.

What is graduated compression?

Graduated compression means the pressure applied by the sock is strongest at the ankle and gradually decreases as it moves up the leg. For example, a 20-30 mmHg sock provides 20-30 mmHg of pressure at the ankle, but only about 70% of that at the calf, and even less at the thigh (for thigh-high styles).

This graduated design is essential for promoting blood flow upward toward the heart, rather than allowing it to pool in the lower legs.

Do I need a prescription for compression socks?

Most compression socks do not require a prescription. Over-the-counter compression levels (8-15 mmHg, 15-20 mmHg, and 20-30 mmHg) can be purchased without a doctor's order.

However, higher compression levels (30-40 mmHg and above) are typically recommended to be worn under medical supervision. Additionally, if you want insurance to cover your compression socks, you will likely need a prescription from your doctor.

Who can benefit from wearing compression socks?

Compression socks can benefit a wide range of people, including:

  • People who stand or sit for long periods (nurses, teachers, office workers)
  • Frequent travelers, especially on long flights
  • Athletes and runners for performance and recovery
  • Pregnant women experiencing leg swelling
  • People with varicose veins or spider veins
  • Post-surgery patients
  • People with lymphedema or chronic venous insufficiency
  • Anyone experiencing tired, heavy, or aching legs
Are there reasons I should NOT wear compression socks?

Compression socks are not recommended for everyone. You should consult with your doctor before wearing compression socks if you have:

  • Peripheral artery disease (PAD) or other arterial circulation problems
  • Skin infections or open wounds on the legs
  • Dermatitis or weeping skin conditions
  • Massive leg swelling or pulmonary edema from congestive heart failure
  • Peripheral neuropathy or other conditions causing impaired sensation

Learn more in our When Not to Wear Compression guide.

How many hours a day should I wear compression socks?

The recommended wearing time depends on your condition and the reason for wearing compression:

  • General wellness: Wear during the day while active, remove at night.
  • Chronic venous insufficiency: Wear while out of bed (approximately 16 hours per day).
  • Post-surgery: Follow your doctor's specific instructions.
  • Travel: Wear during the entire flight and for a few hours after landing.

Most people put on their compression socks first thing in the morning when swelling is minimal and remove them before bed.

Medical Conditions

Can compression socks help with varicose veins?

Yes, compression socks are a primary treatment for varicose veins. They help to improve circulation, reduce swelling, and alleviate the pain and discomfort associated with varicose veins. While they cannot eliminate existing varicose veins, they can prevent them from getting worse and relieve symptoms.

A compression level of 20-30 mmHg is often recommended for varicose veins. Shop our Varicose Veins Collection.

Are compression socks effective for DVT prevention?

Yes, compression socks are highly effective in preventing Deep Vein Thrombosis (DVT), especially during long periods of inactivity like air travel, bed rest, or after surgery. They help keep blood from pooling in the legs, reducing the risk of clot formation.

For DVT prevention, 15-20 mmHg or 20-30 mmHg compression is typically recommended. Shop our DVT Prevention Collection.

Can compression socks reduce swelling (edema)?

Yes, one of the primary benefits of compression socks is reducing swelling in the legs, ankles, and feet. The graduated pressure helps push excess fluid back into circulation and prevents it from accumulating in the lower extremities.

For mild swelling, 15-20 mmHg may be sufficient. For moderate to severe edema, 20-30 mmHg or higher is typically recommended. Shop our Swelling & Edema Collection.

How do compression socks help with lymphedema?

Compression socks help manage lymphedema by providing external pressure that assists the lymphatic system in moving fluid out of the affected limb. This helps to reduce swelling and prevent fluid from accumulating.

For lymphedema, higher compression levels (30-40 mmHg or 40-50 mmHg) are often required, and it's important to work with a certified lymphedema therapist for proper fitting. Shop our Lymphedema Collection.

Are compression socks safe for diabetics?

Compression socks can be beneficial for diabetics, but it's important to consult with your doctor first. Diabetics with peripheral neuropathy may have reduced sensation and may not feel if the socks are too tight or causing irritation.

We offer diabetic-friendly compression socks with non-binding tops and seamless toes. Shop our Diabetic Compression Collection.

