The ultimate guide to compression stockings: function, benefits, and use in 2026

De ultieme gids voor steunkousen: werking, voordelen en gebruik in 2026 - Postuurkleding

Support stockings and compression stockings are still uncharted territory for many, while they play an important role in improving blood circulation and supporting legs that endure a lot on a daily basis. Whether it’s light fatigue after a long day of standing, preventing varicose veins, or medically necessary care, these stockings offer solutions that go beyond mere comfort. In this guide, you will discover what support stockings are, how they work, what pressure classes exist, and when which stocking best suits your situation.

What are support stockings and compression stockings?

Support stockings and compression stockings are often terms used interchangeably, although they technically have nuances. Both types of stockings are specially designed to exert pressure on the legs and thus improve blood circulation. Support stockings are often the term used for stockings with a light supportive effect, while compression stockings usually refer to medical or therapeutic elastic stockings that exert more targeted and gradual pressure.

Therapeutic elastic stockings form a specific category within compression stockings that are medically prescribed to provide support for various vascular-related conditions or to treat them. In daily life, you see people wearing support stockings to relieve tired legs or to prevent swelling during long journeys. Medically, compression stockings are used for conditions such as varicose veins, thrombosis, and edema, where precise pressure distribution is essential.

An example from practice is an employee who works long hours standing and wears support stockings to reduce fatigue, while an athlete uses sports compression stockings to promote muscle recovery after intense training.

How do support stockings work? The technique behind compression

The foot and leg blood circulation system partly functions thanks to the calf muscle pump, which pushes blood back to the heart against gravity. When this pump works less efficiently, for example, due to prolonged sitting or standing, blood can accumulate, leading to tired legs and swelling.

Support stockings fit this by applying gradual or decreasing pressure: the firm pressure is strongest at the ankle and gradually decreases towards the knee or thigh. This even pressure helps pump blood back more effectively, improves blood circulation, and prevents fluid accumulation (edema).

Due to this function, support stockings also provide protection against varicose veins and reduce the risk of dangerous complications such as thrombosis, especially in people with an increased risk or after surgery. The physiological effects support the vascular system, reducing complaints and making the legs feel better.

Pressure classes of support stockings: which type suits you?

Pressure class 1 (light pressure, 15-20 mmHg)

Stockings with pressure class 1 provide subtle support, ideal for preventive use or for mild complaints such as light fatigue or a heavy feeling in the legs. They are suitable for people who stand or sit a lot and have a comfortable fit that can be easily worn daily.

Examples include support stockings that stimulate blood transport during workdays or long travels to prevent tired legs.

Pressure class 2 (medium pressure, 20-30 mmHg)

This pressure class is often recommended by doctors for mild to moderate varicose veins and early-stage edema. The compression is firm enough to actually improve circulation and counteract swelling, yet remains comfortable for daily wear.

People with mild vascular disease who want to be active but still benefit from support often choose this class, for example, during regular sports or medical prevention.

Pressure classes 3 & 4 (high to very high pressure)

Stockings with pressure classes 3 and 4 are reserved for serious medical conditions and should only be worn under professional guidance. They are prescribed for severe varicose veins, chronic edema, or after surgeries, where maximum support and pressure are necessary to prevent complications.

Due to the high compression, these support stockings require precise sizing and regular monitoring.

Health benefits of support stockings

Improved blood circulation and reduction of complaints

Support stockings effectively reduce fatigue and the heavy feeling in the legs by stimulating blood circulation and counteracting fluid retention. Wearing them helps alleviate complaints such as swelling and pain, especially after a long day or prolonged standing.

Additionally, support stockings are a proven method to counteract the development of varicose veins and reduce the risk of thrombosis, contributing to the overall health of the vascular system.

Research shows that support stockings play an important role both preventively and therapeutically for people susceptible to vascular problems.

Use during pregnancy

Maternity stockings are specially designed compression stockings that are often recommended for pregnant women to prevent edema and varicose veins. The increased pressure in the lower limbs caused by pregnancy requires support that specifically stimulates blood flow without discomfort.

The use of maternity stockings reduces the risk of vascular problems, and many women experience less heaviness and pain in their legs.

Benefits for sports and recovery

Support stockings and compression stockings also assist athletes in recovery and performance improvement. They promote blood circulation, allowing waste products to be removed more quickly and muscle recovery to be accelerated. This leads to less muscle soreness and faster recovery after intense training.

