Compression Guide
Not sure which compression level, style or size is right for you? This guide walks you through the basics. If you still have questions, call us at 800-883-1549.
Compression 101
Compression garments apply gentle, steady pressure that is firmest at the ankle or wrist and eases as it moves up the limb. This graduated pressure helps blood and lymph fluid move back toward the heart, which reduces swelling, aching and heaviness.
Pressure is measured in millimeters of mercury (mmHg). The higher the number, the firmer the garment.
Which compression level is right for me?
Start with what your doctor recommends. If you have no recommendation, 8-15 or 15-20 mmHg is a comfortable everyday starting point.
| Level | Feel | Commonly used for |
|---|---|---|
| 8-15 mmHg | Light | Tired, achy legs; long days of sitting or standing; travel |
| 15-20 mmHg | Mild | Minor swelling, spider veins, pregnancy, flights and long drives |
| 20-30 mmHg | Moderate | Varicose veins, moderate swelling, after vein procedures, mild lymphedema. Often recommended by a doctor. |
| 30-40 mmHg | Firm | Significant swelling, lymphedema, venous ulcers, post-thrombotic syndrome. Usually prescribed. |
If you have diabetes, poor circulation in your legs (peripheral artery disease), numbness or skin wounds, check with your doctor before wearing any compression.
Choosing a style
Pick the style that covers the area where you have swelling or symptoms.
| Style | Covers | Good for |
|---|---|---|
| Knee high | Foot to just below the knee | Most lower-leg swelling and achiness; easiest to put on |
| Thigh high | Foot to upper thigh | Swelling or veins above the knee |
| Waist high / pantyhose | Foot to waist | Swelling in both legs up to the hip; maternity styles available |
| Chaps | Ankle to thigh or waist, one or both legs | People who need upper-leg coverage but want an open foot |
| Arm sleeve | Wrist to upper arm | Arm lymphedema, often after breast cancer treatment |
| Gauntlet / glove | Hand, with or without fingers | Hand swelling; worn with an arm sleeve |
| Adjustable wraps | Foot, leg or arm, with hook-and-loop straps | Easier on and off; adjustable as swelling changes |
Open or closed toe? Open toe is cooler, fits longer or wider feet, and makes it easier to check your toes. Closed toe gives full foot coverage.
Top bands: silicone dot or lace bands help thigh-high and arm garments stay in place.
Measuring for the right fit
A good fit matters more than anything else. Measure in the morning, before swelling builds up during the day.
- Use a soft tape measure against bare skin, snug but not tight.
- For legs: measure around the narrowest part of the ankle and the widest part of the calf. For thigh-high or waist-high styles, also measure around the upper thigh and the length from floor to the top of the garment.
- For arms: measure around the wrist, forearm and upper arm, plus the length from wrist to armpit.
- Compare your measurements to the size chart on the product page. If you fall between sizes, call us.
Not sure about measuring yourself? Midwest Compression offers fittings. Call 800-883-1549 and we'll help you find the right size.
Putting them on and caring for them
Putting them on
- Put garments on first thing in the morning, when swelling is lowest.
- Turn the stocking inside out down to the heel, slip your foot in, then roll it up gradually. Don't pull from the top band.
- Smooth out wrinkles; bunching can dig in and cause irritation.
- Rubber donning gloves and slide-on aids (both in our shop) make it much easier.
Wear and care
- Wash after every wear in cool water with mild soap, by hand or on a gentle cycle. Air dry; no bleach, softener or high heat.
- Keep two pairs so you can wear one while the other dries.
- Replace garments about every 6 months. After that, they lose compression even if they still look fine.
Prescriptions, insurance and help
Garments at 20-30 mmHg and above are often recommended or prescribed by a doctor. If you have a prescription, Midwest Compression may be able to bill your insurance. Coverage depends on your plan, so call us to check before you order.
Stop wearing a garment and contact your doctor if you notice numbness, tingling, skin color changes, pain or skin breakdown.