Best compression socks for varicose veins recommended by a GP

Beat tired and achy legs with the best compression socks for varicose veins. This condition can affect individuals for all sorts of reasons. When the valves in a fatigued vein do not close fully, blood pools in places, resulting in bulging veins. Compression socks put pressure on the veins to help push the blood back up to the heart, reducing aching, heaviness and swelling in the legs.

Someone standing on their feet all day may benefit from wearing compression socks. They help reduce the heaviness, aching and leg fatigue. Equally, varicose veins can occur in a person that sits for long periods. Notably, compression socks are a preventative measure against blood clots (deep vein thrombosis) during long flights. The best remedy is prevention; try to raise your heart rate every day to get the circulation going. If you're doing intense exercise, such as running, wearing compression socks can help speed up muscle recovery. They can lessen micro-injuries that cause swelling during intense exercise.

Dr. Johannes Uys, Doctor at Broadgate GP says there are benefits to wearing compression socks or stockings: "They also mitigate the risk of fluid accumulation, relieving symptoms of discomfort and fatigue. You can determine the appropriate compression level for you by seeking tailored advice from a recognised healthcare professional.

"I suggest using compression stockings from well-known brands, such as Sigvaris, Jobst and Juzo, to address any issues associated with varicose veins or oedema. These brands are renowned for their quality and efficacy in boosting circulation and diminishing signs of swelling."

Best compression socks for varicose veins

FAQs

What causes varicose veins?

Varicose veins occur when valves in the veins fail, causing blood to pool, which stretches and bulges the veins. This often happens as a result of standing for long periods, as blood accumulates in the legs and the veins have to work harder against gravity. When muscles aren't actively contracting, they don't assist in pushing blood back to the heart. Pooling blood can clot, leading to deep vein thrombosis (DVT). These clots are dangerous as they can travel to the lungs, causing a pulmonary embolism.

A compression sock applies pressure to the vein, helping to prevent it from stretching. Additionally, elevating your legs can aid blood flow back towards your heart.

You need to see your GP if a varicose vein starts to bleed.

On compression socks what does mmHg mean?

mmHg stands for millimetres of mercury, a unit of pressure measurement. It indicates the compression exerted on your legs. Higher mmHg means stronger compression, which is essential for treating certain medical conditions. Compression socks typically provide graduated compression, such as 15-20mmHg.

Based on the NHS guidelines for compression hosiery:

• Class 1 14-17mmHg is light and for daily wear

• Class 2 18-24mmHg for medical recovery and mild varicose veins

• Class 3 25-35mmHg is for severe cases of oedema, blood clots (DVT) and varicose veins

Don't compression socks just cut off the circulation?

Compression socks are designed to improve circulation, not cut it off. They apply graduated pressure, with the highest at the ankle, gradually decreasing up the leg. This helps prevent blood pooling.

Getting the right size is crucial. Incorrectly sized compression socks can cause discomfort, restrict circulation or be ineffective.

Measure your ankle, calf and sometimes thigh circumference, plus leg length. Then, compare these to the manufacturer's sizing chart.

Consult a healthcare professional to ensure you get the correct compression level and fit.

Are compression socks dangerous?

Compression socks are generally safe when used correctly. Still, they can be dangerous if they're too tight, worn too long, or used by individuals with certain conditions like peripheral artery disease (PAD). Always consult a healthcare professional before starting use. It is important to wear the correct size and level of support appropriate to your condition.

While it's fine to wear compression socks all day, it's best to take them off at night.

Compression socks can cause skin irritation, especially if they are too tight or worn too long, or if the wearer has sensitive, fragile or ulcerated skin.

What length of compression stocking do I need?

The length of compression stockings depends on your specific needs. Knee-high socks are common for lower leg issues – such as swollen ankles and feet – while thigh-high styles are used for more extensive conditions, where swelling or varicose veins extend above the knee. Consult a healthcare professional for guidance.

In addition, some compression stockings have open toes, which can be preferable as they allow for better ventilation, accommodate various foot shapes, and make it easier to inspect toes and nails.

What's the best material for compression socks?

Compression socks have high elasticity, usually made from a blend of nylon and polyester. However, they can irritate sensitive skin, so consider cotton or wool alternatives, though they provide lower compression.

Also, choose between opaque or sheer hosiery: Opaque fabric offers more support, while sheer stockings are lightweight and stylish but may not support swelling so well.

Ask the expert

Veincentre's Dr Mark Bratby debunks some of the myths around the causes of thread veins, commonly known as 'spider veins'. These small, dilated blood vessels visible on the skin's surface. It is often claimed that certain lifestyle factors cause thread veins. But Dr Bratby, Consultant Interventional Radiologist at Veincentre, sets the record straight.

Dr Bratby says: “While there are some lifestyle choices that can amplify the appearance of thread veins, the root cause is in our DNA.

“People will only have vascular issues if they’re genetically predisposed to them, and while some other factors might make them worse, it’s time to stop the misinformation about what causes thread veins.”

Alcohol

Alcohol causing spider veins is a common theory, but Dr Bratby says this is not the case.

“It is a classic old wives’ tale. Yes, many people have blood rush to their cheeks when they’ve had a drink but thread veins will only appear if people are predisposed to them.

“Alcohol could cause veins to expand but it is not the sole cause of the condition.”

Pregnancy and menopause

Women’s bodies change a lot through pregnancy and the menopause. Thread veins and varicose veins have been named one of these changes.

But Dr Bratby says it’s not that straightforward. He explains: “Added weight and hormonal changes might cause thread veins, but only in people who were already likely to get them.

“The same can be said for going through the menopause and other hormonal changes. If someone has weak vein walls then any pressure or dramatic changes to this area can exacerbate this.”

Standing for a long time

Hairdressers, chefs, retail employees and healthcare workers have often been thought of as people more likely to suffer from vein issues, due to being on their feet for most of the day.

“Being on your feet for a long time could cause the veins in your legs to undergo extra pressure, but the dilation in thread veins would not be solely caused by your job,” says Dr Bratby.

Saunas

Experiencing extreme heat, such as in a sauna, can make veins dilate, according to Dr Bratby.

He says: “If you have weak vein walls, a sauna could stretch this further and leave you with thread veins. It would be like inflating a balloon – even when it returns to normal, it’s not the same as it was before.

“But if you don’t have a history of thread or varicose veins in your family, it’s unlikely a trip to a sauna would cause you to have them.”

This article includes expert commentary from Dr Mark Bratby, Consultant Interventional Radiologist at Veincentre. And Dr. Johannes Uys, Doctor at Broadgate GP.

Natalie Knowles is a Homes & Garden Product Writer for Yours, specialising in home appliances. When she's not testing sparkling water makers, she flexes her creative flair as an artist.