Should You Wear Compression Stockings to Bed?
Compression stockings are specialized hosiery designed to improve circulation and provide support. With potential benefits like increased blood flow, reduced swelling, and prevention of blood clots, some people opt to continue wearing compression stockings at night while sleeping. However, there are important factors to consider before doing so.
Below is an in-depth guide to wearing compression stockings to bed. We will cover:
- Who may benefit from overnight wear
- Potential risks and downsides
- Proper fit and sizing
- Maximizing comfort for sleep
- Caring for your compression stockings
Read on to learn whether compression stockings at night are right for your needs and health goals.
Who May Want to Wear Compression Stockings to Bed
Compression stockings worn during sleep may benefit certain individuals, including:
Those with poor circulation
People with chronic venous insufficiency, varicose veins, or other circulatory issues may sleep better with the legs compressed. This can relieve discomfort and reduce swelling.
Pregnant women
The weight of the uterus can put pressure on the veins and lead to swelling and distended veins in the legs. Compression stockings help improve circulation.
After surgery
Doctors often recommend compression stockings following surgeries, especially orthopedic procedures. The pressure helps prevent blood clots while healing.
Frequent travelers
Sitting for long periods on flights increases the risk of blood clots. Compression stockings promote blood flow during travel and sleep.
Those at risk of DVT
People immobile after an accident, and those with blood clot risk factors like obesity may need compression at night.
Those with leg ulcers
Compression therapy helps leg ulcers related to poor circulation heal. Continued use while sleeping maximizes the benefits.
With lymphedema
Lymphedema causes fluid buildup and swelling in the arms and legs. Nighttime compression can help manage symptoms.
Always consult your doctor about the potential benefits and risks of compression stockings during sleep based on your health history and needs.
Potential Risks and Downsides
While compression stockings do provide benefits for many wearers, there are some potential downsides to consider as well:
May disrupt sleep
The constricting sensation, tight bands, and heat retention can take some adjusting to for a restful night's sleep.
Can decrease circulation after prolonged use
Over time, heavily compressed arteries can adapt by becoming more constricted. Nightly use beyond 8 hours may reduce circulation.
Risk of contact dermatitis
The restrictive bands can cause irritation, rashes, and allergic reactions on the skin in some people.
Potential for dependence
Relying on compression for proper circulation may lead to loss of muscle tone in the calves. Occasional breaks are ideal.
Difficult to put on and remove
People with severe arthritis, back pain, obesity, or other mobility limitations may struggle with the compression stockings.
Discuss your sleep habits, health history and goals with your doctor. Together you can decide if overnight compression is right for you.
Choosing the Proper Fit and Strength
To maximize both comfort and effectiveness, it's essential to choose the right size, style, and compression level of stockings. Consider the following:
Measure your legs
Use a soft tape measure to measure the circumference of your ankles, calves, and upper legs. Compare to size charts.
Select appropriate compression
Light (8-15 mmHg) is often best for night wear. Higher compression levels can constrict and feel uncomfortable when sleeping.
Get the right style
Knee highs allow more airflow for sleep. Full leggings provide more coverage and support if needed.
Prioritize comfort
Ensure the stockings fit well without overly squeezing your legs. The toes and heels should have ample room.
Try various brands
Subtle design differences like toe shape and heel cups can make some brands more comfortable for sleep.
Work with your doctor or medical supply store to find the best type, fit, and compression level of stockings for your routine.
Maximizing Comfort for Sleep
It can take time to adjust to wearing compression garments in bed. Here are tips for making the experience as comfortable as possible:
Wear loose pajamas
Avoid confining pants or tight sheets. Choose lightweight, breathable pajamas to prevent overheating.
Shave your legs
Leg hair under compression stockings can feel itchy and uncomfortable. Smoothing lotion on bare skin prevents friction.
Elevate the legs
Use a pillow to prop up your legs while sleeping to maximize circulation benefits.
Apply moisturizer
Hydrating creams make it easier to pull the stockings on and prevent skin irritation.
Remove periodically
Take occasional nights off from compression wear to allow skin recovery and prevent dependence.
Watch for reactions
Discontinue use if you experience severe itching, chafing or other signs of irritation.
Listen to your body's needs and make adjustments until you find your ideal routine.
Caring for Your Compression Stockings
To prolong the life of your compression stockings and keep them hygienic for nightly use:
Wash after each use
Cleanse daily with mild soap and water, then air dry. Wash after each night's wear.
Avoid bleach, fabric softener, drying
Harsh chemicals and heat damage the elastic fibers. Line dry only.
Inspect for defects
Check for runs, tears, or broken bands needing repair. Do not wear damaged stockings.
Apply moisturizer
Rubbing unscented cream into the stockings keeps the elasticity intact and prevents drying.
Replace every 3-6 months
Consistency wears out over time. See your doctor to get properly re-fitted every 6-12 months.
Rotate pairs
Alternating allows each set to fully air out and dry between wears, preventing odor.
With proper sizing, care, and gradual acclimating to nightly use, compression stockings can be a comfortable addition to your sleep routine.
The Bottom Line
Compression stockings worn overnight may benefit certain individuals, like those with poor circulation and people at high risk of blood clots. However, the constriction can also potentially disrupt sleep quality and skin health for some wearers.
Talk to your doctor to decide if compression therapy during sleep is appropriate for your needs. When worn correctly, stockings provide enhanced circulation without restricting your comfort all night long.
FAQs
Who can benefit from wearing compression stockings at night?
Those with circulation issues, pregnant women, after surgery, frequent travelers, people at risk of blood clots, those with leg ulcers, and those with lymphedema may benefit from overnight compression.
What are the downsides to wearing compression stockings to bed?
Potential downsides include disrupted sleep, decreased circulation from overuse, skin irritation, dependence on compression, and difficulty putting them on for some people.
How can I make compression stockings more comfortable for sleeping?
Wear loose pajamas, shave your legs, elevate your legs on a pillow, apply moisturizer before putting them on, take occasional nights off, and watch for skin reactions.
What level of compression is best for overnight use?
Light compression around 8-15 mmHg allows for more blood flow and is less constricting for nighttime wear. Higher compression can be uncomfortable.
How do I care for compression stockings overnight?
Wash daily, avoid bleach and fabric softener, inspect for defects, apply moisturizer, replace every 3-6 months, rotate pairs, wash after each use, and line dry only.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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