Activa Class II Below Knee Closed Toe Compression Stocking Black – Large
£0.00
Out of stock
Trusted by
50,000+ patients
Free Delivery on
Over £30
UK Registered
Pharmacy
Guaranteed safe checkout
Overview
The Activa Class II Below Knee Compression Stocking is a meaningfully different clinical product from the Class I stockings in the Activa range. Class II compression delivers 18–24 mmHg of graduated pressure — approximately one third more pressure at the ankle than Class I — making it appropriate for moderate to severe chronic venous insufficiency, significant varicose veins, post-thrombotic syndrome, the prevention and management of venous leg ulcers, and lymphoedema where specialist assessment has confirmed Class II as appropriate. This is a product that should be used on the advice of a healthcare professional, not selected independently based on a preference for stronger compression.
The clinical rationale for Class II over Class I is straightforward: where venous disease has progressed beyond mild symptoms, or where Class I compression has failed to adequately control oedema, skin changes, or ulceration, higher sustained compression is needed to achieve the pressure gradient required to support venous return and prevent the tissue damage associated with chronic venous hypertension. The closed toe, below knee format delivers this graduated pressure from the ankle to just below the knee in the black colourway at large size — practical and discreet under everyday clothing.
Class II compression stockings may be available on NHS prescription for patients who meet clinical criteria — speak to your GP about whether prescription compression hosiery is appropriate for your situation before purchasing privately. For those purchasing privately, accurate ankle and calf measurement and confirmation of the absence of arterial contraindications are essential steps before use. Pearl Chemist Group pharmacists offer free compression stocking fitting consultations and can advise on whether Class II is appropriate for your presenting symptoms and clinical history. Browse our full compression hosiery range including Class I and Class II options, and our wider venous leg ulcer and wound care supplies.
How to Use Activa Class II Below Knee Compression Stocking Black – Large
Important: Class II compression stockings (18–24 mmHg) exert significantly greater pressure than Class I. They should only be used on the advice of a healthcare professional who has assessed the venous and arterial status of your legs. Do not use Class II compression without clinical guidance.
- Confirm the large size is correct. Measure your ankle circumference at the narrowest point and your calf at the widest, first thing in the morning, and compare against the Activa size chart. NOT FOUND — please confirm ankle and calf measurement ranges for the large Class II stocking from Activa product documentation. Class II stockings are firmer than Class I at the same size — accurate sizing is particularly important as an incorrectly sized Class II stocking can cause significant discomfort and pressure damage.
- Apply first thing in the morning, before getting out of bed if possible, and certainly before significant leg swelling has accumulated. Class II compression is considerably harder to apply to a swollen leg than Class I — early morning application is even more important at this compression level.
- Consider using a donning aid as standard practice. Class II stockings are stiffer and require more force to apply than Class I stockings of the same size. A donning frame and rubber gloves are strongly recommended for most wearers of Class II stockings, not only for those with limited mobility.
- Invert the stocking to the heel before starting — even more important with a stiffer Class II stocking.
- Position the foot and heel correctly before working the stocking up the leg.
- Work the stocking up gradually, smoothing each section as you go. Class II stockings require more deliberate, staged application — do not attempt to pull the whole leg section up at once.
- Ensure the stocking is completely smooth with no wrinkles or creases before wearing. The consequences of a wrinkle in a Class II stocking are more significant than in a Class I, as the higher pressure amplifies the effect of any localised pressure point on the skin and underlying tissue.
- Check circulation carefully after application. Given the higher compression, it is important to confirm that the toes and foot are warm, that capillary refill is normal, and that there is no numbness, tingling, or significant pain. Remove immediately if any of these occur.
- Follow the wearing schedule prescribed by your clinician. The duration and timing of Class II compression wear should be directed by the prescribing healthcare professional.
Tips for applying Class II compression
- A donning frame is strongly recommended — Class II stockings are significantly more difficult to apply than Class I without one.
- Rubber or latex-free gloves are essential for grip on the stiffer fabric.
- Ensure the leg is completely dry — even small amounts of moisture make Class II stocking application considerably harder.
- If application is consistently very difficult or painful, speak to your community nurse or pharmacist, who can advise on technique or alternative product formats.
For guidance on Class II compression application or any concerns about your wearing experience, speak to a Pearl Chemist Group pharmacist or your prescribing healthcare professional.
N/A
N/A
How to Store Activa Class II Below Knee Compression Stocking Black – Large
- Unused stockings: Store in original packaging in a cool, dry place away from direct sunlight. Class II stockings are stiffer than Class I — store flat or loosely rolled without tight bends in the fabric that could distort the stocking's shape before use.
- Washing: Wash after each day's wear. Hand wash in cool water with mild detergent or machine wash at 40°C in a mesh laundry bag. NOT FOUND — please confirm exact washing instructions from Activa documentation. Avoid high-temperature washing, which degrades the elastic fibres and reduces the compression the stocking delivers over time.
