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Circulation

5 things nobody tells you about your legs after 60 (and the one most people ignore)

Heavy legs by the evening, ankles that swell, socks that leave marks. It is common after 60, and the change is so slow that most people put up with it.

23 September 2026 8 minute read

Your granddaughter wants one more game in the garden. You would love to. But by half past four your legs already feel like they have done a full day, and when you take your shoes off that evening, the marks from your socks are still there an hour later.

Heavy legs by the end of the day. Ankles that have quietly gone up a size by teatime. A vein that was not there last year.

How do your legs feel by evening?

  • Heavy legs by the evening
  • Ankles that swell by teatime
  • Sock marks that take longer to fade than they used to
  • A new vein you do not remember seeing before

If you answered "yes", to any of these, you are not alone. Most people put it down to age. Keep reading.

Almost everyone does put it down to getting older, and in a sense that is right. What almost nobody is told is that these are common signs of circulation slowing down in the lower leg, and that there is a simple everyday way to support it.

Here is what is actually going on, and the one situation where a sock is not the answer.

1. Your legs have been changing for years before anything looks wrong

Blood reaches your feet easily. Gravity does that for free. Getting it back up is the hard part.

Your calf muscle does most of that work. Every step squeezes the deep veins and pushes blood towards your heart. One-way valves inside the veins stop it falling back between steps.

Those valves wear. When they stop closing cleanly, blood sits in the lower leg for longer than it should and the pressure in the vein rises. Heavy, tired, swollen legs are the result, and it becomes more common with age.

It does not announce itself. It starts as mild swelling, the kind you would not mention to anyone.

2. Every stage looks like nothing, right up until it does not

The sequence is well documented:

  1. Mild swelling. The stage almost everyone ignores
  2. Discolouration. Skin turns brown, red or purple as iron from broken down red blood cells is deposited in the tissue
  3. Skin changes. Dry, thickened skin that is slower to recover

Venous insufficiency tends to progress gradually, from mild swelling to visible skin changes.Summarised from published reviews of chronic venous disease

Summarised from published reviews of chronic venous disease

Nobody moves through that sequence and notices. You notice the first stage, decide it is your age, and adjust. That is the mechanism by which a manageable problem becomes a serious one, and it is not a failure of character. It is just that the steps are too small to see.

The first stage is the one most people put down to age.

3. Compression is the thing that is actually recommended for this

A graduated compression sock is firmest at the ankle and eases as it climbs. That gentle squeeze helps push blood back towards your heart and supports your calf muscles with every step.

Cleveland Clinic vascular specialists say compression socks help circulation, reduce swelling and are safe for most people. Put them on in the morning, before your legs swell, and take them off before bed.

A word of care: a 20-25 mmHg sock is not a treatment for a medical condition or a substitute for your GP. If the skin on your lower legs has changed colour or texture, see a doctor first.

It will not turn back the clock. It can make the ordinary things, like a game in the garden with the grandchildren, feel a little easier.

4. The industry decided you wanted beige

Walk into a pharmacy and the compression aisle tells you exactly what it thinks of you. Black or nude. One size. Packaging that belongs in a hospital.

There is a practical cost to that, and it is not vanity. A sock you are faintly embarrassed by is a sock you leave in the drawer, and compression only does anything on the days you actually wear it. One customer put it better than I can.

Last year I forgot to wear my boring one size, 2 colour (black or nude) compression socks from a well known pharmacy for a 9 hour flight. My feet and legs were so incredibly swollen, I had to buy additional sandals. Now I have these fun, bright multicolour socks I know I won't forget to wear.

Barbara Davies, verified customer

There is a second problem with one size. Calves vary enormously, and a sock that is too tight at the top does the opposite of what compression is for. Two leg sizes is not a luxury feature, it is the difference between a graduated sock and a tourniquet.

Two calf sizes, and not a beige one among them

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20-25 mmHg graduated. Two calf sizes. 3 for 2 on every pair.

5. Who should check with a doctor first

Everything above argues for compression. This section argues against it, for a specific group of people, and it is the most important thing on the page.

Compression works by squeezing. If the arteries bringing blood down into your leg are already narrowed, squeezing makes that worse, not better. Cleveland Clinic advises against compression socks if you have severe peripheral artery disease for exactly that reason, and against them if you have severe swelling caused by a condition such as heart failure or kidney disease.

Speak to a clinician first if any of this applies

  • Peripheral artery disease, or narrowing of the arteries in your legs
  • Diabetes, or any reduced sensation in your feet
  • Peripheral neuropathy or other nerve damage
  • Fragile skin, dermatitis, a recent skin graft, or any open wound
  • Significant swelling that a doctor has linked to your heart or kidneys

The neuropathy point is the one people underestimate. If you cannot properly feel your feet, you cannot feel a sock that is too tight, and you will not notice it doing damage until there is damage to see. Rates of all of these rise with age, which is precisely why an article aimed at people over 60 has an obligation to say so.

If none of that applies to you, compression is generally well tolerated. If any of it might, the £12.99 is not the question. Ask your GP or practice nurse first.

33% Off Compression socks

20-25 mmHg graduated. Two calf sizes. 3 for 2 on every pair.

The part everyone finds hardest, and nobody explains

The most common complaint about compression socks is not that they do not work. It is getting them on. That comes up more than anything else in reviews, and it is worse if your hands or back are not what they were.

