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Compression socks might not be the first thing you think of when recovering from a pilon fracture, but trust me when I tell you, they can make a big difference in swelling. In this post, we'll talk about how they work and why they might be worth investing in during this healing process.
Compression socks are specially designed, snug-fitting socks that gently squeeze your legs to help improve blood circulation. They work by applying graduated pressure, which means they're tightest around your ankle and gradually loosen as they move up your calf to push blood back up toward your heart and keep it from pooling in your lower legs. The primary purpose of compression socks is to improve blood flow, reduce leg swelling, and lower the risk of complications like blood clots or deep vein thrombosis (DVT).
Swelling is one of the biggest challenges after a pilon fracture. When your body is healing, fluid tends to build up around the injured area. This swelling, known as edema, can actually slow down your recovery if it's not managed. Compression socks help by gently squeezing the leg and encouraging that excess fluid to move out of the area.
When you're stuck in a splint or boot, or just not moving much, blood flow in your lower legs can slow down. Poor circulation can leave your leg heavy-feeling, painful, or even numb. Compression keeps the blood moving by applying gentle pressure.
Limited movement after a pilon fracture increases the risk of blood clots, especially deep vein thrombosis (DVT)—a serious condition where clots form in the veins of your leg. This happens when blood isn't circulating properly during long periods of sitting or lying down. Compression therapy can help reduce blood pools and the chance of clotting.
Compression also gives the muscles and soft tissues around your injury a little extra support. It's like a little hug for your leg, helping you feel supported without extra bulk.
Generally speaking, compression socks can be helpful after ORIF surgery once significant swelling has started to go down or after your cast is removed. However, always check with your health care provider before using them.
Note: While compression socks are generally safe, using them too early or choosing the wrong compression level can sometimes cause discomfort or even worsen swelling, especially if you have any circulation issues, nerve sensitivity, or wounds from surgery. Talk to your healthcare provider about the best option for you.
There are some conditions where compression may do more harm than good.
Choosing the right type of compression socks can make all the difference.
Compression socks are measured in millimeters of mercury (mmHg) to indicate how much pressure they apply:
If you're not sure which level is right for you, start low and consult your doctor for guidance.
Look for socks made with breathable, stretchy fabrics like nylon, spandex, or blends that wick moisture away. These materials keep your leg cool and comfortable while providing the right amount of support. Avoid thick, restrictive fabrics that can feel too tight or cause skin irritation, especially when wearing socks for extended periods.
Getting the right size is key. They should feel snug but not too tight—they shouldn't pinch or leave deep marks on your skin. Sizing often depends on your calf circumference, ankle measurements, and shoe size, so check the size chart carefully. Socks that are too loose won't work, and socks that are too tight can cut off circulation.
If putting on compression socks feels like a workout (which it sometimes does), look for zipper options or open-toe designs. Zippered socks are easier to slide on and off, especially if you're dealing with limited mobility or stiffness in your ankle. Open-toe options can also help if your toes are sensitive or swollen.
I wear these LEVSOX Compression Socks for Wide Calf. They're affordable, durable, and comfortable to wear all day. They also come in standard calf size.
You'll get the full benefit of compression socks by wearing them the right way.
The best time to wear compression socks is during the day. Put them on in the morning when swelling is usually minimal, and wear them throughout the day as needed.
Wearing compression socks for 6-8 hours a day is ideal. You can wear them longer if swelling is persistent, but give your legs a break at night unless otherwise recommended. Start with shorter periods and gradually increase the time.