- Drying: Air dry only. Do not tumble dry or apply direct heat, which damages the elastic fibres more rapidly in higher compression stockings.
- Rotation: Two pairs in rotation is strongly recommended for daily users — the increased washing frequency needed for Class II stockings worn on clinically significant venous conditions makes rotation important both for hygiene and for stocking longevity.
- Replacement: Replace every three to six months with daily use. Class II stockings must be replaced on schedule — a worn-out Class II stocking that has lost its compression properties may deliver less than Class I compression while still appearing visually intact. If the stocking feels noticeably less firm or supportive than when new, replace it.
- Keep out of reach of children.
Overview
The Activa Class II Below Knee Compression Stocking is a meaningfully different clinical product from the Class I stockings in the Activa range. Class II compression delivers 18–24 mmHg of graduated pressure — approximately one third more pressure at the ankle than Class I — making it appropriate for moderate to severe chronic venous insufficiency, significant varicose veins, post-thrombotic syndrome, the prevention and management of venous leg ulcers, and lymphoedema where specialist assessment has confirmed Class II as appropriate. This is a product that should be used on the advice of a healthcare professional, not selected independently based on a preference for stronger compression.
The clinical rationale for Class II over Class I is straightforward: where venous disease has progressed beyond mild symptoms, or where Class I compression has failed to adequately control oedema, skin changes, or ulceration, higher sustained compression is needed to achieve the pressure gradient required to support venous return and prevent the tissue damage associated with chronic venous hypertension. The closed toe, below knee format delivers this graduated pressure from the ankle to just below the knee in the black colourway at large size — practical and discreet under everyday clothing.
Class II compression stockings may be available on NHS prescription for patients who meet clinical criteria — speak to your GP about whether prescription compression hosiery is appropriate for your situation before purchasing privately. For those purchasing privately, accurate ankle and calf measurement and confirmation of the absence of arterial contraindications are essential steps before use. Pearl Chemist Group pharmacists offer free compression stocking fitting consultations and can advise on whether Class II is appropriate for your presenting symptoms and clinical history. Browse our full compression hosiery range including Class I and Class II options, and our wider venous leg ulcer and wound care supplies.
How to Use Activa Class II Below Knee Compression Stocking Black – Large
Important: Class II compression stockings (18–24 mmHg) exert significantly greater pressure than Class I. They should only be used on the advice of a healthcare professional who has assessed the venous and arterial status of your legs. Do not use Class II compression without clinical guidance.
- Confirm the large size is correct. Measure your ankle circumference at the narrowest point and your calf at the widest, first thing in the morning, and compare against the Activa size chart. NOT FOUND — please confirm ankle and calf measurement ranges for the large Class II stocking from Activa product documentation. Class II stockings are firmer than Class I at the same size — accurate sizing is particularly important as an incorrectly sized Class II stocking can cause significant discomfort and pressure damage.
- Apply first thing in the morning, before getting out of bed if possible, and certainly before significant leg swelling has accumulated. Class II compression is considerably harder to apply to a swollen leg than Class I — early morning application is even more important at this compression level.
- Consider using a donning aid as standard practice. Class II stockings are stiffer and require more force to apply than Class I stockings of the same size. A donning frame and rubber gloves are strongly recommended for most wearers of Class II stockings, not only for those with limited mobility.
- Invert the stocking to the heel before starting — even more important with a stiffer Class II stocking.
- Position the foot and heel correctly before working the stocking up the leg.
- Work the stocking up gradually, smoothing each section as you go. Class II stockings require more deliberate, staged application — do not attempt to pull the whole leg section up at once.
- Ensure the stocking is completely smooth with no wrinkles or creases before wearing. The consequences of a wrinkle in a Class II stocking are more significant than in a Class I, as the higher pressure amplifies the effect of any localised pressure point on the skin and underlying tissue.
- Check circulation carefully after application. Given the higher compression, it is important to confirm that the toes and foot are warm, that capillary refill is normal, and that there is no numbness, tingling, or significant pain. Remove immediately if any of these occur.
- Follow the wearing schedule prescribed by your clinician. The duration and timing of Class II compression wear should be directed by the prescribing healthcare professional.
Tips for applying Class II compression
- A donning frame is strongly recommended — Class II stockings are significantly more difficult to apply than Class I without one.
- Rubber or latex-free gloves are essential for grip on the stiffer fabric.
- Ensure the leg is completely dry — even small amounts of moisture make Class II stocking application considerably harder.
- If application is consistently very difficult or painful, speak to your community nurse or pharmacist, who can advise on technique or alternative product formats.
For guidance on Class II compression application or any concerns about your wearing experience, speak to a Pearl Chemist Group pharmacist or your prescribing healthcare professional.
N/A
N/A
How to Store Activa Class II Below Knee Compression Stocking Black – Large
- Unused stockings: Store in original packaging in a cool, dry place away from direct sunlight. Class II stockings are stiffer than Class I — store flat or loosely rolled without tight bends in the fabric that could distort the stocking's shape before use.
