If you have large legs finding compression stockings that fit well can be a challenge. For people with cone shaped legs, rolling and sliding is often a problem. There are solutions for both of these issues.
Large or Thick Legs
Most manufacturers make wide-calf styles designed for customers with larger legs.
The largest knee high and thigh high available is now in the Sigvaris Secure Line. The calf sizing goes up to 74 cm (slightly over 29″) and the max thigh is 102 cm (about 40″). The Secure products are made to manage strong edema – swelling that does not do well in thinner fabrics like sheer or microfiber. While the fabric is incredibly strong, it is still breathable and comfortable to wear. With its precise sizing, you are guaranteed to get a perfect fit in this product. Available in 20-30, 30-40 and 40-50 mmHg.
The Sigvaris Comfort PLUS is another great option – it’s softer and stretchier, but the containment is not as high as the Secure line. It comes in 20-30 mmHg and 30-40 mmHg. The X-Large size in this product can fit a calf up to 28″ around and they come in short and long lengths.
Therafirm Core-Spun products are a great option for larger legs. Core-Spun Knee High Socks are available for men and women. The largest size will accommodate a 17 inch ankle with up to a 25.5 inch calf. Core-Spun Thigh Highs are now available in sizes up to XXXL. They will fit an ankle up to 19″ in circumference, and a thigh up to 39.5″. Core-Spun Thigh Highs are designed for men and women, come in three compression levels and two colors: black and white. Sizes XL-XXXL are offered in the 15-20 and 20-30mmHg compressions only. You can see where you’d fit on the size chart below:
Allegro Surgical Weight Knee Highs 20-30mmHg are available in Wide-Calf sizes that fit a calf circumference up to 26 inches and an ankle up to 15.5 inches. The Surgical Thigh High and Allegro Sheer Thigh Highs are sized up to XXX-Large to fit a 15.5 inch ankle and 36 inch thigh. A customer who purchased the Surgical Weight Knee highs said, “This product fit perfectly and I have really big calves… not too tight – comfortable. Wore them all day!” The Allegro products are a great, affordable option for most customers.
Mediven Extra-Wide Calf sizes are available in Medi Plus, Medi Comfort, Mediven for Men, Medi Assure and Mediven Forte, 20-30 mmHg and higher. Medi Extra-Wide calf sizes vary by size, so be sure to check the specific size chart for the stocking you want.
Juzo has begun carrying a line of Varin Max products designed for larger legs. Size V will fit an ankle up to 14 inches, a calf up to 26 inches and a thigh up to 37 inches. The Max line is available in 20-30 and 30-40 mmHg in knee highs and thigh highs.
Jobst Full-Calf sizes are designed to fit a calf circumference of 18-24 inches and an ankle up to 14 inches. These sizes are available in Jobst for Men Casual, Jobst ActiveWear, Jobst Relief, and Jobst UltraSheer in 15-20, 20-30, and 30-40mmHg. Full-Calf sizes are available in Jobst Opaque 20-30mmHg and higher.
Cone Shaped Legs
When I first heard this term, I thought, “Well, nearly everyone has a cone-shaped leg – the ankle is always smaller than the thigh.” But, that is not the shape we’re speaking of when it comes to socks and stockings. When you measure your legs, most people will find that their knee circumference is smaller than the widest point of the calf. In a cone-shaped leg, the measurements do not decrease at any point as you move up the leg – the calf and knee are about the same measurement.
If your leg is cone-shaped, compression knee highs have a tendency to roll or slide. A sticky silicone top-band will typically solve this problem. Knee highs with silicone top-bands are available in 15-20, 20-30 and 30-40 mmHg.
Both Jobst and Mediven have launched a new design of the silicone top band where they use sticky silicone fibers that are woven through the top band. This creates a more gentle hold against the skin. The Mediven product is called Vitality and Jobst is called SoftFit.
If you still have difficulty keeping the silicone top band in place, using a light adhesive at the band is a great option. It Stays is a water-soluble skin glue that is hypo-allergenic and safe for all compression stockings. It’s available in a 2oz roll-on bottle. A dab or two of It Stays will keep your knee highs and thigh highs up all day.