Compression Socks While Flying: Benefits & Side Effects (2024)

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Legs and feet that are swollen after a long flight are uncomfortable, but not uncommon. When you spend a lot of time in a confined space and are unable to move around much, the veins in your legs have a hard time circulating blood back up to your heart. This can cause pressure and swelling in the lower half of your legs.

Wearing compression socks while flying is becoming a popular method of preventing post-flight swelling.

While compression socks do have benefits for air travelers, there are some things you should know before giving them a try. This article will cover everything you need to know about wearing compression socks for flying, including types of socks, and who should and shouldn’t wear them.

Compression socks and compression stockings are garments that squeeze and stimulate circulation in your calves and feet. These types of socks and stockings fit tightly against your body and have a bit of stretch built into their fabric so they hold their shape.

There are three primary types of compression socks.

Graduated compression socks

Graduated compression socks encourage circulation by applying pressure at your ankles. As the socks move up your leg, they become less tight. Graduated compression stockings generally require a prescription and a professional fitting. They’re typically designed to meet certain medical standards for flexibility, strength, and length.

Nonmedical support hosiery

Nonmedical support hosiery are designed to be more flexible than graduated compression socks. They don’t require a prescription and are readily available in stores and online. Nonmedical support hosiery are typically used to treat tired legs and to encourage circulation.

Anti-embolism stockings

Anti-embolism stockings are designed to prevent the condition called deep vein thrombosis (DVT). The level of compression these socks offer can vary. In general, anti-embolism stockings are made for people who have limited mobility. Similar to graduated compression socks, these stockings require a prescription to purchase.

When you’re on a long flight (5 hours or more), chances are, you’re not going to move around too much during that time. When you’re cramped in a small space and not moving around, circulation between your heart and lower legs slows down.

Your calf muscles are what send blood from the bottom half of your body back up through your circulatory system to your heart. When these muscles aren’t constricting, circulation isn’t happening efficiently. You may experience swelling, tingling, and discomfort. The reduced circulation can also put you at a higher risk for pulmonary embolisms and blood clots.

If you don’t have a prescription for compression socks, nonmedical support hosiery are the compression socks generally recommended for travel. These types of compression socks can be easily purchased online or from pharmacies. You can choose a compression level according to what makes you most comfortable.

To purchase a pair of nonmedical compression socks online, click this link.

When to put them on

To wear compression socks for flying, you may want to practice putting them on a few times before your flight. Getting them on your feet, especially in the tight confines of an airplane, can take some getting used to. The best time to put them on might be right before you board, while you’re waiting at your gate.

How long to wear them

You can wear compression socks for extended periods, so you can also pop them on your feet at home before you begin your journey to the airport. However, discomfort and possible side effects may appear after a few hours of continuous use. See the section below for possible side effects.

How to avoid blood clots while flying

Compression socks aren’t the only option for avoiding blood clots while traveling. Other tips include:

  • Wear loose-fitting, breathable clothing that encourages healthy circulation.
  • Maximize in-flight legroom by stowing all your belongings in overhead compartments.
  • Drink plenty of water before and during your flight.
  • Avoid high-sodium and salty foods while you’re at the airport and in flight.
  • If you’re permitted, stand up and walk the length of the airplane every hour or so during long flights.

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Compression socks do have some side effects. Even if you’re used to wearing compression socks at home, the dry air, cramped conditions, and unpredictable nature of air travel can make side effects more likely.

Possible side effects of wearing compression socks while flying include:
itching

  • loss of circulation
  • burning or chafing
  • bruises and broken skin

Keep in mind that when your compression socks are properly fitted, side effects aren’t as likely to occur. Misuse and overuse of compression socks can increase your chances of uncomfortable symptoms.

Your doctor may recommend compression socks for travel if you have:

  • chronic venous insufficiency
  • a history of blood clots
  • recently had surgery for varicose veins
  • a medical condition that makes you more prone to DVT, such as cancer

Even if you don’t have any of the above conditions, compression socks can make your flight more comfortable if you tend to experience swelling and loss of circulation during air travel.

Who shouldn’t wear compression socks

If you have skin that’s easily bruised or a compromised skin layer that scrapes or bruises easily, wearing compression socks isn’t recommended. They can cause injury to your skin, and the chafing or sores caused by compression socks can even lead to an infection if they aren’t taken care of properly.

If you’re unsure if compression socks are a good choice for you, talk to a doctor before using them on a long trip.

Compression socks may also be helpful for when you’re traveling by car. Long car trips can confine your legs, suppress circulation, and cause the same blood pooling and swelling symptoms as a long flight.

This is especially true if you’re the passenger in a car, since at least the act of driving stimulates movement in your calves. If you travel often by car, consider packing some compression socks for your next cross-country drive.

If you suspect you have blood clots or DVT, you should speak to a doctor, regardless of whether you have a big trip coming up or not.

