11/07/2025
Compression Stockings 101: Do They Really Work?
Compression stockings have long been recommended as a first line of defense against leg swelling, varicose veins, and venous insufficiency. But do they really work? The short answer is yes—when used correctly. These medical-grade garments play an important role in improving circulation and preventing the progression of vein disease. At the Vascular Center and Vein Clinic of Southern Indiana, Dr. Ricardo Vasquez, board-certified vascular surgeon with more than 20 years of experience treating veins and peripheral artery disease, helps patients find the right compression solutions for their needs. Dr. Vasquez and Monroe Hospital were recognized as a Top 50 Vascular Surgery Hospital in the Nation by Healthgrades in 2024—the only hospital in Indiana with this distinction.
How Compression Stockings Work
Compression stockings are designed to gently squeeze the legs, applying the most pressure at the ankle and gradually decreasing up the leg. This graduated compression assists the veins in moving blood upward toward the heart, reducing pooling and swelling. By improving blood flow, compression helps relieve symptoms of tired, heavy, or achy legs and can prevent further vein deterioration.
Who Benefits from Compression Therapy
Compression stockings can be beneficial for:
- Varicose veins and chronic venous insufficiency – Reduces swelling, aching, and heaviness.
- Post-procedure recovery – Supports healing after treatments such as Varithena, Venefit, or sclerotherapy.
- Pregnancy – Alleviates swelling and discomfort from increased venous pressure.
- Long flights or car rides – Prevents blood pooling and lowers the risk of deep vein thrombosis (DVT).
- Occupations with prolonged standing or sitting – Provides relief for nurses, teachers, and office workers.
Choosing the Right Compression Stockings
There are several types of compression stockings, ranging from light, over-the-counter versions to prescription-strength medical-grade garments. Key factors to consider include:
1. Compression strength: Measured in millimeters of mercury (mmHg). Mild (15–20 mmHg) is often used for prevention, while higher pressures (20–30 mmHg or 30–40 mmHg) are typically prescribed for diagnosed vein disease.
2. Length: Knee-high stockings are most common, but thigh-high or pantyhose styles may be needed for extensive varicose veins or swelling above the knee.
3. Fit: Proper sizing is crucial. Stockings that are too tight can cause discomfort, while loose ones won’t be effective.
At Dr. Vasquez’s office, patients receive guidance on selecting the right compression level and style for their unique condition.
The Limits of Compression Therapy
While compression stockings are helpful for managing symptoms and slowing progression, they do not correct the underlying cause of varicose veins or venous insufficiency. For patients with significant reflux or visible varicosities, office-based treatments such as radiofrequency ablation or foam sclerotherapy may be necessary for long-term results.
In-Office Evaluation and Next Steps
If you experience leg swelling, heaviness, or visible veins, Dr. Vasquez offers same-day vascular ultrasound at the Vascular Center and Vein Clinic of Southern Indiana. This noninvasive test identifies circulation issues and helps determine whether compression alone is sufficient—or if additional treatment is needed.
Take control of your vein health today. Call 812-336-6008 to schedule an appointment with Dr. Ricardo Vasquez in Bloomington, Indiana. Get expert recommendations on compression therapy and learn about the full range of treatment options to keep your legs healthy, comfortable, and active.