The first and most important step is consulting with your doctor about wearing medical grade (20 mmHg of compression or more) compression therapy garments. The amount of compression is important to determine prior to purchase, because your body may need more pressure on veins and valves to pump blood back to the heart and decrease pooling. Also, there is a big important word called contraindications, meaning drugs, products, and procedures could affect you negatively. Therefore, your physician should perform an ABI (ankle brachial index) test to ensure safety of compression therapy. After this step your doctor will have determined your prescription of which compression range (20-30mmHg, 30-40mmHg, etc.) and style of garment – calf, thigh, or panty length.

The second stage of choosing your garment is considering your lifestyle. Are you outside quite often? Getting decent exercise or mostly staying indoors? Whatever it may be, your most common footwear is a good indication for choosing which style product you need. Are you more of a formal dresser for the office or do you have a job requiring work boots? It may not seem like it, but there is an important relationship between footwear and your compression garment. For example, some stockings come with open toe options to allow for wearing sandals and other open toe shoes. Most likely, you spend time in a variety of footwear and will need a full collection of compression products to suit those needs.

What is the difference between compression stockings and compression socks?

Next you have to consider which style of compression you need and like. Stockings are generally products that resemble traditional hosiery garments. Each stocking comes in a variety of compression levels, styles, colors, and materials. Most commonly stockings are paired with lifestyles and dresswear that are on the formal side. They are made with more lightweight materials and designed for formal footwear or be paired with a “cover” sock when used with other shoes.

 On the other hand, compression socks are made with heavier yarns and with a different knitting structure. This provides you with a thicker foot that fits and performs better in most athletic footwear and work boots. Most often, compression socks come in calf length styles. Also, compression socks usually cover the therapeutic and medical grade compression's and come in a rainbow of fun colors and patterns. Compression socks are actually the fastest growing segment of compression as there is a trend towards more casual footwear. This explosive growth has brought new technology and creativity to the entire compression category.

What are the best compression socks?

 Again, time to do some self-assessments. If you are an athlete looking for performance products to help train, perform, and recover then the clear choice is CEP Athletic Compression Socks, they offer a great selection and are used by athletes today. CEP has a variety of compression wear; tall and short socks for running, calf sleeves and Plantar Fasciitis sleeves. Their products come in fun and vibrant colors as well as classic looks that fit any person’s style. Most importantly, CEP’s technology positively enhances your recovery time, leg health and active lifestyle.

 For the remainder, there are several great choices from our quality manufactures Jobst®, Juzo®, medi USA® and Sigvaris®. Again, depending on your lifestyle, the decision is up to you and what you prefer. One compression sock that suits an active lifestyle but isn’t necessarily for heavy training is the mediven active sock. These are perfect for casual footwear usage and have a bit of a thicker feel to keep your boots or other footwear from rubbing. Most importantly, these socks still provide more energy to the legs and allow for better performance and recovery.

How to choose the right compression sock?

The following list contains options for specific needs of your compression and lifestyle.

• Quality knit structure is important for delivering optimal long-lasting compression as well as satisfactory comfort with a smooth and soft feel. The sock should appear to have a consistent stitch pattern that provides durability to the sock and provides strong compression therapy. Some fabrics that have this type of solid, yet moveable, knit structure are nylon and spandex. To identify if the socks have quality knit structure when shopping online, most quality manufacturers provide clear images that will allow you to zoom in to the product to see the detail of the socks. The following images depict the Mediven® Active sock and a leading competitor:     

• Attention to detail using elastic yet strong yarns is important for long-lasting socks with soothing comfort. You’ll know if your choice of sock has good attention to detail from a close look of the knit structure in the product imaging. You can see from the images below, a quality yarn looks smooth and strong. If the sock material looks to be loosely knit then the quality of the fibers on the sock may not be made from a long lasting material. Materials that have great yarns are usually made form nylon and spandex. Cotton is not as durable of a fiber, because it absorbs moisture and is susceptible to loosening yarns.

        Competitive product shown on the left, Mediven Active shown on the right

• Precise finishing on all seams is important for all day comfort and will not irritate the legs or skin. You want to purchase a product with a flat seem versus a ropey looking seam. This ensures the seam won't rub against your feet for comfort while walking. Materials that have an uncomfortable seam can be made of polyester and cotton which aren’t as easy to create a precise finish with machine techniques. Flat seems are created by quality machine techniques that are used by market leading and trusted manufacturers.

 Competitive product shown on the left, Mediven Active shown on the right

• It is also important to make sure your sock is breathable with excellent moisture regulation for all temperatures. Having the ability to see the open mesh pattern between seams and knits on the product while shopping online is important to know if the product will be breathable or not. Some feature lists also describe knit fabrics which may be breathable like nylon and spandex. These types of fabrics are more expensive for brands to use, but create the perfect sock with all around comfort. They have quality yarn that helps wick moisture which allows the sock to evaporate excess dampness. This process would not be as successful in a thicker material sock like cotton.     

