Compression socks
Compression socks and stockings.
This page uses a model of the lower leg to explain how compression works, one question at a time.
We measure your legs first, then order socks to fit.
The leg model
As you scroll, the leg changes to match each question. Tap the buttons to compare, or to see it move. This is general information, not a diagnosis.
The drawing shows the calf muscle and the veins inside a compression sock. The questions below explain each part. This is general information, not a diagnosis.
Question 1
Why do my legs and ankles sometimes feel heavy or swollen?
Your feet and ankles are the lowest part of your body. After long periods of sitting or standing, fluid can build up there, and swelling often shows first around the ankles.
Normal: you can see the ankle bone, and the hollow between it and the Achilles tendon, the thick cord at the back of your ankle.
Example of swelling: the ankle, the top of the foot and the lower calf look a little fuller, and the hollow beside the ankle bone fills in. The dashed line shows the usual shape.
Some people experience swelling or heaviness in their lower legs, particularly after prolonged sitting or standing. You might notice shoes that feel tight, or legs that feel heavy at the end of the day.
Foot. Blood in your foot has to travel all the way up your leg on its way back to your heart. The dashed line follows a vein that starts on the top of your foot and runs up the inside of your leg.
Why your ankles matter. Swelling can be especially noticeable around the ankles and feet. Compression garments are designed to provide graduated support around the lower leg.
Calf. The calf muscles play an important role in helping move blood back toward the heart as you walk. They're joined to your heel by the Achilles tendon, so they work every time you push off with your foot. The next question shows how.
Swelling that is significant, in one leg only or has no clear cause should be checked by a doctor first. When to get help
Question 2
What does my calf muscle have to do with circulation?
Your calf muscles help act like a pump when you walk, helping move blood upward through the veins of your lower legs.
Step 3 of 6
Sitting: when you sit or stand still for a long time, your calf muscles aren't tightening and relaxing the way they do when you walk, so they do less to help blood travel back up from the lower legs.
- Foot on the ground. Your foot lands and takes your weight.
- Calf tightens. As you push off, your calf muscles tighten and pull on the Achilles tendon to lift your heel.
- Veins are squeezed. The working muscle presses on the veins deep inside your calf.
- Blood moves up. That squeeze helps move blood up toward your heart. Valves in the vein then shut so it doesn't sink back down.
- Calf relaxes. As your leg swings forward, your calf relaxes and the veins fill again from below.
- And again. Every step repeats the cycle. That's one reason walking is good for your legs.
A simplified illustration, not a medical simulation.
Question 3
Why is compression graduated?
Compression where you need it most. Graduated compression socks are designed to provide the greatest level of compression around the ankle, gradually decreasing up the leg.
Along the sock
- Ankle
- Highest compression
- Lower calf
- Moderate compression
- Upper calf
- Lower compression
Your ankle is the lowest part of your leg, where swelling tends to show first. A graduated sock gives the most support there, and less as it goes up.
Simplified illustration. The actual pressure depends on the sock and on how well it fits your leg.
Question 4
How does a compression sock actually work?
A compression sock gives firm support around your lower leg, from the outside. It works alongside your calf muscles, not in place of them.
Outside view: a compression sock on the lower leg.
Inside view: the calf muscle and the veins, with the sock's compression layer around them. Your calf still does the pumping. The sock's steady pressure gives your calf muscles something firm to squeeze against as they tighten, and for some people it can help stop fluid from settling around the ankles.
Compression provides graduated support around the lower leg, which can help some people manage swelling, heaviness and other symptoms.
Calf muscle: it tightens with each step and squeezes the veins deep in your calf.
Veins: they carry blood up the leg toward your heart. Small valves inside them shut behind it so it doesn't sink back.
Compression: the sock gives support from the outside, firmest at the ankle.
Question 5
What about varicose veins?
Varicose veins are enlarged, twisted veins that can sometimes be associated with aching, heaviness or swelling. Compression garments may be recommended for some people to help manage symptoms.
Normal veins: the veins in your legs have small flaps, called valves, that open only one way. They let blood pass up toward your heart and shut if it starts to sink back.
Varicose vein example: if the valves in a vein no longer shut fully, blood can pool there. Over time the vein can widen and twist.
Compression doesn't remove varicose veins or repair them. Whether compression is appropriate depends on the individual. Speak with a healthcare professional for personalized advice.
Who gets varicose veins?
They're more common as people get older, during pregnancy, when they run in the family, and in people who stand for long periods at work.
Simplified illustration. It can't show whether you have varicose veins.
Question 6
Why do my legs feel heavy?
Everyday habits, and some conditions, can play a part. Choose one to see what it means for your legs.
- Long day standing
- Standing for most of the day can contribute to feelings of heaviness, aching or swelling in some people. Standing still also means your calf muscles aren't squeezing and relaxing the way they do when you walk.
- Long periods sitting
- When you sit for a long time, your calf muscles aren't doing much work. Staying in one position for long stretches can contribute to leg discomfort or swelling.
