Compression stockings : guide to prescribing

Based on CKS guidelines, the table provides a concise overview of the British standard classifications for compression stockings used in primary care, outlining the appropriate pressure levels, indications for each class, and crucial precautions before prescribing."

Criteria/Condition	Description/Recommendation
British Standard for Compression
Class 1 (Light)	Ankle pressure: 14–17 mmHg
Class 2 (Medium)	Ankle pressure: 18–24 mmHg
Class 3 (High)	Ankle pressure: 25–35 mmHg
European Standard Stockings	Provide greater compression for each class.
Before Prescribing	Arterial insufficiency should be ruled out using ankle-brachial pressure index (ABPI).
ABPI < 0.8	Compression stockings contraindicated. Requires specialist vascular assessment.
ABPI 0.8–1.3	Compression stockings are safe.
ABPI > 1.3	Avoid compression. Requires specialist vascular assessment.
Compression based on Condition
Varicose veins	Class 1 or 2
Venous skin conditions	Class 2, or Class 3 if no response. Class 1 if Class 2 isn't tolerated.
Superficial vein thrombosis	Class 2, or Class 1/travel socks if painful.
Usage Guidance
Wear Time	Remove at bedtime or maximum continuous use for 7 days.
Replacement	Every 3–6 months with re-measurement.

Reference: Compression stockings | Health topics A to Z | CKS | NICE

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