Varicose veins are a sign that the plumbing in your legs is struggling. To understand how to fix them, you first have to understand what went wrong.

Deep inside your legs, your veins are working against gravity to push blood back up to your heart. They rely on tiny, one-way valves to prevent blood from sliding back down.

When these vein walls weaken or the valves stop working properly, gravity wins. The blood flows backward and pools in the leg, forcing the vein to stretch, twist, and bulge outward.

While there are many contributing factors to this condition, the result is always the same: poor circulation and discomfort.

Here is the good news: while varicose veins are a chronic condition, they don't have to be permanent. While invasive options like sclerotherapy or laser surgery exist to remove them, one of the simplest first steps is using compression socks that are designed for varicose veins to help relieve pressure and encourage healthy circulation. 

How Effective are Compression Stockings for Varicose Veins?

Medical research shows that compression stockings significantly improve circulation, reduce leg swelling, and alleviate pain. They also help prevent blood clots, providing exactly the support needed to manage varicose veins effectively.

However, effective relief boils down to choosing the right sock in terms of size, length, and pressure (mmHg).

What are the Signs and Symptoms of Varicose Veins

Identifying varicose veins early is key. While they might start as a cosmetic irritation, they are often a signal of a deeper circulation issue known as Chronic Venous Insufficiency (CVI). If left unchecked, this underlying problem can progress into a more severe condition.

So, what signs should you look out for ?

Visual Signs

• Colour: Veins that appear dark purple or blue.
• Texture: Veins that look twisted, cord-like, or bulging against the skin.
• Spider Veins: Smaller, red or blue web-like lines surrounding the larger veins.
• Skin Changes: Redness, dryness, or brownish discolouration around the ankles (a sign of advanced CVI).
• Swelling: Noticeable puffiness (oedema) in the lower legs and ankles, especially by the end of the day.
  
  

Physical Symptoms may include:

• Heaviness: A "dragged down" feeling in the legs.
• Pain & Throbbing: An aching or burning sensation, often behind the knees.
• Itching: An annoying itch directly over the vein or around the ankle.
• Cramping: Sudden muscle cramps (often at night).
• Worsening Discomfort: Pain that flares up after sitting or standing for a long time but improves when you kick your feet up.
  

Proper and accurate diagnosis of varicose veins and venous insufficiency is vital, as it dictates the correct treatment for you. Make sure to disclose your full medical history and the symptoms you are feeling to your doctor.

Best Compression Stockings for Varicose Veins

There are different types of compression stockings available and it is only proper to use the best compression stockings required for your condition.

1. Graduated Compression Stockings

Not all compression socks are created equal. Graduated compression stockings are specialised socks designed to exert the highest pressure at the ankle and gradually decrease as they move up the leg. This "pressure gradient" effectively fights gravity, pushing blood back up towards the heart.

2. Mild Compression Stockings (15-20 mmHg)

Mild compression stockings are the lightest level of support, often described as the daily maintenance tier. They are best for keeping healthy legs energetic and are great  for prevention.

If you are genetically prone to varicose veins or simply want to stop them from developing, this is your first line of defence. They are perfect for relieving the heaviness and cramping that comes from standing all day or sitting for long periods. They are also the gold standard for travel, and keep swelling down during long flights.

Our knee-high compression socks fall squarely into this category. It's effective enough to prevent varicose veins and relieve symptoms, but comfortable enough to wear to work, the gym, or on a long-haul flight.

3. Moderate Compression Stockings 20–30 mmHg

Moderate compression provides a firmer level of support, typically falling in the 20–30 mmHg range. While lighter socks are excellent for prevention, this stronger pressure is often the standard recommendation for managing visible or diagnosed venous conditions.

• It helps in treating existing varicose veins, managing moderate oedema (swelling) during pregnancy, and preventing Deep Vein Thrombosis (DVT).
• Athletes often use this firmer level of compression to speed up muscle recovery after intense activity.
• There is a noticeable difference in tightness compared to the 15-20 mmHg range. While they are highly effective, they can be harder to put on.

How to wear compression stockings for varicose veins

Compression stockings unlike other stockings can be difficult to put on, but it’s important to wear them correctly to fully utilize the benefit.

• Compression stockings are meant to be worn in the morning before swelling occurs.
• Worn on a dry legs, free of excessive lotions or oil
• Turn the stocking inside out up to the heel.
• Slide your foot in until your heel fits into the heel pocket.
• Gently roll or pull the stocking up over your ankle and calf—don’t yank.
• Smooth out wrinkles as you go to avoid pressure points.
• Ensure the top band sits flat and is not folded or rolled.
• Repeat for the other leg if prescribed.
• Wear them throughout the day unless your doctor says otherwise.
• Remove them before bed.

Final Thoughts

Compression stockings remain one of the most effective, affordable, and accessible solutions for managing varicose veins. Whether you’re dealing with early symptoms or looking to prevent your condition from worsening, the right compression socks can make all the difference.

If you’re in the UK and want a blend of medical-grade performance and everyday style, brands like Main squeeze offer some of the best options available.

Shop our selection of colours here and give your legs the support they deserve

Frequently Asked Questions on Compression Stockings for Varicose Veins

1. How long should you wear compression socks if you have  varicose veins?

   You should wear compression socks during the day and remove them at night, unless your doctor advises otherwise.
   

2. How to wear compression stockings for varicose veins?

   To wear compression stockings, put them on first thing in the morning while your legs are least swollen.
   

3. How effective are compression stockings?

   Compression stockings are effective for improving blood flow and reducing leg swelling, pain, and fatigue, and for preventing blood clots, especially during long periods of standing or travel.
   

4. Do compression stockings work?

   Yes, compression stockings work by gently squeezing your legs to improve blood flow, reducing swelling, and alleviating discomfort.