top of page

The Science Behind Compression Stockings: How It Works And Who Can Benefit



Compression stockings are more than just a snug fit; they are a scientifically designed medical garment with many benefits for improving circulation. Understanding the science behind these stockings reveals how they exert graduated pressure on your legs, which helps blood flow more efficiently back to the heart. This pressure reduces the risk of blood pooling in the veins, alleviating symptoms of varicose veins, reducing swelling, and preventing serious conditions like deep vein thrombosis. In this blog post, we’ll delve into the mechanisms of how compression stockings work, exploring the physiological principles behind their effectiveness and the various conditions they can help manage. Whether you’re curious about how they enhance athletic performance, aid in post-surgical recovery, or provide relief for chronic venous insufficiency, this blog will provide a thorough understanding of the circulatory benefits of compression stockings.  



How does Compression Work?


Compression stockings work by applying graduated pressure to your legs, which helps improve blood circulation and reduce swelling. Here’s a detailed look at how they function:


Graduated Compression

  • Pressure Gradient: Compression stockings are designed with a pressure gradient, meaning the pressure is highest at the ankle and gradually decreases as it moves up the leg. This gradient helps push blood upwards towards the heart, counteracting the effects of gravity.


Enhancing Blood Flow

  • Venous Return: By compressing the surface veins, arteries, and muscles, these stockings aid in propelling blood back to the heart. This is particularly beneficial for people with conditions like varicose veins or chronic venous insufficiency, where blood tends to pool in the legs.


Reducing Swelling

  • Fluid Management: The compression helps reduce the leakage of fluids from capillaries and improves the drainage of lymphatic fluid. This is especially useful for managing conditions that cause leg swelling, such as lymphedema or prolonged standing/sitting.


Preventing Blood Clots

  • Deep Vein Thrombosis (DVT) Prevention: For individuals at risk of blood clots, such as those who are immobile for long periods (ie: during long flights or bed rest) compression stockings can help prevent the formation of clots by maintaining blood flow and reducing venous stasis.


Support for Muscles and Joints

  • Muscle Efficiency: Compression stockings provide support to muscles and joints, reducing muscle oscillation during activity and potentially enhancing athletic performance and recovery.

 

Types of Compression

  • Different Levels: Compression stockings come in various levels of pressure, measured in millimeters of mercury (mmHg). Common Levels Include:

    • Mild (8-15 mmHg): Suitable for relieving minor swelling and fatigue

    • Moderate (15-20 mmHg): Often used for mild varicose veins and during pregnancy

    • Firm (20-30 mmHg) Typically prescribed for moderate to severe varicose veins, post-surgery, or for managing DVT.

    • Extra Firm (30-40 mmHg): Used for severe cases of venous insufficiency, lymphedema, or after certain surgeries


Medical and Non-Medical Uses

  • Medical Conditions: Compression stockings are commonly recommended for medical conditions such as varicose veins, venous insufficiency, lymphedema, and DVT.

  • Daily Wear: Many people wear compression stockings for daily activities to reduce leg fatigue, improve comfort during long periods of standing or sitting, and enhance athletic performance.


By understanding how compression stockings work, you can better appreciate their role in promoting circulatory health and preventing various leg-related issues.


 

Compression stockings are highly effective due to several physiological principles that enhance blood circulation, reduce swelling, and support overall venous health. Here are the most common conditions managed by using compression garments.


Chronic Venous Insufficiency (CVI)

  • Compression stockings alleviate symptoms of CVI such as swelling, pain, and heaviness in the legs by improving venous return and reducing venous pressure.


Varicose Veins

  • By supporting venous valves and reducing vein diameter, compression stockings help manage varicose veins and prevent their progression.


Deep Vein Thrombosis (DVT)

  • Compression stockings are often recommended for individuals at risk of DVT, especially during long periods of immobility (ie: long flights, bed rest) as they help maintain blood flow and prevent clot formation.


Lymphedema

  • Compression stockings promote lymphatic drainage, reducing swelling and discomfort associated with lymphedema.


Leg Ulcers

  • For individuals with venous leg ulcers, compression therapy improves blood flow, reduces swelling, and promotes healing.


Post-Thrombotic Syndrome

  • After a DVT event, compression stockings help manage symptoms and prevent complications associated with post-thrombotic syndrome.



Athletic Performance


Compression garments, including compression stockings, are increasingly popular among athletes for their potential to enhance performance and recovery. Here’s how compression can benefit athletic performance:


  • Improves Circulation by enhancing blood flow. Compression stockings boost venous return by applying pressure that pushes blood back to the heart more efficiently, ensuring better oxygen and nutrient supply to muscles, and enhancing endurance and performance.