Signs and symptoms that should warrant immediate medical attention include:

  • swelling in one leg or both legs
  • persistent leg cramps that you can’t get rid of
  • visible veins in your legs that are red or swollen to the touch
  • sudden redness or skin discoloration on your leg

Don’t ignore or try to self-treat symptoms of DVT. The condition can be life threatening if not addressed by a medical professional.

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Compression socks are a simple treatment that can make long flights and car trips more comfortable. If you have a history of blood clots or venous insufficiency, compression socks can promote healthy circulation and ease your peace of mind while flying.

If already you wear over-the-counter nonmedical grade compression socks often, you might want to consider upgrading to a prescription pair through your doctor.

Never ignore or try to self-treat symptoms of DVT. The condition can be life threatening and should always be addressed by a medical professional.

Compression Socks While Flying: Benefits & Side Effects (2024)

FAQs

Do I really need compression socks for flying? ›

American Society of Hematology guidelines do not recommend compression socks for low-risk travelers on short flights and recommend socks on longer flights only for people at high risk of blood clots. Studies in hospitals do show that compression socks prevent blood clots in people who have had surgery, Beckman said.

Is there a downside to wearing compression socks? ›

Is there a downside to wearing compression socks? Compression stockings are generally safe but can cause you pain or even cut off your circulation if you don't wear the proper size. The pressure also can cause minor bruising or skin ulcers, and tightly fitting socks also can cause dry skin, redness, and itching.

How long before a flight should I put on compression socks? ›

As compression gear can take some time and practice when put on, it's best to put on your compression socks at the gate before you board the aircraft. This ensures you have adequate room to adjust your socks to ensure the correct fit and will combat the effects of pooling before they take place.

Who shouldn't wear flight socks? ›

If you have skin that's easily bruised or a compromised skin layer that scrapes or bruises easily, wearing compression socks isn't recommended. They can cause injury to your skin, and the chafing or sores caused by compression socks can even lead to an infection if they aren't taken care of properly.

What is the alternative to compression socks for flying? ›

Luckily, there is a great alternative to compression hosiery - compression wraps! Compression wraps get wrapped around the leg and secured with Velcro straps, whereas conventional compression socks need to be pulled on and up. Wraps can be easily adjusted and are also great for those who need 24-hour compression.

Where does the fluid go when wearing compression stockings? ›

The leg can be so edematous (swollen) that once the sock is on, it will squeeze fluid out of the tissue to above the sock. When the circumference of the leg covered by the sock is reduced, the squeeze becomes less and the remaining fluid in the leg remains.

What level of compression socks is best for air travel? ›

It's generally accepted that 20-30 mmHg is the ideal compression level for travel.

Are flight socks the same as compression socks? ›

Flight socks are a type of medical compression sock which are specifically designed to be worn during flights. These socks provide graduated compression, meaning that the pressure on the feet is greatest at the ankle and gradually decreases up the leg.

Should someone with high blood pressure wear compression socks when flying? ›

Wear Compression Socks

Compress socks help to provide extra pressure to your feet, legs and stomach, to improve the circulation of your blood and increase your blood pressure. It is important to purchase Grade 1 socks and ensure they are properly fitted, otherwise the effect can actually be negative.

Do compression socks raise blood pressure? ›

Wearing compression stockings significantly elevated SBP in the supine position of the hypotensive (SBP≤100 mmHg; n=24) but not normotensive groups (140 mmHg>SBP>100 mmHg; n=58). DBP and HR were not significantly altered in either group.

Do flight attendants wear compression stockings? ›

Many flight attendants swear by the benefits of compression socks for travel — but given the strict airline dress codes, many female flight attendants can't wear socks to work and must don pantyhose or stockings instead.

Can compression stockings dislodge a clot? ›

The pressure exerted by compression stockings is designed to improve blood flow and prevent new clots. It is generally not forceful enough to dislodge an existing, adhered blood clot. The primary function of these stockings is preventative, rather than being a treatment for existing clots.

How do I know if I need flight socks? ›

As such, your doctor might recommend that you use compression socks when you travel, especially if you have a history of blood clots, chronic venous insufficiency or suffer from varicose veins. But even if you don't have any of these conditions, you may still want to use compression socks for a more comfortable flight.

What is the difference between flight socks and compression socks? ›

While both improve circulation and offer some comfort benefits, key differences exist. Flight socks typically offer a milder level of compression suited for travel, while regular compression socks come in a wider range addressing various medical needs.

Can I wear compression socks through airport security? ›

Not only can you safely wear compression socks through airport security checkpoints, most can wear compression socks for 16+ hours, making it an easy choice to throw them on prior to heading to the airport.

Should you wear compression pants on long flights? ›

Travelers should wear compression socks or tights for flights longer than three hours to help increase blood circulation.

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