What Is the Difference Between 15-20 mmHg and 20-30 mmHg?

Compression stockings are specialized garments designed to apply gentle pressure to the legs, a therapy known as compression therapy. This pressure is measured in millimeters of mercury (mmHg), the same unit used for blood pressure, indicating the force the stocking exerts on the limb. The primary purpose of these stockings is to improve blood circulation, reduce swelling, and alleviate discomfort in the legs.

Understanding Compression Stockings

Compression stockings function by applying graduated pressure, meaning the compression is strongest at the ankle and progressively decreases towards the knee or thigh. This gradient helps to counteract the effects of gravity, encouraging deoxygenated blood to flow upwards towards the heart, rather than pooling in the lower extremities. By gently squeezing the leg, these garments help reduce the diameter of major veins, which increases the velocity and volume of blood flow.

This mechanism supports venous health by preventing blood from refluxing downwards or pooling, thereby aiding in the prevention of conditions like deep vein thrombosis (DVT). Compression stockings come in various lengths, such as knee-high or thigh-high, to address different areas of the leg.

15-20 mmHg: Mild Compression

Compression stockings in the 15-20 mmHg range are classified as mild or moderate compression. This level offers day-to-day relief for general leg fatigue and minor swelling. They are commonly used by individuals who spend extended periods standing or sitting, such as during long flights or workdays, to help prevent discomfort and fluid accumulation.

Pregnant individuals often find this compression level beneficial for managing mild leg discomfort and reducing the appearance of varicose or spider veins. These stockings are widely available over-the-counter in drugstores and online, making them accessible for general preventive measures and daily comfort.

20-30 mmHg: Moderate Compression

The 20-30 mmHg range provides a firmer, moderate level of compression, often prescribed by medical professionals. This level offers more substantial support for various minor to moderate medical conditions. It is frequently recommended for managing symptoms of varicose veins, moderate to severe leg swelling (edema), and for post-surgical recovery, particularly after vein procedures.

Individuals with chronic venous insufficiency or those seeking to reduce the risk of deep vein thrombosis may also benefit from this compression level. While a prescription may not be legally required, many pharmacies and medical supply stores recommend or require medical guidance for this strength due to its therapeutic effects.

Key Distinctions and Considerations

The primary distinction between 15-20 mmHg and 20-30 mmHg compression stockings lies in their intended use and the severity of conditions they address. The milder 15-20 mmHg level is generally for daily comfort, fatigue, and minor swelling, acting as a preventative measure. In contrast, the 20-30 mmHg range targets more specific medical conditions like moderate venous insufficiency, pronounced edema, or post-operative care, requiring a higher degree of pressure.

Accessibility also differs, with 15-20 mmHg stockings readily available over-the-counter, while 20-30 mmHg options often involve a recommendation or fitting from a healthcare professional. The sensation of wear will be noticeably tighter with the 20-30 mmHg range due to its increased pressure. Choosing the appropriate compression level should always involve consultation with a healthcare professional, as an improper fit or strength can be ineffective or potentially harmful. A doctor considers the specific diagnosis, symptom severity, and patient comfort to recommend the most suitable compression level.