Can I wear compression socks during pregnancy?

Yes, compression socks are often recommended during pregnancy to help with leg swelling, varicose veins, and to reduce the risk of blood clots. The increased blood volume and pressure from the growing uterus can make pregnant women more susceptible to venous issues.

A compression level of 15-20 mmHg or 20-30 mmHg is typically recommended. Maternity pantyhose styles with expandable panels are also available. Shop our Maternity Collection.

Are compression socks recommended after surgery?

Yes, compression socks are commonly prescribed after surgery, especially orthopedic procedures, to prevent blood clots (DVT) and reduce swelling. Your surgeon will provide specific instructions on the compression level and duration of wear.

Anti-embolism stockings (TED hose) are often used immediately after surgery for bedridden patients, while graduated compression stockings are used once the patient becomes ambulatory.

Sports & Athletic Use

What are the benefits of compression socks for athletes?

Athletes wear compression socks for several benefits:

  • Improved circulation: Increased oxygen delivery to muscles
  • Reduced muscle fatigue: Less muscle vibration during activity
  • Faster recovery: Quicker removal of lactic acid and metabolic waste
  • Reduced soreness: Less delayed onset muscle soreness (DOMS)
  • Injury prevention: Support for muscles and reduced risk of shin splints

Shop our Athletic & Recovery Collection.

Should I wear compression socks during or after a run?

Both! You can wear compression socks during and after running:

  • During a run: Can help reduce muscle fatigue and vibration, potentially improving endurance.
  • After a run: Helps speed up recovery by improving circulation and reducing muscle soreness.

Many runners find the greatest benefit from wearing compression socks during recovery, especially after long runs or races.

What compression level is best for running?

For running and athletic activities, 15-20 mmHg or 20-30 mmHg compression is typically recommended:

  • 15-20 mmHg: Good for everyday training and mild support
  • 20-30 mmHg: Better for long-distance running, races, and recovery

Some athletes prefer calf sleeves (which don't cover the foot) for running, as they provide compression without affecting the fit of running shoes.

Can I wear compression socks for hiking?

Yes, compression socks are excellent for hiking. They can help reduce leg fatigue on long hikes, prevent swelling, and provide support for your calves. Many hikers find they have more energy at the end of the day when wearing compression.

Look for moisture-wicking compression socks designed for athletic use to keep your feet dry and comfortable.

Travel

Why should I wear compression socks when flying?

Air travel increases your risk of blood clots (DVT) due to:

  • Prolonged sitting with limited leg movement
  • Lower cabin pressure and reduced oxygen levels
  • Dehydration from low humidity in the cabin
  • Cramped seating that restricts blood flow

Compression socks help counteract these effects by promoting blood flow and preventing blood from pooling in your legs. Shop our Travel Collection.

What compression level is best for air travel?

For most travelers, 15-20 mmHg compression is sufficient for flights. If you have a history of blood clots, varicose veins, or other venous conditions, your doctor may recommend 20-30 mmHg.

Put on your compression socks before you leave for the airport and keep them on for a few hours after landing.

Should I wear compression socks on long car rides?

Yes, compression socks are beneficial for any extended period of sitting, including long car rides. They help prevent leg swelling and reduce the risk of blood clots. Be sure to also take breaks to walk around and stretch your legs every 1-2 hours.

Sizing & Fit

How do I find the right size compression socks?

Proper sizing is crucial for compression socks to be effective. You will need to take measurements of:

  • Ankle circumference: Measure at the narrowest part above the ankle bone
  • Calf circumference: Measure at the widest part of your calf
  • Calf length: Measure from the floor to the bend of your knee (for knee-highs)

It is best to measure in the morning when swelling is at a minimum. Please refer to our Measuring Guide for detailed instructions.

What if I am between sizes?

If you are between sizes, it is generally recommended to choose the larger size for comfort. However, if your ankle measurement is closer to the smaller size, you may want to choose the smaller size to ensure adequate compression at the ankle.

If you are unsure, please contact our Certified Fitters at 1-800-504-7315 for personalized assistance.

Should I choose open toe or closed toe?

