What Compression Should I Choose?

Before we discuss what compression to choose, let’s look at how the compression helps control edema and makes our legs feel better. The muscles of the legs act a pump to assist the heart in the return blood flow from the extremities. When veins and valves of the legs become damaged or incompetent, compression stockings provide a little extra “squeeze” to help reduce the diameter of distended veins and help the valves to close. When this happens, the blood flow is increased. The “squeeze” is measured in mmHg compression.

If your physician has not suggested compression of support hose (compression stockings or support socks) to purchase, it can be very confusing. A garment with too little compression for your diagnosis may not contain the swelling. On the other hand, I have clients purchase 30-40mmHg compression because they want to be certain of getting rid of their swelling. Once they receive their purchase, they are even more frustrated because they are not able to don the garment. The correct compression, correct size, and style are some of the secrets to being a successful support hose (compression stocking or support sock) wearer.

For someone with little or no swelling, an 8-15mmHg compression may give the gentle message they desire.

For someone with mild swelling or to prevent varicose veins, a 15-20 compression may give them support they want.

For someone with moderate swelling, a 20-30mmHg compression may give them all the “squeeze” they need.

Here are some guide lines we follow when fitting a new client:

  • 8-15mmHg compression is generally used for
    • Minor ankle, leg and foot swelling
    • Those who want just a little gentle massage to help their tired, fatigued legs
    • A client who is very elderly and has serious heart problems or is not able to don a higher compression
  • 15-20mmHg compression is used for
    • Minor varicose veins
    • Travel (when there is no other leg problems)
    • Prevention of varicose veins during pregnancy
    • Post Sclerotherapy
  • 20-30mmHg compression is used for
    • Moderate to severe varicose veins
    • Moderate swelling (edema)
    • Post Sclerotherapy
    • Prevention of recurrence of venous ulcerations
    • Superficial Thrombophlebitis
    • Post surgical
    • Management of Neuropathy
    • Travel
    • Prophylaxis during pregnancy
    • Burn scar management
    • DVT (Deep Vein Thrombosis) prevention
    • Healing of joint replacement
  • 30-40mmHg compression is used for
    • Severe varicose veins
    • Severe edema
    • Lymphedema
    • Management of active venous ulcerations
    • Prevention of recurrence of venous ulcerations
    • Prevention of Post-Thrombotic Syndrome
    • Management of PTS (Post-Thrombotic Syndrome)
    • Orthostatic Hypotension
    • Post Surgical
    • Post Sclerotherapy
    • Burn Scar Management.

For our returning clients, are you having problems such as your garment not containing your edema or your garment is rolling, pinching or otherwise not fitting properly? Call our Certified Fitters at 1-844-472-8807. Your problems could be due to wrong compression, wrong size, or wrong garment. For example a knee high 20-30mmHg from one manufacturer does not fit the same as the same garment from another manufacturer. Even different styles of garments from the same manufacturer (such as casual compared to dress) can fit different.

In conclusion a properly fitting compression garment of the proper compression and correct style can make your legs happy!
Our goal at SupportHosestore.com has always been to help you improve the quality of your life!


Here’s to Happy Feet

The yarns socks are made of is not something we think about very often; however, the right socks make our feet feel good and when our feet feel good, we feel so much better! Our feet are big sweaters (not the kind you wear in the winter)! There are 250,000 sweat glands found on each foot and can generate between one half and one cup of liquid a day!

Now, our task with compression socks (support socks, support stockings, compression hose, compression stockings or whatever you wish to call them) is to wick this moisture away from the feet so they do not become soggy and damp. Soggy skin becomes compromised faster than dry skin.

You would think natural fibers such as wool and cotton would be great. Some diabetics think the only sock they can wear is a cotton sock, but for the most part this is not true. Cotton is in a lot of less expensive socks. It absorbs a lot of moisture, but it loses all of its insulating ability when wet, takes forever to dry (does not wick moisture away from the feet), and sags and bunches when wet (not good for compression socks). Socks with high cotton content should usually be avoided.

Wool manages moisture well, wicks moisture away from the feet, provides good padding and warmth, and can absorb up to a third of its weight in water without feeling damp or losing much of its insulating ability. However, wool is also less durable than most synthetic materials, and does not hold its shape well.

Nylon and polyester seem to be some of the most durable of the yarns. When your very favorite sock wears out, it is the nylon threads that are holding the sock together. These threads actually absorb very little of the moisture, dry quickly and help give the sock form. The nylon and polyester yarns do not move the moisture, but the manufacturers use coatings to enable the fibers to wick moisture away from the feet.

Acrylic is another commonly used synthetic material. It closely approximates the plushness of wool, while offering the increased durability of a synthetic. Other materials used include Lycra Spandex or Elasthan, which provide the hugging elastic. None of the synthetic yarns contain latex.

Polyamide is a term often seen in the yarns of many socks. Polyamide is the basic fiber forming substances for nylon fiber. To make it simple when you come down to it nylon is a polyamide.

Many of our new garments are now knit of a patented blend of synthetic and natural fiber that accelerate the wicking action. Dri-Release® is one of these. It feels like cotton. Dri-Release® actually pushes the moisture to the outside of the garment. Tests show it dries four time faster than cotton . This yarn is the preferred performance yarn for athletes.

Most compression socks and compression stockings are made of nylon or polyamide and Elasthane. Here are a few examples:

Jobst UltraSheer 20-30
Jobst UltraSheer
73% Nylon
27% Elasthan
Medi Sheer and Soft 20-30
Sheer and Soft
55% Polymide
45% Elasthane
Medi for Men 20-30
Mediven forMen
71 % Polyamide
29% Elasthane
Sigvaris Diabetic 18-285
Sigvaris Diabetic
67% DirRelease
26% Nylon
7% Spandex
Jobst forMen Casual 20-30
Jobst forMen Casual
46% Nylon
35% Polyester
14% Elasthan
5% Wool
Jobst ActiveWear 20-30
Jobst ActiveWear
100% Dri-Release
Sigvaris Performance 20-30
64% Supima
28% Nylon
8% Spandex
Activa Coolmax 15-20
Activa Coolmax
60% Acrylic
33% Nylon
7% Spandex
Jobst Opaque 20-30
Jobst Opaque
78% Nylon
22% Elasthane
Sigvaris Outdoor Performance 20-30

Coming Soon!!


Sigvaris Outdoor
67% Morino
26% Nylon
7% Spandex

In conclusion a compression garment with high contents of synthetic fibers will tend to provide longer wear and better wicking action. Many of the socks have a combination of yarns with small percentages of cotton or wool for added loft to provide better padding. With so many yarns to choose from, there is truly a garment to make everyone’s feet happy!

Here’s to happy feet,