  • Reduces muscle oscillation by supporting muscles. Compression stockings stabilize muscles, reduces vibrations during activity which can decrease muscle damage and soreness.


  • Enhances proprioception improving body awareness. Compression garments enhance proprioception, improving coordination, balance, and overall athletic performance.


  • Quicker recovery by reducing swelling and inflammation. By promoting efficient blood flow and lymphatic drainage, compression stockings reduce lactic acid buildup and other waste products, leading to quicker recovery and less muscle soreness after exercise.


  • Temperature regulation. Compression garments help keep muscles at optimal temperature, reducing injury risk and improving muscle efficiency during exercise.


  • Delayed Onset Muscle Soreness (DOMS), minimizing muscle damage. By reducing muscle oscillation and improving circulation, compression stockings can lessen the severity of DOMS, allowing consistent training without prolonged downtime.

  • Increases endurance by sustaining performance. With improved circulation and reduced muscle fatigue, athletes can maintain higher performance levels for longer periods, enhancing overall endurance.

  • Reduces the risk of injuries by offering support and stability. Compression stockings offer additional support to muscles and joints, reducing the risk of strains, sprains, and other injuries.



Post-Surgery Recovery


Compression stockings play a significant role in aiding post-surgery recovery by leveraging several physiological mechanisms that improve circulation, reduce swelling, prevention of DVT, and enhanced healing. By supporting the body’s natural recovery processes, compression stockings help ensure a smoother and faster recovery. Here are some of these benefits:


  • Improved circulation enhancing venous return. Compression stockings apply graduated pressure to the legs, promoting venous return by pushing blood from the lower extremities back to the heart. This prevents blood pooling, reducing the risk of blood clots and promoting overall circulatory health.


  • Prevention of DVT and clot prevention. Post-surgical patients are at increased risk of developing DVT due to prolonged immobility compression stockings reduce this risk by maintaining blood flow in the legs, preventing venous stasis and clot formation.


  • Reduced swelling and edema by managing fluid. Surgery often results in localized swelling due to fluid accumulation. Compression stockings help reduce this swelling by encouraging the reabsorption of interstitial fluid back into the bloodstream and lymphatic system.


  • Enhanced lymphatic drainage for lymph flow improvement. Compression promotes the drainage of lymphatic fluid, reducing lymphedema and aiding in the removal of waste products and excess fluid from the surgical site.


  • Pain and discomfort reduction by supporting and compressing. The gentle pressure from compression stockings can support the surgical area, reducing pain and discomfort associated with swelling and inflammation.


  • Improved healing and tissue repair by delivering oxygen and nutrients. By improving blood circulation, compression stockings enhance the delivery of oxygen and essential nutrients to the surgical site, promoting faster healing and tissue repair.

  • Support for venous valves. Compression supports the function of venous valves, preventing blood from flowing backward and reducing the risk of complications related to venous insufficiency.


  • Mobility and comfort by enhancing mobility. Reduced swelling and pain can lead to improved mobility, allowing patients to engage in gentle movements and physical therapy sooner which is crucial for a successful recovery.


  • Psychological benefits by providing a sense of security. Wearing compression stockings can provide a psychological sense of support and security, making patients feel more comfortable and confident during their recovery process.


 

Who else can benefit from wearing Compression garments?


Pregnant Women

  • During pregnancy, women often experience swelling in their legs and feet. Compression stockings can help reduce this swelling and prevent varicose veins.


Travelers on Long Flights or Car Rides

  • Extended periods of immobility can lead to blood pooling in the legs, increasing the risk of DVT.


Individuals with Standing or Sitting Occupations

  • People whose jobs require prolonged standing or sitting, such as nurses, teachers, officer workers, bank tellers, or doctors might use compression stockings to reduce leg fatigue and swelling.



How Can We Help?


Our Specially for You Wellness Boutique is staffed with amazing and experienced certified fitters. Whether you need over-the-counter compression or medical-grade garments, we can help by taking your measurements and finding the proper fit, style, and material to best suit your needs and lifestyle. Accurate measurement is crucial for optimal results, so we highly recommend calling us to make an appointment for a fitting.


Before scheduling your appointment, please note the following:


  • All fittings should be done as early in the day as possible. Swelling can increase throughout the day, so morning measurements will provide the most accurate results.


  • If you require compression higher than 15-20 mmHG, you will need a prescription form your family physician or specialist to ensure your safety.


Please call us to schedule your appointment and experience the benefits of properly fitted compression garments.


Call Us 780-483-7592

bottom of page