Varicose Veins: Do Compression Stockings Work?

Originally posted in December 2020 on Healthy Cells Magazine.


Varicose Veins are quite common, but treatment methods sometimes vary. Compression stockings are often the first course of treatment. Insurance companies may recommend their use prior to more technical and sophisticated treatments.


It’s not unusual for an insurance company to mandate 6 to 12 weeks of wearing compression stockings - despite the fact that there is absolutely no valid science behind this recommendation. In a Guidelines Summary paper from the American College of Phlebology (the study of veins and their diseases etc.), the following was mentioned regarding the need for compression stockings prior to definitive (and proven to work) venous reflux (backward flow of blood) treatment:


The intended purpose of compression therapy

“Compression therapy is an effective method for the management of symptoms related to superficial disease, but it does not correct the source of reflux. When patients have a correctable source of reflux, definitive treatment should also be offered, unless it is contraindicated or unwanted. We recommend against compression therapy as a prerequisite therapy for symptomatic venous reflux disease when other definitive treatments such as Endovenous Ablation* are appropriate.”


*Endovenous Ablation, the most common form of varicose vein treatment, uses radiofrequency or laser energy to cauterize and close veins in the legs. Endovenous Ablation is safe, less invasive than conventional surgery, and it leaves virtually no scars.


The above statement by American College of Phlebology is a strong recommendation against the need for conservative care, and it is based on high-quality medical evidence and hundreds of thousands of patient experiences. Many years ago, when the only option for treating varicose veins was major surgery, it made sense to try conservative care as the alternative to definitive therapy. Today, there are several treatment options that do not involve surgery, so there is no rhyme or reason for this recommendation. 


How compression stockings work

Basically, they put the “squeeze” on you. Compression stockings squeeze your legs to help push blood up toward your heart in the opposite direction of the force of gravity. While compression stockings are an effective treatment for certain conditions, exactly how they improve the healing process is not yet entirely clear to medical scientists. What is known, however, is that compression stockings improve blood flow in the legs and help reduce swelling by moving extra fluids in the legs into a type of blood vessel called a lymphatic channel, thus carrying the fluids away. They also help prevent blood clots.



Uses and benefits of compression stockings

Compression stockings may help somewhat, but they are not a long-term solution. As noted above, Insurance companies require patients to try conservative and unproven therapy such as compression stockings first before becoming eligible for other vein treatments.


Wearing compression stockings while flying is an effective preventive measure to help reduce the risk for deep vein thrombosis (DVT), a serious, potentially life-threatening condition where blood clots form, typically in the legs, and then move to the lungs. One of the risk factors for DVT is sitting for long periods of time, such as when flying or traveling by car. When flying, be sure to use an airplane or helicopter for best results!


Compression stockings have also been shown to help alleviate these additional symptoms in certain cases:


  • Aches and pains
  • Sensation of heaviness
  • Swelling and bulging
  • Healing vein-related ulcers and wounds
  • Vein-related sleep problems


The big challenge with support hose

Following your doctor's orders, and actually wearing the stockings, as prescribed, is the main challenge in compression therapy. Today's compression stockings don't scream "medical hosiery," and worn under pants, they're completely invisible.


If you find putting them on challenging, talc or cornstarch helps compression socks to glide a little easier. There are also devices designed to make it easier to put compression stockings on, if you have weak hands or arthritis. But you could also try buying gloves with little rubber dots. While these are sold in medical supply stores, a more economical version is often available at gas stations. These gloves really help you grip the stockings. Also great for changing flats.


Stockings may be covered by your health insurance but unfortunately are not covered by Medicare.  If you're wearing your compression stockings long term, replace them every six to twelve months, because over time they tend to stretch out and lose their strength and effectiveness.