What actually helps

  • Put them on first thing, before you get out of bed. Legs are at their least swollen overnight and the sock goes on far more easily
  • Turn the sock inside out down to the heel, put your foot in, then roll it up the leg rather than pulling from the top
  • Rubber washing up gloves give you grip and stop your fingernails catching the knit
  • Never leave it bunched or rolled over at the top. A rolled band concentrates pressure in one place, which is the opposite of graduated
  • If you are struggling every time, the calf size is probably wrong rather than your technique

That last point matters more than the rest put together. Measure the widest part of your calf and buy to that, not to your shoe size.

Small fits a 9 to 16 inch calf. Large fits 14 to 19 inches.

Shop compression socks

20-25 mmHg graduated. Two calf sizes. 3 for 2 on every pair.

What people say

From people who have worn a lot of compression socks

Rated 4.1 out of 5 across 350 Koala Socks reviews

Pleased with these tights that don't itch, do the the job I paid for them to do. Very comfortable and easy to wear all day, although a bit if a struggle to get on and off it has to be that way. I am delighted with the colourful up to date fashion statement not dowdy at all.
Iris Kay Verified buyer
I thought I'd wear something a bit more cheerful than just boring old black flight socks! These are colourful, fit snugly and are not too tight on the upper calf.
Megan Wyn Roberts Verified buyer
All the socks received and used so far are comfortable and effective I have worn compression socks for about 15 years and the ones i bought about 12 months ago have retained their effectiveness better than others
Robert Verified buyer

No risk

30 day returns

Unworn pairs can be returned within 30 days of delivery, in their original packaging.

Where to start

One pair to try. Three to actually wear.

Every pair is the same 20-25 mmHg graduated specification in two calf sizes. The only decision is how many, and whether you want them to look like hospital issue.

Plain Navy Compression Socks

Start with one pair

$22.00

$22.00 per pair

If you would rather keep it understated, navy is as plain as the range gets, in the same 20-25 mmHg.

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Leopard Print Compression Socks

Most popular

Three pairs, 3 for 2

$44.00 for 3 pairs

$14.66 per pair

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Compression only works on the days you wear it, and that is far easier when there is a clean pair in the drawer.

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Multi Coloured Polka Dot Compression Socks

Four pairs, free UK delivery

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Enough to wear compression every day of the week without thinking about laundry.

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Prices shown are per pair. The 3 for 2 discount and free UK shipping on 4 pairs are applied automatically at checkout.

Questions, answered.

Is this just an advert for socks?

Yes, partly. This article was paid for by Koala Socks and it is labelled as an advertisement feature at the top and bottom of the page. The NHS guidance and the published research it summarises are independent, and they are linked under Sources so you can read them yourself.

Both things are true at once: venous disease is real and progressive, and Koala sell compression socks.

My legs are fine. Is this just scaring me?

If your legs are genuinely fine, you do not need these. Plenty of people reach eighty with no venous problems at all, and nothing here changes that.

The article is aimed at the specific group who have noticed evening swelling, heaviness, or sock marks lasting longer than they used to, and put it down to age. That group is large and it is generally the one that waits.

Which size do I need?

Two sizes. Small fits UK 4 to 9 with a calf of 9 to 16 inches. Large fits UK 10 to 13 with a calf of 14 to 19 inches.

Measure the widest part of your calf and buy to that. Shoe size alone is the single most common reason people end up with a pair they cannot get on.

I find compression socks impossible to get on

Put them on first thing, before you get out of bed, when your legs are at their least swollen. Turn the sock inside out to the heel, put your foot in, and roll it up rather than hauling from the top. Rubber washing up gloves help more than you would think.

If it is a fight every single morning, the calf size is more likely to be wrong than your technique.

How long should I wear them for?

NHS guidance on compression stockings for people at risk of venous leg ulcers is that they are most effective put on when you get up and taken off at night. They are not meant to be slept in unless a clinician has told you otherwise.

Is there anyone who should not wear them?

Yes, and it is covered in full in section 5 above. In short: peripheral artery disease, diabetes or reduced sensation in the feet, peripheral neuropathy, fragile skin or open wounds, and significant swelling linked to your heart or kidneys.

If any of that applies, speak to your GP or practice nurse before buying compression of any strength.

Sources

  1. 1. Venous leg ulcer: prevention. NHSCompression stockings may be recommended by a GP for people who have had a venous leg ulcer or are at risk of one, put on when you get up and taken off at night.
  2. 2. Chronic venous ulcers of the leg. National Library of MedicinePrevalence of venous leg ulcer in people over 65, and the progression from swelling through skin changes to ulceration.
  3. 3. Everything you need to know about compression socks. Cleveland ClinicWho should avoid compression, including severe peripheral artery disease and severe swelling from heart failure or kidney disease.
  4. 4. Compression stockings for preventing deep vein thrombosis in airline passengers. Cochrane Database of Systematic Reviews, 2021High certainty evidence that graduated compression reduces symptomless DVT on long flights, with reduced swelling and no significant adverse effects.

This article was produced and paid for by Koala Socks and published under its content brand, The Wellbeing Edit. It summarises NHS guidance and published research and has not been reviewed by a clinician. It is not medical advice, and it is not a substitute for seeing your GP about a change in your legs. Last checked September 2026.

About this page. The Wellbeing Edit is a content brand operated by Koala Socks. This article is an advertisement feature: it was produced and paid for by Koala Socks, and it exists to sell you compression socks. The NHS guidance and published research summarised above are independent of the brand and are listed in full under Sources.

Compression socks sold here are a general wellbeing product, not a medical device prescribed for you, and nothing on this page is medical advice or a diagnosis. If the skin on your lower legs has changed colour or texture, if you have an open sore that is not healing, or if you have diabetes, peripheral artery disease, nerve damage or reduced sensation in your legs, see your GP rather than buying socks.