- Washing: Wash after each day's wear. Hand wash in cool water with mild detergent or machine wash at 40°C in a mesh laundry bag. NOT FOUND — please confirm exact washing instructions from Activa documentation. Avoid high-temperature washing, which degrades the elastic fibres and reduces the compression the stocking delivers over time.
- Drying: Air dry only. Do not tumble dry or apply direct heat, which damages the elastic fibres more rapidly in higher compression stockings.
- Rotation: Two pairs in rotation is strongly recommended for daily users — the increased washing frequency needed for Class II stockings worn on clinically significant venous conditions makes rotation important both for hygiene and for stocking longevity.
- Replacement: Replace every three to six months with daily use. Class II stockings must be replaced on schedule — a worn-out Class II stocking that has lost its compression properties may deliver less than Class I compression while still appearing visually intact. If the stocking feels noticeably less firm or supportive than when new, replace it.
- Keep out of reach of children.
FAQs
What is the difference between Class I and Class II compression and when is Class II needed?
Class I delivers 14–17 mmHg of graduated ankle compression and is appropriate for mild venous symptoms, everyday prevention, and early-stage chronic venous insufficiency. Class II delivers 18–24 mmHg — approximately one third more pressure — and is indicated for moderate to severe chronic venous insufficiency, significant varicose veins causing oedema or skin changes, post-thrombotic syndrome, the prevention and management of venous leg ulcers, and lymphoedema under specialist direction. The key distinction is that Class II should only be used on clinical advice after arterial status has been assessed, as the higher pressure carries a greater risk of ischaemic injury in patients with arterial disease than Class I.
Can I buy Class II stockings without a prescription?
Class II compression stockings can be purchased over the counter without a prescription in the UK. However, the fact that they are available without a prescription does not mean they are appropriate for unsupervised self-selection. Class II compression should only be started on the advice of a healthcare professional who has assessed your venous and arterial status. For patients who meet clinical criteria, Class II compression hosiery may be available on NHS prescription — speak to your GP about eligibility before purchasing privately, as prescription stockings may be provided at no cost to you if clinically indicated.
Is Class II compression harder to put on than Class I?
Yes, significantly. Class II stockings are stiffer and require considerably more force to apply than Class I stockings of the same size, because the elastic is stronger in order to deliver the higher therapeutic pressure. Most wearers of Class II stockings need a donning aid and rubber gloves as standard, not only as an option for those with limited mobility. Early morning application before leg swelling accumulates also becomes even more important at Class II, as the stiffer fabric is far more difficult to work over a swollen leg than Class I. If you are transitioning from Class I to Class II, allow additional time and preparation in your morning routine during the adjustment period.
Why must arterial status be assessed before using Class II compression?
Compression stockings work by applying external pressure to the lower leg that exceeds the pressure in the superficial veins, forcing venous blood upward. If the arteries supplying the leg have reduced flow due to peripheral arterial disease, the additional external pressure from a compression stocking can further reduce arterial perfusion — in Class II, sufficiently so to cause ischaemic damage or ulceration. An ankle brachial pressure index (ABPI) measurement compares blood pressure at the ankle against the arm to assess how much arterial supply is reaching the lower leg, and determines the highest compression level that can safely be applied. Class II compression requires a higher ABPI threshold than Class I before it can be considered safe to use.
My venous leg ulcer has healed. Should I continue wearing Class II compression?
Yes. Continuing compression after a venous leg ulcer heals is essential to prevent recurrence. The underlying venous hypertension that caused the ulcer does not resolve when the wound heals — without ongoing compression, venous ulcers have a very high recurrence rate. Your tissue viability nurse or GP will advise on the compression class and wearing schedule appropriate for your ongoing prevention programme. Many patients continue with Class II compression long-term after ulcer healing, while others may be stepped down to Class I once the leg condition has stabilised. Do not discontinue compression after healing without clinical guidance.
Can I get Class II compression stockings on the NHS?
Yes. Class II compression hosiery is available on NHS prescription for patients who meet the clinical criteria — typically those with moderate to severe chronic venous insufficiency, post-thrombotic syndrome, or recurrent venous leg ulceration. If your GP or vascular nurse has recommended Class II compression, it is worth discussing whether NHS prescription is appropriate for your situation, as this would provide the stockings at no cost to you (for those who do not pay for prescriptions) or at the standard prescription charge rather than the full retail price. Our Pearl Chemist Group pharmacists can dispense NHS compression prescriptions and advise on the prescription process.
Does Pearl Chemist Group stock Class II stockings in other sizes and colourways?
NOT FOUND — please confirm the full range of Class II sizes and colourways available from Activa at Pearl Chemist Group and update this answer. Visit your nearest Pearl Chemist Group branch or browse our compression hosiery range online for currently available Class II options. Our pharmacists can advise on sizing, fitting, and the clinical appropriateness of Class II compression for your individual situation.