To measure for TED hose, you need a flexible tape measure and two to four measurements depending on the stocking length: ankle circumference, calf circumference, leg length, and (for thigh-high versions) thigh circumference. Take these measurements first thing in the morning, when your legs are at their least swollen, to get the most accurate sizing.
What You’ll Need
A soft, flexible tape measure is the only tool required. The kind used for sewing works perfectly. Avoid using a rigid carpenter’s tape, which won’t conform to the curves of your leg and will give you inaccurate numbers. Have a pen and paper nearby to record each measurement as you go, since you’ll be comparing your numbers against a sizing chart afterward.
Measuring for Knee-High TED Hose
Knee-high stockings require three measurements: ankle circumference, calf circumference, and calf length.
- Ankle circumference: Wrap the tape measure around your ankle just above the ankle bone. Keep the tape snug but not tight, and note the number in inches or centimeters.
- Calf circumference: Measure around the fullest, widest part of your calf. This is typically the muscular bulge a few inches below the knee. If you’re unsure where the widest point is, slide the tape up and down slightly and use the largest number.
- Calf length: Measure from the floor (or the back of your heel) up to the bend behind your knee. This tells you how long the stocking needs to be.
Measuring for Thigh-High TED Hose
Thigh-high stockings need all of the above measurements plus two more: thigh circumference and full leg length.
- Ankle and calf circumference: Follow the same steps described above.
- Thigh circumference: Measure around the fullest part of your upper thigh, right at the gluteal fold (where the bottom of your buttock meets the back of your leg).
- Leg length: Measure from the floor up to the gluteal fold. This is the total length the stocking will cover.
For the length measurements, it helps to stand straight with your weight evenly distributed on both feet. If you have trouble reaching or reading the tape yourself, ask someone to assist you.
Why Morning Measurements Matter
Your legs swell throughout the day as gravity pulls fluid downward, and even a small amount of extra volume can push you into the wrong size. The Mayo Clinic recommends measuring when your legs are at their least swollen, which is typically first thing in the morning before you’ve been on your feet. If you measure in the afternoon or evening, you may end up with stockings that feel fine at first but become too loose once swelling goes down overnight.
Using Your Measurements to Find a Size
TED hose sizing charts vary by manufacturer, so you’ll need to match your numbers against the specific chart for the brand you’re purchasing. Most charts ask you to cross-reference your circumference measurements with your length measurement to land on a size (small, medium, large, or extra-large) and sometimes a length category (short, regular, or long). If one of your measurements falls between two sizes, choose the smaller size. Compression stockings that are slightly too large won’t deliver enough pressure and may bunch or slide down.
Keep in mind that your left and right legs may not be identical. If there’s a noticeable difference in circumference between the two, measure both and size each stocking individually.
How TED Hose Differ From Regular Compression Stockings
TED hose are anti-embolism stockings designed specifically for people who are bedridden or recovering from surgery. They deliver a lighter level of graduated compression than standard medical compression stockings, which typically start at 20 mmHg and go higher. TED hose apply gentle pressure that’s highest at the ankle and decreases up the leg, helping blood return to the heart when you’re not moving around. They are not designed for ambulatory use. If you’re up and walking regularly and need compression for varicose veins or chronic swelling, graduated compression stockings are a different product with different sizing and pressure levels.
What Happens if the Fit Is Wrong
Getting the right size isn’t just about comfort. Stockings that are too tight can create dangerous pressure points, particularly over bony areas like the shin or the head of the fibula just below the knee. Published case reports have documented pressure ulcers, nerve damage along the outer knee, and in severe cases restricted blood flow to the foot, all from poorly fitting compression stockings. Stockings that are too loose, on the other hand, won’t provide meaningful compression and tend to roll or bunch, which creates a tourniquet effect at the point where the fabric gathers.
If you notice numbness, tingling, increased pain, skin discoloration, or indentations in your skin after wearing TED hose, remove them and recheck your measurements. A properly sized stocking should feel firm but not painful, with no areas of bunching or excessive tightness.