Compression stockings are specialized garments designed to apply graduated pressure to the limbs, which assists in improving blood flow and reducing swelling. A common issue users encounter is the tendency of the fabric to roll or slide down the leg. This rolling not only causes discomfort but also negates the therapeutic compression benefit by creating a tourniquet effect at the rolled edge. Preventing this requires a combination of proper preparation, correct application, and specific care techniques.
Ensuring the Correct Fit and Application
The most frequent reason stockings roll down is incorrect initial fit based on inaccurate measurements. Measurements should ideally be taken early in the morning when the legs are least swollen, providing the most accurate baseline circumference. Professional measurement is often recommended, but if measuring at home, specific points around the ankle, calf, and thigh must be determined to match the sizing chart.
Choosing the appropriate stocking length is important for maintaining its position. Knee-high stockings must end below the crease of the knee, while thigh-high versions should extend up the leg without bunching at the knee or groin. An improper length can cause the top band to sit on a moving joint or a highly contoured area, which increases the likelihood of slippage during movement.
Proper application ensures the material is evenly distributed without wrinkles, which can initiate rolling by creating points of uneven tension. A widely used technique involves turning the stocking inside out down to the heel pocket, stepping into it, and then gradually unrolling the material up the leg. This method prevents excessive tugging and ensures the top band is placed flat against the skin from the start.
Critically, the top band of the stocking must never be folded over onto itself once applied. Folding the band doubles the tension in a small area, creating a tight, constricting ring that is guaranteed to roll down the leg. This folded edge acts as a starting point for the entire garment to slide, simultaneously cutting off the graduated pressure effect.
Utilizing Specialized Accessories and Adhesives
When fit and application alone are insufficient, specialized body adhesives secure the garment. These are typically clear, roll-on gels or liquids formulated to be hypoallergenic, creating a mild tackiness upon drying. The adhesive is applied directly to the skin where the top band will rest, forming a temporary, non-irritating bond between the fabric and the limb.
The adhesive should be applied only to the circumference of the leg where the top one or two inches of the stocking will sit. Allowing the adhesive to become slightly tacky before pulling the stocking up maximizes the grip. This method is particularly effective for stockings that lack built-in silicone grip dots or for individuals with very active lifestyles.
Specialized garter belt systems offer another mechanical solution. These systems often employ wider, non-slip straps that attach securely to designated points on the stocking’s top band. These straps distribute the holding force across the waist or hips, preventing the downward pull caused by gravity and movement.
For stockings without integrated silicone bands, external silicone grip strips or reusable bands can be applied beneath the top edge. These external bands use the natural friction of the silicone polymer against the skin to maintain position. Before using any external aid, ensuring the skin is completely clean and dry is necessary, as lotions, powders, or skin oils compromise the adhesive or frictional grip.
Maintaining Stocking Integrity and Grip
The ability of a stocking to stay up is tied to the integrity of its elastic fibers, which degrades with improper cleaning methods. Hand washing in cool water is the gentlest method; however, machine washing on a delicate cycle in a protective mesh laundry bag can be used. Frequent washing is necessary, as body oils and dead skin cells accumulate and break down the material.
Users must avoid harsh detergents, bleach, and especially fabric softeners. Fabric softeners leave a residue that reduces the material’s inherent elasticity and can coat silicone grip bands, diminishing their tackiness. Stockings should never be placed in a machine dryer or near direct heat, as high temperatures permanently damage the polymer structure, leading to a loss of compression and shape.
Maintaining the grip of stockings with integrated silicone bands requires attention to the band itself. Skin oils, dead skin, and lotion residue can accumulate on the silicone surface, making it slick and ineffective. Wiping the silicone band with a lint-free cloth dampened with mild soap and water or rubbing alcohol can restore the necessary tackiness for a secure hold.
Even with meticulous care, compression garments have a limited lifespan because the elastic material eventually stretches and loses its force. If the stocking begins to roll down despite perfect application, it is likely due to lost elasticity. Most manufacturers recommend replacing stockings every three to six months to ensure the prescribed level of compression and fit is maintained.