As more people turn to compression socks for everything from post-workout recovery to managing chronic conditions, one question remains: Can you sleep in compression socks? Whether you’re dealing with swollen ankles, recovering from surgery, or simply trying to maximize the benefits of your compression wear, understanding the facts about overnight use is important.
How Do Compression Socks Help?
Compression socks are specially designed socks that apply graduated pressure to your legs. They gently squeeze your legs, helping blood flow back to your heart. [1][3][5]
Types of compression socks:
- Over-the-counter: These are available in various compression levels and can be purchased at drugstores, pharmacies, and online.
- Prescription: A doctor may prescribe stronger compression stockings for more severe conditions.
Wearing compression socks can benefit certain people with:
- Edema or Lymphedema: People suffering from edema (swelling due to fluid retention) or lymphedema (swelling due to lymphatic system issues) by reducing fluid buildup in the legs, providing comfort and lessening swelling.
- Chronic venous insufficiency (CVI): This condition occurs when the one-way valves in the leg veins malfunction, causing blood to pool due to weakened vein walls. [2]
- Varicose Veins or Venous Leg Ulcers: Compression socks are often recommended for people with varicose veins or venous leg ulcers. They can help reduce pain that can be associated with these conditions. The compression provided mimics the effect of bandages, promoting better blood flow and reducing discomfort.
- Post-Surgical Recovery Patients: Wearing compression socks can help to maintain circulation and reduce the risk of blood clots, which is crucial during the healing process.
- Orthostatic Hypotension: People with orthostatic hypotension experience a drop in blood pressure when they stand up after sitting or lying down. Wearing compression socks can help to maintain blood flow back to the heart.
- Athletes and Active People: Athletes or those who engage in prolonged physical activity may choose to wear compression socks to help recovery. The mild pressure can help reduce muscle soreness and improve circulation.
- Pregnant Women: Pregnant women often experience leg swelling and discomfort due to increased fluid retention and pressure on blood vessels.[3]
Is It Safe to Sleep in Compression Socks?
Compression socks are designed to apply the most pressure at the ankle, gradually decreasing as they move up the leg. This design helps push blood back toward the heart when standing or sitting during the day.
However, your body doesn’t need this extra support when lying down. Gravity no longer pulls blood toward your feet, so sleeping in compression socks isn’t as necessary during the night.
It is generally safe for most people to wear compression socks while sleeping. It’s OK to wear them for short periods, such as when you nap. However, removing them at night can give your skin a much-needed break. It’s important to note that prolonged use of compression socks can pose risks for people with certain conditions, such as peripheral artery disease or diabetes, where circulation may already be compromised.[3]
Benefits of Wearing Compression Socks Overnight
Your doctor might recommend sleeping in compression socks if:
- You have severe swelling from lymphedema
- You are recovering from certain surgeries
- You have serious vein problems
If your doctor wants you to wear compression at night, they will:
- Discuss which type of compression sock is right for you
- Tell you exactly how long to wear compression socks
- Check how well the socks are working
- Make changes to your treatment if needed
Potential Risks of Sleeping in Compression Socks
Sleeping with compression socks can have potential downsides. Here are some risks to consider:
- Skin Irritation: Extended wear can interfere with your skin’s ability to breathe. This can lead to irritation, redness, itching, or pressure marks. Trapped moisture may also increase the risk of fungal infections.
- Restriction of Blood Flow: If compression socks are too tight, they can hinder blood flow.
- The Comfort Factor: Some people find the pressure distracting at night or feel too warm and restricted in their usual sleep positions.
- Risks for Specific Medical Conditions: In certain medical conditions, wearing compression socks while sleeping can pose additional risks, including:
- Peripheral Artery Disease (PAD): Those with PAD may already have compromised circulation. Wearing compression socks at night could worsen circulation problems.
- Diabetes: People with diabetes may be at risk for neuropathy and poor circulation. Compression socks that are too tight can worsen these issues, potentially leading to complications like ulcers.
How to Choose the Right Compression Socks for Sleep
Selecting the right compression socks for overnight wear is personal and important. Here’s what to consider:
- Compression Levels: Look for lower compression levels unless advised otherwise by your doctor. The lower level offers support without being overwhelming during sleep.
- The Perfect Fit: Your socks should fit snugly but not be excessively tight. Measure your legs when swelling is lowest, typically in the morning, and check sizing charts, as fits can vary by brand.
- Material Matters: Choose breathable fabrics that wick moisture away from your skin. Some modern options feature temperature-regulating materials to improve your comfort throughout the night.
- Length: Knee-high compression socks are typically adequate unless your symptoms or doctor suggest otherwise.
When to Seek Professional Help
You should consider getting professional help if you experience:
- Persistent discomfort or pain while wearing compression socks
- Numbness or tingling in your feet or legs
- Skin changes, including redness, discoloration, or irritation
- Increasing swelling despite compression use
- Any signs of impaired circulation
- Difficulty putting on or removing your compression socks
At Empire Vein & Vascular Specialists, we understand that questions about compression therapy and vein health can be overwhelming. Our board-certified physicians specialize in helping people manage their vein health effectively and safely, whether that includes overnight compression sock use or other treatment options.
Our approach focuses on:
- Thorough initial evaluations
- Customized treatment plans
- Expert guidance on compression therapy
- Ongoing support
From your first consultation through your entire treatment journey, our caring team of specialists will ensure you receive the highest quality care in a comfortable, welcoming environment. Most of our treatments, including compression therapy consultations, are covered by insurance, making professional vein care accessible and affordable.
Call us today at 1-800-VARICOSE (1-800-827-4267) or book online to schedule a consult. Let our team of specialists help you determine the best approach for your specific needs.
Sources
- Tonnessen, B. I. (2024, June 17). Blood clots, varicose veins, and sore legs: Can compression socks help? Yale Medicine. https://www.yalemedicine.org/news/blood-clots-varicose-veins-sore-legs-compression-socks-help
- Joseph, D. (2024, January 8). Can you sleep in compression socks? Cleveland Clinic. https://health.clevelandclinic.org/can-you-sleep-in-compression-socks
- Alzahrani, A., & Alshahrani, M. (2021). The effect of compression stockings on lower limb edema in pregnant women: A randomized controlled trial. PMC, 8958436. https://pmc.ncbi.nlm.nih.gov/articles/PMC8958436/
- Chronic venous insufficiency. (n.d.). Johns Hopkins Medicine. https://www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-venous-insufficiency
- Kahn, S. R., & Shrier, I. (2020). Compression stockings for the prevention of venous thromboembolism: A systematic review and meta-analysis. PMC, 6985982. https://pmc.ncbi.nlm.nih.gov/articles/PMC6985982/