Tools and gear

Compression socks and gout

Compression socks are not a gout treatment, and no gout guideline this site uses recommends them for a flare. MedlinePlus describes graduated compression stockings as gently squeezing the legs to help blood move up them, which can help with leg swelling and an aching, heavy feeling. For some people they are simply a comfort item.

Last reviewed

What to look for

  • Graduated compression: MedlinePlus says you feel the most pressure at the ankle and less higher up the leg.
  • A pressure level your clinician agrees with. MedlinePlus notes they come in pressures from light to strong, and says to talk to your clinician about which kind is right for you.
  • The right length, from knee-high to thigh-high, and a proper fit. MedlinePlus suggests a medical equipment store that can measure your legs.
  • A smooth top band that does not dig in, and fabric that does not bunch or wrinkle.
  • Two pairs if you wear them daily, so one can be washed while you wear the other, as MedlinePlus suggests.

Types compared

These are product types, not brands. No product here has been tested by this site.

Light everyday support socks

Long days on your feet, travel comfort

Still ask a clinician first if you have diabetes or circulation problems

Graduated compression socks, knee-high

The most common style; pressure highest at the ankle

Must fit well; a tight band below the knee should not dig in

Prescription-strength stockings

Fitted and chosen with a clinician

Not a casual buy; follow the instructions you are given

Open-toe compression socks

Keeps fabric off the toes

The rest of the foot and ankle is still squeezed

Stocking donner (helper gadget)

Putting stockings on when bending is hard

MedlinePlus mentions these for stockings that are hard to put on

Full comparison table
Types, not brands
TypeGood forWatch for
Light everyday support socksLong days on your feet, travel comfortStill ask a clinician first if you have diabetes or circulation problems
Graduated compression socks, knee-highThe most common style; pressure highest at the ankleMust fit well; a tight band below the knee should not dig in
Prescription-strength stockingsFitted and chosen with a clinicianNot a casual buy; follow the instructions you are given
Open-toe compression socksKeeps fabric off the toesThe rest of the foot and ankle is still squeezed
Stocking donner (helper gadget)Putting stockings on when bending is hardMedlinePlus mentions these for stockings that are hard to put on

Check price: graduated compression socks

Check price: stocking donners

Who it suits

People whose clinician has suggested compression for leg swelling or a vein problem, or who want light support for long days, and who have checked with a clinician that it is safe for them. Compression is not a way to treat a flare, and it does nothing to urate or crystals.

Cautions

  • Ask a clinician before using compression if you have diabetes, poor circulation, numbness in your feet, or artery disease in your legs. NIDDK’s foot-care advice for people with diabetes says not to wear tight socks or elastic stockings.
  • Do not squeeze a hot, swollen, flaring joint. The NHS advises against putting pressure on a joint during a gout flare because it can make the pain feel worse.
  • Take them off and contact your clinician if they feel too uncomfortable; MedlinePlus says a different kind may work better.
  • Leg swelling that is new, or in one leg only, is a reason to see a clinician, not a reason to buy socks.
  • A hot, swollen joint with fever needs urgent care.

None of these items treats gout. They can make rest, comfort, or an already-prescribed routine easier. Medicine decisions stay with your clinician.

Related: Foot care with gout, Shoes for gout-affected feet. All guides are on the gear guides hub.

Clinical claims on this page follow the sources.