Can compression stockings help varicose veins?

Dr Mark's reply

Varicose veins of the legs are very common, and typically more of a problem the older you are, affecting at least one in five 40-year-olds in the UK, rising to one in three by 50, and close to half of those in their sixties.

The main cause is probably age-related damage to the valves in the veins, which hinders the flow of blood back towards the heart, leading to engorgement and bulging. Varicose veins are also more common in women and people with a family history.

Properly fitted compression stockings may slow progression in some people but are generally reserved for those bothered by symptoms such as aching legs.

If you do try stockings, only wear them during the day (remove at bedtime) and replace every three to six months as their elasticity weakens with time.

Higher compression stockings (class two as opposed to weaker class one types) tend to work better, but some people find them uncomfortable, and they are not suitable for everyone, particularly those with poor circulation.

If in doubt, ask to be measured and properly fitted by the supplying pharmacy or a practice nurse if already under their care.

They are prescribable on the NHS where indicated, but you also can buy them from your pharmacy or an online supplier.

Prices vary, but below the knee class one stockings typically start at around £15 a pair, while class two tend to be a bit more expensive at £20-plus a pair.