Research among athletes confirms that compression stockings contribute to more efficient oxygen delivery and stabilization of muscles during exercise.

When and for whom are support stockings suitable?

Support stockings are ideal for various target groups: people with varicose veins, edema, thrombosis, travelers on long flights, athletes, but also for those who sit or stand for long periods. Pregnant women are often advised to wear maternity stockings to prevent vascular issues.

Preventive use is recommended when there are early complaints such as heavy legs or beginning swelling. Medical advice is always necessary for serious complaints or doubts about the correct pressure class.

The distinction between daily and medical use mainly lies in the degree of compression and the indication: light support stockings for prevention or comfort, and therapeutic compression stockings for treatment under supervision.

Types of support stockings and compression stockings

Knee socks vs. pantyhose

Knee socks are popular due to their simplicity and ease of use, providing targeted compression below the knee. They are suitable for complaints that are primarily present in the lower legs.

Pantyhose provide full support from the feet to the waist. They are recommended for complaints higher in the leg or for issues with the hips and pelvic region. Pantyhose are also often chosen during pregnancy to provide extra support.

Compression stockings for women

Compression stockings for women are often designed with materials and designs that cater to feminine preferences, such as a more elegant appearance and variable colors. Sizing takes into account differences in leg shape and length.

Maternity stockings also fall under this category and combine therapeutic compression with comfort and aesthetics, suitable for daily use under various clothing styles.

Special types: sports compression stockings and travel stockings

Sports compression stockings are lightweight but enhance muscle support during intense movements. They contribute to better performance and faster recovery. Travel stockings primarily focus on preventing thrombosis and swelling during long periods of sitting, such as on long flights or car rides.

How do you choose the right size and pressure class?

The right fit is crucial for the functioning of compression stockings. To determine the correct size, measure the calf circumference at the widest point and the foot length. It is often also necessary to measure the ankle circumference for optimal fit.

A correct size prevents constriction or too low pressure, which can reduce the effect or cause discomfort. Deviating sizes are sometimes resolved with special stockings that allow for size combinations.

In case of doubt, it is wise to consult a specialist or a medical advisor, especially for complex vascular issues.

How to wear compression stockings correctly? Tips and points of attention

Wearing compression stockings daily and correctly enhances the positive effect. They should be put on in the morning before your legs swell. Use a donning aid if necessary to prevent damage to the fabric and make application easier.

Ensure that the stockings fit smoothly without wrinkles, as this prevents skin irritation. Stockings should be washed regularly according to the instructions to maintain their elasticity and compression strength.

Depending on the indication, you can wear them continuously, during sports, traveling, or during periods of sitting or standing work.

Lifespan and maintenance of compression stockings

Compression stockings last on average three to six months, depending on the frequency of use and maintenance. Regular washing with special detergents without aggressive chemicals extends their lifespan and keeps the elastic fibers in good condition.

Dry stockings preferably lying down and never in direct sunlight or on a heater. Replace your stockings as soon as the compression decreases or they show signs of wear to ensure optimal performance.

Frequently asked questions about compression stockings

Is there a difference between compression stockings for women and men?

Most compression stockings are unisex, but there are sometimes small differences in sizing and design. Women's models often offer a wider choice of colors and fit better with the average female leg shape.

Can I wear compression stockings while exercising?

Yes, compression stockings specifically designed for sports are often worn to speed up recovery and support muscles. It is important that they fit well and are specifically intended for sports use, so that comfort and effectiveness are guaranteed.

Do compression stockings help against varicose veins?

Compression stockings limit the further development of varicose veins by improving blood circulation and reducing the increased pressure in the veins. They alleviate complaints and can be used preventively, but they do not replace medical treatment for severe varicose veins.

When should I consult a doctor?

Always consult a doctor for persistent or severe complaints, if you are unsure about which pressure class is appropriate, or if you have a medical indication. Professional advice is important to prevent complications and ensure the right therapy.

Why compression stockings are a smart investment for well-being

Compression stockings offer a versatile solution that can contribute to healthy and comfortable legs both preventively and medically. From daily use for heavy legs to intensive support for vascular issues: the right compression stocking can make a world of difference in quality of life. By choosing the right size and pressure class, and paying attention to maintenance, this investment can provide long-lasting relief and support.