Common Misconceptions About the Use of Compression Stockings

Compression stockings are one of the subjects our patients most often misunderstand; some think they treat varicose veins completely, while others think they are unnecessary. In this article I will describe the real role of the compression stocking.

Do Compression Stockings Treat Varicose Veins or Halt Their Progression?

A compression stocking does not remove or treat existing varicose veins; with the graduated pressure it applies to the leg from the outside, it helps the veins carry blood upwards, reduces swelling and eases symptoms (a feeling of heaviness, fatigue). In other words, the stocking is not a treatment but a supporting aid used for symptom control and support.

Choosing a Stocking According to Pressure Values

Compression stockings are produced in different pressure classes (usually light, medium and high pressure); the correct pressure class is determined according to the severity of the varicose veins and the purpose (daily comfort, or support after surgery). Instead of buying a stocking at random from the pharmacy on your own, we recommend that you consult us for the choice of pressure and size suited to your leg measurements and your condition; a wrongly chosen stocking may provide no benefit.

Should Compression Stockings Be Worn in Summer?

Yes; the effect of the compression stocking is independent of the season and its use is recommended in hot weather too. Today, summer models produced from thin, breathable fabrics increase comfort in the hot months and make regular use easier.

Frequently Asked Questions

Should compression stockings be used every day? We recommend regular use on days when you will be standing or sitting for long periods; the frequency of use is determined according to the individual situation.

How long should I use the stockings after surgery? After procedures such as EVLA we usually recommend regular use for 1-2 weeks; the exact duration varies according to the type of procedure.

Is using compression stockings enough, or is treatment still needed? The stocking eases symptoms but does not remove the underlying venous reflux; for a lasting solution, treatment methods such as EVLA may be needed.

Conclusion

The compression stocking is not a substitute for varicose vein treatment, but it is a valuable supporting aid in symptom control and in the post-operative period. The correct choice of pressure and size directly affects its benefit.

You can book an appointment to discuss the compression stocking pressure suitable for you and your varicose vein treatment options.

References

1. Kakkos SK, Gohel M, Baekgaard N, et al. Editor’s Choice – European Society for Vascular Surgery (ESVS) 2022 Clinical Practice Guidelines on the Management of Chronic Venous Disease. Eur J Vasc Endovasc Surg. 2022;63(2):184-267.