- Travel
- Long flights, train rides and drives mean hours of sitting in a small space, which can affect how your legs feel by the time you arrive. When you can, get up and walk around.
- Swelling
- Swelling can be especially noticeable around the ankles and feet, and you may notice it more at the end of the day. Swelling that is significant, in one leg only or has no clear cause should be checked by a doctor first.
- Varicose veins
- Varicose veins can sometimes be associated with aching, heaviness or swelling. Compression garments may be recommended for some people to help manage symptoms.
- Active lifestyle
- Walking keeps your calf muscles working. Some people also choose compression for comfort and support during activity, and needs differ between people.
Compression may be appropriate for some people. None of these situations means you automatically need it.
Question 7
Could compression be something I should discuss with a chiropodist?
It could be worth asking if:
- Your ankles or feet often swell, or your legs feel heavy by the end of the day.
- You have varicose veins.
- You stand, sit or travel for long hours.
- You've been advised to wear compression socks or stockings.
- You're not sure whether compression socks are right for you.
- You're coming in for foot or ankle care and want to ask about compression socks.
If compression socks suit you, we measure your legs, including your ankles and calves, then order socks to fit.
Before you wear compression, read the safety notesCompression fittings at Sole Step
We measure first, then we order.
Compression garments need to fit properly to provide the intended level of support and comfort. Shoe size alone isn't enough to get the right fit, so we measure your ankles and calves before we order. A sock labelled “compression” isn't automatically the right one for your legs.
- Step 1
Intake form
You'll fill in an intake form outlining your health problems, family history and any medication you're taking.
- Step 2
Assessment
Your feet will then be assessed and you can address any problems you are experiencing, or ask about compression socks.
- Step 3
We measure your legs
If compression socks suit you, we measure your legs, including your ankles and calves.
- Step 4
We order your socks
Your compression socks are then ordered to fit your measurements.
Compression comes in different levels
Compression socks and stockings come in different strengths. Some give lighter support, and some are firmer, medical-grade garments. The right level depends on your needs and your health, and is best decided with a healthcare professional.
Talk to Sole Step About Compression OptionsWhat a good fit feels like
- Snug and firm, but never painful.
- Smooth over the foot and heel, without bunching or wrinkles.
- Firmest at the ankle, where the fit matters most.
- The top sits flat, without digging in or rolling down.
Safety
Compression isn't right for everyone.
Compression garments are a healthcare product. People with certain circulation problems, skin conditions or other medical conditions may need professional advice before wearing them.
- Swelling that is significant, in one leg only or has no clear cause should be checked by a doctor first. So should leg pain or skin changes that worry you.
- If you've been told the blood flow to your feet is reduced, or your feet are often numb (which can happen with diabetes), ask your doctor or chiropodist before you wear compression.
- If a compression sock causes pain, numbness, tingling, a rash or colour changes in your skin, take it off and ask for advice.
Get medical help first if you have:
- Sudden or severe swelling, especially in one leg
- Severe leg pain or tenderness
- Redness or warmth in the leg that you can't explain
- Sudden shortness of breath
- Chest pain
If you have chest pain or sudden shortness of breath, call 911 now.
Good to know
Before your appointment.
In addition to foot and ankle treatment, we also offer a wide range of products including custom orthotics and compression socks.
What compression socks are
Compression socks and stockings fit much more firmly than everyday socks. Their stretchy knit presses on the foot and lower leg.
Ask your chiropodist
Sole Step believes in providing treatment that is best suited to patients' needs. If you are thinking about compression socks or stockings, ask your chiropodist whether they are suitable for you.
Common questions
Yes. We measure your legs first, including your ankles and calves, and then order compression socks to fit your measurements.
No. A doctor's referral is not required to book an appointment. You can book a time and day that works best for you, and we'll do our best to accommodate you.
No. Compression may help some people manage symptoms such as aching, heaviness or swelling, but it doesn't remove varicose veins or repair them.
It should feel snug and firm, and firmest at the ankle. It shouldn't hurt, dig in, or leave your toes numb, tingly or a different colour. If it does, take it off and ask for advice.
Sources for the general information on this page
- NHS: Varicose veins (opens in a new tab)
- NHS: Causes of varicose veins (opens in a new tab)
- The Royal Wolverhampton NHS Trust: How do I use my graduated compression stockings? (opens in a new tab)
- Canadian Medical Association Journal: Graduated compression stockings (2014) (opens in a new tab)
- Sherwood Forest Hospitals NHS Foundation Trust: Compression hosiery (patient leaflet) (opens in a new tab)
- Northern Care Alliance NHS Foundation Trust: Compression hosiery (vascular) (opens in a new tab)
- St. Joseph's Healthcare Hamilton: Get to know thrombosis (opens in a new tab)
- NHS: Swollen ankles, feet and legs (oedema) (opens in a new tab)
Book
Find the right support for your legs.
Sole Step can help you understand your compression options and what may be appropriate for your needs. If compression socks suit you, we'll measure your legs and order a pair to fit.
A doctor's referral is not required to book an appointment.
Unit 106A, 1300 Central Parkway West, Mississauga. Close to Square One.