The right fit is what makes compression stockings work. Too loose, and you won't get the pressure your doctor ordered. Too tight, and they can dig in, roll down or be hard to wear. Measuring takes about five minutes, and here's how to do it.
What you'll need
A soft, flexible tape measure (the sewing kind)
A pen and paper
A helper, if possible. It's easier to get accurate numbers when someone else holds the tape.
When to measure
Measure first thing in the morning, before you've been on your feet. Legs swell during the day, and evening measurements can lead to stockings that are too big. Measure on bare skin, not over socks or pants.
Knee-high stockings
Ankle: Wrap the tape around the narrowest part of your ankle, just above the ankle bone.
Calf: Wrap the tape around the widest part of your calf.
Length: Sit with your feet flat on the floor and knees bent at a right angle. Measure from the floor to the bend behind your knee.
Thigh-high stockings
Take the three knee-high measurements above, then add:
Thigh: Measure around the widest part of your upper thigh, just below the buttock crease.
Length: Stand straight and measure from the floor to the crease below your buttock.
Pantyhose and waist-high styles
Take all of the thigh-high measurements, then add your hips at the widest point.
Tips for an accurate fit
Keep the tape snug against the skin, but don't pull it tight.
Measure both legs. One leg is often larger, and you should order for the larger one, or ask us about different sizes for each leg.
Write measurements down right away, in inches or centimeters, and note which leg.
Check the size chart for the brand you're buying. Juzo, Sigvaris, Medi and other brands size differently, so your size in one may not match another.
If you fall between two sizes, call us before ordering. We'll help you choose.
When to see a fitter instead
Some legs need a professional measurement or a custom garment. Call us if you have lymphedema, an open wound, very swollen legs, a leg shape that doesn't match standard size charts, or a prescription for 30–40 mmHg or higher. Our fitters can measure you and recommend a custom or ready-to-wear option.
Remeasure when things change
Measure again if you gain or lose weight, after surgery, if your swelling goes up or down, or any time you're ordering a new style.
Questions about sizing? Call Midwest Compression at (800) 883-1549 or shop online. Our team is happy to walk you through it.
This article is for general information. Follow the compression level and wearing instructions from your doctor or therapist.