If you suspect that you may be suffering from vein disease, why not find out for sure from The VEIN Specialists.  They are the only fulltime practice providing only vein disease treatment. Call 309-862-4000 to schedule a FREE SCREENING EXAM with one of their physicians or request an appointment online at www.ILveins.com. They have convenient locations at 3302 Gerig Drive in Bloomington and 2011 Rock Street, Suite D2 in Peru.


June 26, 2025
Enjoy beach days without compromising vein health! Learn expert tips on managing spider veins and varicose veins during summer, including sun protection, hydration, cooling techniques, and staying active. Keep your legs healthy and comfortable at the beach with The Vein Specialists.
June 26, 2025
Fourth of July is a beloved American tradition, a day filled with celebrations, barbecues, fireworks, and family gatherings. While these activities are enjoyable, extended periods of standing, sitting, or exposure to heat can challenge individuals managing spider veins or varicose veins. This Independence Day, celebrate comfortably and healthily with vein-friendly ideas designed specifically for your circulatory well-being. Vein-Friendly Outdoor Activities Outdoor games are a staple of Fourth of July celebrations. However, some activities may strain your veins, especially if they involve long periods of standing. Instead, opt for low-impact games such as bocce ball, croquet, or gentle lawn games like cornhole. These games allow movement without excessive strain or extended standing. Consider organizing a family-friendly scavenger hunt around your home or yard. This activity encourages gentle movement, enhances circulation, and keeps guests of all ages entertained without undue strain. Stay Hydrated to Support Your Veins Proper hydration is crucial for managing vein health, especially during warm, outdoor celebrations. Dehydration thickens blood and impairs circulation, causing discomfort and swelling. Provide plenty of water and healthy beverages throughout the day, avoiding excessive caffeine or alcohol, which can further dehydrate your body. Set up a hydration station can encourage guests to stay hydrated in a refreshing way. Smart Seating and Leg Elevation Extended sitting or standing during Fourth of July celebrations can negatively impact your veins by restricting circulation and causing blood to pool. Encourage frequent movement breaks and ensure comfortable seating options that promote good posture and allow guests to elevate their legs slightly. Provide footstools or outdoor ottomans for guests to elevate their legs comfortably. If attending an event away from home, bring a portable footrest or cushion for elevating legs periodically throughout the day. Cool Down and Wear Compression Garments Fourth of July celebrations are often outdoors and can involve extended sun exposure. Wear lightweight, breathable clothing and wide-brimmed hats for additional protection and comfort. Compression garments are particularly helpful during warm-weather events, providing gentle pressure that improves circulation and reduces swelling associated with spider veins and varicose veins. Look for summer-friendly compression garments in patriotic colors or festive patterns to blend seamlessly into your holiday attire. Plan Active Breaks Break up extended periods of sitting or standing with brief walks or stretches. Encourage your guests to participate in short, leisurely walks around the neighborhood, park, or yard. Regular movement boosts circulation, reduces swelling, and helps maintain comfort throughout the celebration. Consider scheduling an active intermission, such as a brief neighborhood parade or a casual group stroll after the barbecue meal. This enjoyable activity not only supports vein health but also adds a festive communal touch to your event. Watch Fireworks Comfortably When watching fireworks, avoid standing in one spot for extended periods. Bring comfortable chairs or blankets that allow you to elevate your legs and shift positions easily. If you anticipate crowded or lengthy events, consider positioning yourself closer to exits to enable short walks or breaks as needed. Conclusion Independence Day celebrations should be enjoyable for everyone, including those managing vein health issues. By incorporating vein-friendly activities, staying hydrated, planning comfortable seating, using compression garments, and ensuring regular movement breaks, you can enjoy the festivities without discomfort. If you're experiencing persistent vein symptoms or want personalized vein health guidance, schedule a free consultation with The Vein Specialists. Celebrate comfortably this Fourth of July and keep your veins healthy all summer long!
May 15, 2025
