Can compression stockings be worn on the arms?

Compression Stockings on Arms: Medical Appropriateness

Compression stockings are not designed for use on the arms and should not be worn on the upper extremities. Instead, compression sleeves specifically designed for upper extremity use should be considered when upper limb compression therapy is medically indicated.

Evidence on Compression Garments for Upper Extremities

• Compression stockings are specifically designed for lower extremity use with graduated pressure profiles tailored to leg anatomy and venous physiology 1
• For upper extremity compression needs, specialized compression sleeves are the appropriate medical device, not stockings 1
• Compression sleeves for upper extremities are designed with different pressure gradients and anatomical considerations than leg stockings 1

Risks of Using Leg Stockings on Arms

• Improper fit of compression garments can potentially cause:

  • Restriction of essential venous return 1
  • Pooling of blood in compressed areas 1
  • Risk of skin damage, including ulceration 1
  • Potential increased risk of thrombosis if too tight 1

• Compression stockings have specific sizing and pressure gradients (typically 10-20 mmHg or 20-30 mmHg at the ankle) designed for lower extremity anatomy 1

Appropriate Upper Extremity Compression

• For patients with upper extremity conditions requiring compression (such as lymphedema):
  • Compression sleeves specifically designed for arms should be used 1
  • Starting compression of 15-20 mmHg at the wrist level is recommended for upper extremity compression therapy 1
  • Proper fitting by a trained professional is essential for any compression garment 1, 2

Clinical Applications for Upper Extremity Compression

• Upper extremity compression sleeves may be indicated for:

  • Management of upper extremity lymphedema 1
  • Post-thrombotic syndrome affecting upper extremities 1
  • Upper extremity edema from various causes 1

• Compression therapy for upper extremities should be worn 8-12 hours per day, during daytime hours, at least 3 days per week for optimal effectiveness 1

Common Pitfalls to Avoid

• Using the wrong compression garment for the anatomical location can lead to:

  • Ineffective therapy 1, 3
  • Potential harm to the patient 1
  • Poor patient adherence due to discomfort 4

• Compression garments should be tested for comfort and proper fit before extended use 1

• Patient education about proper application and wear time is essential for treatment success 2

Remember that compression therapy must be tailored to the specific anatomical region and medical condition. Using compression stockings designed for legs on the arms is inappropriate and potentially harmful.