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Guide

How to measure for compression garments

A garment that does not fit does nothing, hurts, or both. Measuring takes five minutes.

Measure in the morning

Important. Measure first thing, before you have been upright long enough for swelling to build. Measuring in the afternoon gives a bigger limb and a garment that will be loose the next morning — which is the same as no garment at all.

For legs

  • Ankle circumference — at the narrowest point, just above the ankle bone.
  • Calf circumference — at the widest point.
  • Calf length — from the floor to just below the bend of the knee.
  • For thigh-highs: thigh circumference at the widest point, and the length from the floor to the gluteal fold.
  • For pantyhose: hip circumference as well.

Keep the tape snug against the skin without compressing it, and level all the way round. Take each measurement twice.

For arms

  • Wrist circumference.
  • Forearm circumference at the widest point.
  • Upper arm circumference at the widest point.
  • Length from wrist to the point the garment should reach.
  • For a gauntlet or glove, hand circumference across the knuckles.

Getting it on

  • Put it on first thing, before swelling accumulates.
  • Rubber washing-up gloves give enormous grip and are the cheapest aid there is.
  • A silk or nylon liner slides the garment over the foot.
  • A donning frame or ‘stocking butler’ holds the garment open.
  • Never fold the top down — it doubles the compression at that point and forms a tourniquet.
Important. Stop and speak to your clinician if the garment causes numbness, color change, increasing pain, or leaves deep indentations. Compression is contraindicated in some circulatory conditions and the wrong garment can cause harm.

Care and replacement

Wash after each wearing in cool water with a mild detergent, and dry flat away from heat. Elastic degrades with wear and washing; therapeutic garments lose effectiveness after a few months of daily use. Plans that cover them generally allow replacement on a schedule — we will tell you yours.

Related

About this guide

This is general information written to be useful, not medical advice, and it is not a coverage determination. It does not replace what your own clinician has told you about your own situation — where the two differ, follow your clinician.

We deliberately publish no prices, allowables or fee-schedule figures. Those vary by plan, state and year, and a stale number is worse than none. Call (800) 304-7030 and we will verify your actual benefit.

Not sure where to start?

Call us and tell us what happened — a surgery, a new diagnosis, a discharge date, a supply you keep running out of. We will tell you what is usually needed, check your benefits, and ask your prescriber for the order if you do not have one yet.