What compression level to wear?

Basically, the greater the compression level, or compression strength, the tighter the compression stocking. These levels are measured in millimeters of mercury (mmHg). It’s the same scale used to take your blood pressure.

The most beneficial compression socks are “graduated” as opposed to “uniform” in strength. Graduated compression socks are tighter at the ankle than they are at the top. The graduation helps push blood back up toward the heart, aiding in circulation.

Compression stockings with relatively low compression levels can be purchased without a prescription at drugstores, medical supply stores, and online.

These over-the-counter items usually come in compression levels of around 15-20 mmHg.

Compression stockings with higher levels of compression are prescribed by doctors. The prescription will include the specific strength you need. By law, no prescription is required, but most pharmacies won’t dispense higher-level compression wear without a prescription.

By “high-level compression,” we mean those that generally range from 20-30 mmHg to 30-40 mmHg; while these strengths are generally safe to wear, certain individuals may be at risk of harm due to contraindications, so the oversight of a doctor is always recommended. Compression levels in even higher ranges do exist, but your doctor should tell you about those.

A trained and certified fitter will need to take measurements to ensure you get the correct level of compression and size. If your doctor or physical therapist can’t do the fitting, they should be able to refer you to someone who can.

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