• Look for a soft padded foot for all day comfort. Take a look at the product online to see if there is a good amount of thickness for foot support. If the image doesn’t quite show it, there may be a description below the product describing the detail for the foot of the sock.

The Mediven Active checks all the boxes for an elite compression sock.  Available in gray, black and white as well as two compression levels, 15-20 mmHg and 20-30 mmHg. The quality of this product shines through providing tremendous value that should outlast its 6-month warranty.  Perfect for healthcare professionals, teachers or anyone who spends long hours on their feet.  All Medi products come with a 30-day comfort wearing guarantee to ensure 100% customer satisfaction.

This blog was written by guest contributor Kelsey Berens. 

One of the most common causes of heel pain is plantar fasciitis. The plantar fascia is a thick band of tissue that runs from the heel to the middle foot bones. Pain and inflammation occurs when the plantar fascia is strained. Plantar fasciitis is a common running injury, but can also be caused by standing on hard surfaces for a long time, high arches or flat feet, and wearing shoes that don't or lack support.

If your heel hurts as soon as you get out of bed in the morning or you suffer from lots of pain at night, there are some things you can do for relief. First things first - rest. If you stay on your feet, this stress will make the pain and swelling worse. Put ice on your feet to reduce inflammation and pain.

When you have to walk around, wear shoes that have lots of support, cushioning and shock absorption. Shoes with great arch support can also help. You can even use shoe inserts to add some extra comfort and protection.

Compression socks and sleeves can also help ease the pain. These Sockwell compression socks and sleeves are some great options. Made from cashmerino wool, which is naturally antibacterial and thermo-regulating fabric. These soft, stretchy ankle socks provide 20-30 mmHg of compression at the arch of the foot to sooth and minimize pain, while increasing circulation to reduce swelling. These socks are also designed with a seamless toe to prevent irritation and fit comfortably into your normal shoes. These ankle socks provide a more subtle look for plantar fasciitis than a foot sleeve.

To help speed up the heeling process, try doing a couple of exercises each day to help stretch the plantar fascia and achilles tendon. These stretches are particularly good to do in the morning for flexibility and strength.

Once you've finally healed, be very careful to avoid plantar fasciitis in the future. Make sure you are always wearing comfortable, well padded shoes - especially when running or walking long distances. You should also stretch the plantar fascia and Achilles tendon regularly, whether or not your are exercising. Also try to avoid walking or working out on hard surfaces as to not cause irritation.

TREATMENT

Rest:

Try to stay off your feet for a while. The less stress you put on your ankle, the better. With most pain and injury, giving your body a break and a little TLC is all it needs to heal. For more serious injuries or ongoing pain, you may want to look into daily or weekly regimens to help manage and treat your pain.

Ice and Elevation:

At the end of the day or when you have the time, prop your ankle up above heart level with pillows or on the back of the couch. Putting ice on your ankle for about 20-30 minutes a few times a day will help reduce the swelling and pain. For an injury, the swelling should go down in a couple of days and depending on the severity, the pain should subside within a week or two at the most.

Ankle Braces:

If you are experiencing pain, it is important not to push yourself. The more stress you put on your ankle, the longer it will take to heal and you will increase your chances of it becoming a more serious complication. It is important to support your ankle with an ankle brace or wrap to help it heal, prevent injury and get relief.

MalleoTrain Ankle Brace by Bauerfeind

To reduce ankle pain and swelling, try out the MalleoTrain ankle brace. It has won several awards for design and functionality.

This knit brace has two cushions on the inner and outer ankle bones that massages the ankle joint as you walk and helps to support and stabilize your ankle.

If you are injured, have osteoarthritis or recently had surgery, this brace will help you get relief. The MalleoTrain ankle brace is available in three different colors and is great for everyday wear.

PREVENTION

Make sure you are wearing comfortable and supportive shoes, especially when you are exercising or plan on doing a lot of walking.  If you notice tenderness in your ankle or you have been more active than usual, take a couple of minutes to stretch.

If you have suffered from an ankle injury in the past, it is extremely important to make sure your ankle is supported. If you are exercising, try wearing a foot sleeve or an ankle brace to protect and prevent injury.

If you’re looking for a foot sleeve to wear everyday or while exercising that isn’t bulky, check out the Medi Protect Seamless Ankle Support. It can be worn under your normal socks or shoes and is safe to wear overnight. It is made from a lightweight, moisture-wicking fabric and helps to relieve symptoms of Plantar Fasciitis, Achilles Tendonitis, swollen feet, heel spurs and chronic arch or heel pain.

If you have tried numerous remedies to reduce the pain and swelling and have had no luck, make sure you see a doctor immediately, especially if you can’t put much weight on your ankle.

BROWSE ANKLE BRACES AND WRAPS

If you have tips on relieving ankle pain or have questions about prevention or treatment, comment below!