I am a healthy 45yr old with no circulation problems. I'll be taking long flights (Washing, DC, Bhutan) and wonder if I should wear compression socks as a precaution. would drugstore grade be adequate or should i order medical quality?
Compression stocking use during long flights is always a good idea. Knee highs, 15-20 mmHg compression would be the recommended support.
Usually the Drug store variety are of a lesser compression and quality.
Generally blood clots that do occur during prolonged immobilization start in the Calf (Soleus veins).
Also, I recommend that patients avoid dehydration (excess alcohol),and frequent walking, as well as, calf/ankle pumps periodically/frequently while seated.
I generally recommend the Sigvaris, Jobst, Juzo, or medi brands.
You do not need an Rx for this level of compression.
Michael D. Ingegno, MD
Published on Jul 11, 2012
Try the drugstore grade first. If not satisfied, then a medical grade
10-15mmHg or 15-20mmHg graduated compression stockings would do. These are
intended for everyday use and quite supportive. you can get them from any
reputable vein practice.
Published on Jul 11, 2012
I would encourqge all adults who have normal pulses at the feet and no numbness in the feet to wear 30-40 mm Hg compression calf length support hose for travel. Frequent ankle pumps with contraction of the posterior calf muscles while sitting or standing would also be helpful. Avoid dehydration while flying as well.
Stephen F. Daugherty, MD, FACS, RVT, RPhS
Published on Jul 11, 2012
It will definitively recommend you to wear compression stockings. You need knee-high, at least 20-30mm Hg. They are available with prescription from a medical supply store.
...Remember, Sabrina Williams is also healthy, younger than you and without circulatory problems and she had a pulmonary embolism after a long flight.
Dr Farhy
Published on Jul 11, 2012
There have been several studies that compression stocking help prevent blood
clots from forming when you are immobilized as occurs on a long flight. The
compression socks sold at drug stores if they fit right and are at least
20mmHg pressure will likely work.
Published on Jul 11, 2012
Absolutely, you should wear compression socks. I do not recommend drugstore brands as they are typically less comfortable. A certified fitter should measure you and show you the different styles and strengths.
15-20 mmHg pressure is usually adequate for DVT prevention in most patients. However, if you are a person whose legs swell when you fly, you may want to start with 20-30 mmHg, which is medical grade. These socks come in many attractive styles and colors. We like the Sigvaris brand.
Published on Jul 11, 2012
15-20 mm ok. 20-30 better but a little tight. Knee high ok.
Published on Jul 11, 2012
If your trip is longer than 3 hours, then yes, it is a good idea to wear compression stockings to help prevent deep vein thrombosis. Drugstore stockings should be adequate if they are in the 12-18 mmHg range of compression. You do not necessarily need higher compression for that purpose. As per usual, you can discuss this with your physician to ensure there is no contraindication to wearing compression stockings.
Published on Jul 11, 2012
Blood clots form in the leg due to venous stasis and increasing venous pressure due to the lack of muscle movement. Support hose work by compressing the calf muscles to reduce the venous pressure and increase the venous return to the heart. I recommend anyone flying or driving for over 2 hours to wear knee-length 20-30mmHg pressure compression.
Published on Jul 11, 2012