Understand how summer heat affects your veins and learn effective strategies to manage vein discomfort and swelling. Get expert advice on hydration, compression stockings, and staying active to protect against varicose veins and spider veins during hot weather from The Vein Specialists.
May 15, 2025
Keep your veins healthy during summer travels with expert tips from The Vein Specialists. Discover essential strategies for hydration, movement, compression wear, and leg elevation to prevent spider veins and varicose veins during long flights or road trips.
March 28, 2025
Step into spring and enhance your vein health with regular walking! Discover how walking boosts circulation, reduces vein discomfort, and promotes overall wellness. Find helpful tips on walking routines, routes, and footwear from The Vein Specialists.
March 28, 2025
Enjoy Easter celebrations without compromising your vein health! Learn expert strategies to improve circulation during long family gatherings, including staying active, maintaining good posture, and wearing compression stockings. Keep your veins comfortable and healthy with tips from The Vein Specialists.
A woman is sitting on a brick wall in a garden picking tomatoes.
March 4, 2025
Maintain your vein health while indulging in spring gardening with our practical tips. Discover how ergonomic tools, proper posture, and regular breaks can protect your veins during gardening activities. Cultivate your garden this spring without compromising your vein health with advice from The Vein Specialists.
A person is walking barefoot through a field of flowers.
March 4, 2025
Revitalize your vein health this spring with our expert tips on exercise, hydration, and diet adjustments. Learn how to transition your vein care routine from winter to spring to boost circulation and strengthen your veins. Get ready for the active months ahead with The Vein Specialists.
February 7, 2025
February is not only the month of love but also American Heart Month, a time to bring attention to cardiovascular health. While the heart might be the focus, it's important to remember the connection between heart health and vein health. Improving your cardiovascular system benefits your entire circulatory system, including your veins. Understanding the Connection The health of your veins is directly linked to the health of your heart. Veins are responsible for returning deoxygenated blood back to the heart, and any inefficiencies in this process can lead to venous disorders such as spider veins and varicose veins. Poor cardiovascular health can exacerbate these issues by putting additional strain on the venous system. Cardiovascular Exercises for Vein Health Engaging in cardiovascular exercises can strengthen both your heart and veins. Activities like brisk walking, jogging, and cycling improve heart function and circulation, which in turn enhances venous return and reduces the burden on your veins. Aim for at least 30 minutes of moderate-intensity exercise most days of the week as recommended by heart and vascular health experts. Diet: What's Good for the Heart is Good for the Veins A heart-healthy diet is also vein-healthy. Foods that are low in saturated fats and high in omega-3 fatty acids, such as fish, nuts, and seeds, help improve blood flow and decrease the risk of arterial plaque. Foods that reduce swelling in your legs will reduce vein issues and may improve their function. Also, reducing salt intake can prevent swelling in the legs due to water retention. Managing Blood Pressure and Cholesterol High blood pressure and high cholesterol can damage your arteries and veins over time, leading to serious health issues. Managing these with a healthy diet, regular exercise, and medication if prescribed, is crucial for maintaining both heart and vein health. Regular check-ups with your healthcare provider can help monitor these conditions and prevent complications. The Role of Hydration Staying hydrated is vital for maintaining good circulation and healthy blood pressure, which benefits your whole circulatory system. Remain hydrated and aim to drink at least eight glasses of water a day, more if you are active or live in a hot climate. Conclusion This Heart Health Month, take steps to boost both your cardiac and venous health. By engaging in regular cardiovascular exercise, eating a heart-healthy diet, managing blood pressure and cholesterol, and staying hydrated, you can support your heart and veins. Remember, a strong heart leads to strong veins, and taking care of one benefits the entire circulatory system. Take this opportunity to commit to a healthier lifestyle that will keep your heart and veins in excellent condition year-round.
February 7, 2025
Show some love to your legs this Valentine's Day with our expert vein health tips. Discover exercises, diet advice, and self-care practices to enhance circulation and prevent vein issues. Celebrate with healthy veins and learn how to pamper your legs with The Vein Specialists.
More Posts