How the wrong size compression stockings affect comfort and effectiveness

Why is the size of a compression stocking so important?

A compression stocking works by applying controlled pressure to the leg. This pressure is not uniform.

In a well-designed compression stocking, the pressure is:

• Highest around the ankle
• Gradually decreasing towards the knee

This is called gradual compression.

For this pressure profile to function correctly, the stocking must fit the shape of the leg precisely. If the size is incorrect, the pressure distribution also changes.

What happens if a compression stocking is too large?

A compression stocking that is too loose will not fit the leg adequately.

This can lead to:

• Decreased compression pressure
• Disrupted pressure gradient
• The stocking slipping down during use
• Reduced support

Many users notice this because the stocking feels less stable or starts to slide down during the day.

In that case, you do not optimally benefit from the properties for which compression is intended.

What happens if a compression stocking is too small?

A compression stocking that is too small can, on the other hand, cause excessive pressure on certain parts of the leg.

This can lead to:

• Reduced wearing comfort
• Pressure points
• Constriction
• Skin irritation

Many people believe that "the tighter, the better" applies to compression. This is a persistent misconception.

Compression works not by applying as much pressure as possible, but by applying the right pressure in the right place.

Why this difference is important

Compression is not a standard product. Its effectiveness is directly related to the pressure applied to the leg.

If this pressure is not distributed correctly, a significant part of the effect is lost.

That's why Herzog offers:

• More than 50 different size variations
• A medically substantiated pressure profile
• Graduated compression from ankle to knee
• A precise fit based on measurement data

It is precisely this combination that leads many athletes, physiotherapists, and medical professionals to consciously choose a custom-fitted compression stocking instead of a standard size.

What problems can arise with the wrong size?

An ill-fitting compression stocking can lead to:

• Stockings slipping down
• Chafing
• Pressure points
• Insufficient support
• Reduced wearing comfort
• Disappointment with the effectiveness of compression

In many cases, the problem is not the compression itself, but the chosen size.

Why an accurate measurement is worth the investment

Compression stockings are often purchased to provide support during sports, recovery, or daily activities.

It is therefore logical that you also want the stocking to function optimally.

An accurate measurement ensures that:

• The compression is distributed correctly
• Wearing comfort is higher
• The stocking stays in place better
• You benefit optimally from the properties of compression

Precisely for this reason, Herzog advises always determining the size carefully and not relying solely on shoe size.