Compression stockings for air travel

DEAR DR. GOTT: I read with interest your column from about a month ago from a waitress whose legs felt much better while wearing compression stockings. With a family history of varicose veins and aching legs, it inspired me to try compression socks whenever I’m on my feet for a long period of time. They work very well!

My question is: Would you recommend wearing compression socks during air travel? I have heard about blood clots affecting people who fly and are seated for long periods of time. I thought the socks might alleviate that.

Thanks for a wonderful and informative column!

DEAR READER: Thank you for your kind words.

Compression stockings/hose/socks can be worn by just about anyone looking to improve circulation and leg health. Most often they are worn by those with conditions that cause lymph or blood to pool in the legs and reduce the associated swelling and pain. Another use is for the prevention of blood clots in those that can’t ambulate well or spend long hours sitting, such as on long flights, where moving around is somewhat restricted. Even with the stockings, it is important to move as much as possible to keep blood/lymph moving.

As I stated in the original column, compression hose shouldn’t be worn by healthy individuals while sleeping in bed. This is because when lying flat, gravity isn’t pulling these liquids into our legs. It is also important to note that high compression isn’t needed if there is no underlying condition.

As for blood clots developing during air travel, this can occur during long trips; therefore, it is important to get up during the flight as often as possible to stretch the legs and get the heart pumping a little faster which will improve circulation. Blood clots can form when blood pools in the legs during the long hours of sitting, especially if dehydrated. Short trips, such as from New York City to Los Angeles, are much less likely to pose a risk unless the individual has an underlying clotting or circulation disorder. People with arterial disease should not use the hose because they can cut off needed circulation. Thigh-high hose users must be careful not to allow kicking behind the knee because that is where the blood vessels can easily become compressed.

Readers who are interested in learning more can order my Health Report “Consumer Tips on Medicine” by sending a self-addressed, stamped number 10 envelope and a $2 US check or money order to Newsletter, PO Box 433, Lakeville, CT 06039. Be sure to mention the title when writing or print an order form from my website, www.AskDrGottMD.com.