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I am diagnosed with POTS (dysautonomia). What would be the proper compression? I am 106lb and think that 15-20 compression (recommended) is too low, since stockings do not stretch as they would on a heavier person. Is it safe to switch to 20-30?
Should not be a problem using the tighter stockings, as long as your arterial circulation is normal in the legs.
The recommended compression is pressure hose to the waist (pantyhose, tights). However, 20-30 mmHg may suffice if you cannot tolerate the 30-40 mmHg. This is dependent upon the severity of your symptoms.
In association with increased aerobic activity and adequate hydration this can improve orthosatisis (lightheadedness, fainting). I would recommend being measured by an experienced fitter and purchase a good quality hose such as Sigvaris or Bauerfeind.
There are many hose on the market and we have found these are the best tolerated by our patients. For long term use, they must be as comfortable as possible.
I generally would recommend 30-40 mm Hg compression, but occasionally there is a reason to go with less compression such as inadequate arterial blood flow in the feet or a nerve problem with numbness or decreased sensation in the feet. You should discuss this with your physician.
You are right, you should use 20-30 mmHg at least. But given your weight you might find better to use 30-40 mmHg, since the stockings stretch with use the compression declines rather quick.