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Medical Compression Stockings in St. Catharines

Compression stockings only work if they are the right compression class, the right length, and the right size for your leg. Get any one of those wrong and you have bought an uncomfortable sock that does very little.

Physiotherapist measuring a patient's calf for a medical compression stocking fitting

Compression stockings only work if they are the right compression class, the right length, and the right size for your leg. Get any one of those wrong and you have bought an uncomfortable sock that does very little, which is why so many people try compression once, hate it, and give up.

We measure properly. That means a tape measure on your ankle, calf and thigh circumference and your leg length, taken in the morning before swelling accumulates, and a conversation about why you need them in the first place.

Care First Physiotherapy fits and supplies medical grade graduated compression garments at our clinic on Scott Street in St. Catharines.

What Are Graduated Compression Stockings?

Graduated compression means the pressure is highest at the ankle and decreases as it moves up the leg. That gradient is the working part. It helps the veins push blood back toward the heart against gravity, which is the exact thing that fails when someone has venous insufficiency, varicose veins or chronic leg swelling.

This is what separates medical compression from the "compression socks" sold at sporting goods shops, which are often uniform pressure and not classed at all.

Who Benefits From Compression Stockings

ReasonWhat is going on
Chronic leg swelling (oedema)Venous insufficiency, heart or kidney conditions
Varicose and spider veinsSlows progression and eases the aching
Post-thrombotic syndrome, DVT preventionEspecially after surgery or long-haul flights
PregnancySwelling and varicose veins are common in the second and third trimesters
After vein proceduresSclerotherapy or vein stripping, where compression is standard protocol
LymphoedemaIncluding after breast cancer surgery and lymph node removal
Standing occupationsNurses, teachers, servers, hairdressers, retail, factory and line work
Athletes and travellersRecovery and long journeys
Diabetes-related circulation problemsOnly with physician guidance. Some diabetic patients should not use compression.

Compression Levels Explained

Compression is measured in millimetres of mercury (mmHg). Choosing the class is a clinical decision, not a preference.

ClassPressureTypically used forPrescription needed?
Mild8-15 mmHgTired, achy legs. Prevention. Travel.No
Moderate15-20 mmHgMinor swelling, spider veins, pregnancy, long shifts standing, flightsNo
Firm (Class I)20-30 mmHgVaricose veins, moderate oedema, post-surgical, DVT prevention, post-sclerotherapyUsually recommended
Extra firm (Class II)30-40 mmHgSevere venous insufficiency, lymphoedema, post-thrombotic syndrome, venous ulcersYes, physician directed
Class III40-50 mmHgSevere lymphoedema and advanced venous diseaseYes, physician directed

Most people who come to us end up in the 15-20 or 20-30 range. Going higher without a clinical reason is uncomfortable and offers no additional benefit.

Getting Fitted at Our St. Catharines Clinic

Measuring. We measure ankle circumference at the narrowest point, calf circumference at the widest, thigh circumference if you need thigh-highs, and leg length. Measurements are taken in the morning where possible, because legs swell through the day and an afternoon measurement produces a garment that is too loose the next morning.

Style selection. Knee-high covers most needs. Thigh-high and pantyhose styles are for swelling that extends above the knee. There are also open-toe options, maternity styles, and sizes for wider calves.

Fitting check. We watch you put the first pair on. Getting compression stockings on is genuinely awkward, and there is a technique to it. We also demonstrate donning aids, which are worth every cent if you have arthritic hands or limited hip mobility.

Care instructions. Wash after each wear in cool water, air dry, no fabric softener. Replace every three to six months, because elastic fatigues and a stretched-out stocking is not delivering its rated compression regardless of how it feels.

Cost and Insurance Coverage

Compression stockings are priced per pair, with the measuring and fitting appointment included rather than charged on top. Price varies by compression class and style, so call and tell us what you need.

Most Ontario extended health plans cover compression stockings, typically two to four pairs per year. Nearly all insurers require a physician's prescription stating the compression class and the diagnosis. Some plans also want the garment to be professionally fitted, which is exactly what we provide, and we supply the documentation your insurer will ask for. See our direct billing options for more on coverage.

WSIB and auto insurance will often cover compression garments when they are part of an approved treatment plan.

Where to Buy and How to Choose

Patients asking where to buy medical compression stockings in St. Catharines usually find two options: a pharmacy shelf, or a clinic that measures you. Medical compression socks in St. Catharines bought off a shelf are sized on shoe size, which tells you nothing about calf circumference or ankle-to-knee length. That is why so many pairs end up in a drawer.

We measure, fit and supply compression stockings in Niagara on site, and we re-measure when swelling changes.

FAQs

Care First Physiotherapy supplies and fits medical grade graduated compression stockings at 350 Scott Street in St. Catharines. Unlike buying online or off a pharmacy shelf, you are measured by a trained fitter and matched to the correct compression class, length and style, which is what determines whether they work.

Not to buy them. Mild and moderate compression (8-20 mmHg) can be purchased and fitted without any prescription. You will almost certainly need a physician's prescription to have them reimbursed by insurance, and firm compression of 20-30 mmHg and above should be physician-directed anyway, since higher compression is not appropriate for everyone.

Most extended health plans cover them, usually two to four pairs annually with a per-pair or annual maximum. Insurers typically require a physician's prescription listing the compression class and the medical reason, plus proof the garment was professionally fitted. We provide the fitting documentation and can direct bill many plans.

Mild to moderate swelling usually responds to 15-20 mmHg. Persistent swelling from venous insufficiency or varicose veins generally needs 20-30 mmHg. Lymphoedema and severe venous disease often require 30-40 mmHg or higher under physician supervision. Do not guess. Over-compressing a leg with arterial circulation problems can be harmful, which is why the fitting assessment matters.

For most conditions, put them on in the morning before you get out of bed (or as soon as possible after) and take them off before sleeping. Overnight wear is only appropriate when specifically directed by your physician. Consistency matters more than duration. Wearing them every day at 20 mmHg beats wearing them twice a week at 30.

Every three to six months with regular daily wear. The elastic fibres fatigue with washing and stretching, and once that happens the stocking no longer delivers its stated compression even though it still feels snug. Most patients rotate two pairs, which extends the life of both.

Book a compression stocking fitting in St. Catharines

Get measured properly, matched to the right compression class, and fitted on site at our Scott Street clinic.

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