The choice between open toe and closed toe is largely personal preference:

  • Open toe: Better for warmer weather, allows you to wear sandals, easier to check circulation in toes, good for longer toes
  • Closed toe: Provides a more finished look, better for cooler weather, works well with closed shoes

Both styles provide the same level of compression. If you have toe deformities or need to monitor your toes (diabetics), open toe may be preferred.

Why are my compression socks rolling down?

Compression socks may roll down for several reasons:

  • Incorrect size (usually too large)
  • Worn-out elastic (stockings need replacing)
  • Improper application (not pulled up evenly)
  • Lotions or oils on the skin

Try redistributing the fabric evenly up your leg. If the problem persists, you may need a smaller size or a style with a silicone grip band.

How tight should compression socks feel?

Compression socks should feel snug but not painful. You should feel the most pressure at your ankle, with gradually decreasing pressure up your leg. They should not:

  • Cause pain or numbness
  • Leave deep indentations in your skin
  • Cause tingling or color changes in your toes
  • Cut off circulation

If you experience any of these symptoms, remove the socks and consult with a healthcare provider.

Product Care

How do I wash compression socks?

To extend the life of your compression socks:

  • Hand wash in cool water with mild soap or specialized hosiery wash
  • If machine washing, use a mesh laundry bag and delicate cycle
  • Do not use fabric softeners or bleach
  • Rinse thoroughly
  • Gently squeeze out excess water (do not wring)
  • Air dry flat or hang dry (away from direct heat)

Learn more in our Washing Guide.

Can I put compression socks in the dryer?

No, you should not put compression socks in the dryer. The heat from the dryer can damage the elastic fibers and reduce the compression effectiveness. Always air dry your compression socks away from direct heat and sunlight.

How long do compression socks last?

With proper care, compression socks typically last 3-6 months with daily wear. Signs that your compression socks need replacing include:

  • Loss of elasticity (socks feel loose)
  • Visible wear or thinning of fabric
  • Socks no longer stay up
  • Reduced compression feeling

We recommend having at least 2 pairs so you can alternate and extend the life of each pair.

Ordering & Shipping

How long does shipping take?

Most in-stock orders ship within 1-2 business days. Delivery times depend on your location:

  • Standard Shipping: 3-7 business days
  • Expedited Shipping: 2-3 business days
  • Express Shipping: 1-2 business days

Learn more on our Shipping Policy page.

Do you offer free shipping?

Yes! We offer free standard shipping on orders over $50 within the continental United States. No coupon code needed - the discount is automatically applied at checkout.

What is your return policy?

We offer a 60-day return policy on unworn, unwashed items in original packaging. Due to hygiene reasons, we cannot accept returns on compression garments that have been worn or washed.

If you received the wrong size or a defective product, please contact us and we will make it right. Learn more on our Returns & Exchanges page.

Do you ship internationally?

Yes, we ship to Canada and Australia. International shipping rates and delivery times vary by destination. Please note that international orders may be subject to customs duties and taxes, which are the responsibility of the customer.

Insurance & Medicare

Does Medicare cover compression socks?

Currently, compression stockings are generally not covered under Medicare Part B. Medicare considers them a non-covered service and will not pay for these items even with a prescription from your doctor.

However, some Medicare Advantage plans may offer coverage. Check with your specific plan for details.

Does insurance cover compression socks?

Some private insurance plans will cover the cost of compression hosiery if:

  • The stockings are prescribed by a physician
  • The compression level is 20 mmHg or higher
  • There is a documented medical necessity

Please contact your insurance carrier to determine if compression stockings are a covered benefit under your plan.

Can I use my HSA/FSA to buy compression socks?

Yes! Compression socks are typically eligible for purchase with Health Savings Account (HSA) and Flexible Spending Account (FSA) funds when prescribed by a doctor for a medical condition. We accept HSA/FSA debit cards at checkout.

Do you bill insurance directly?

No, we do not bill insurance companies directly. If your insurance covers compression stockings, you would need to pay out of pocket and then submit an invoice from us to your insurance company for reimbursement.

You can print invoices from your account under "Order History."

Still Have Questions?

Our Certified Fitters are here to help.

Contact Us

Or call us at 1 (800) 504-7315

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