60%1
Increase in blood flow equal to 60% of walking — while you sit still
10g
Weighs about the same as two sheets of paper
30hrs
Each device runs up to 30 hours, then you open a fresh one
0
Wires, leads and charging cables. Silent in operation
How to fit it
Peel the backing off, place the device just below the knee, and press the button once. This short video from the manufacturer walks through it — most people only need to watch it the first time.
Printed instructions come in every pack. If you're unsure about placement, your surgeon or physio can check it for you.
It gets your circulation moving when you can't
After an operation you can't walk swelling off — and walking is exactly what clears it. The geko does the job for you.
Wear it just below the knee
Sits over the outside of the leg, below the kneecap. Peel, place, press the button. No wires, no charging, no set-up.
It pulses once a second
A gentle electrical pulse reaches a nerve running close to the surface. Most people describe a light tingle, then forget it's there.
Your calf pump moves the fluid
Calf and foot muscles squeeze and release — the same pump that shifts blood up your leg when you walk. The swelling gets somewhere to go.
Your 10-day course
Why ten days?
Swelling doesn't peak the day of your operation. For most people it climbs for the best part of a week and tops out around day six to eight. The pack is built to cover that whole window — one fresh device a day, right through the worst of it.
9Days 1–5 · swelling climbing
Start as soon as you're home. This is when getting ahead of the fluid matters most.
Days 6–8 · the peak
Swelling is at its worst and the joint feels tightest.
Days 9–10
Coming back down.
Typical pattern only — your surgeon or physio will advise what's right for you.
"The hospital gave me stockings — why would I need this?"
They do different jobs. Stockings squeeze from the outside to stop fluid gathering. The geko works from the inside, actively pumping blood along. Plenty of people use both.
The evidence behind what we've said
Every figure on this page comes from one of the studies below. Where the data is the manufacturer's own and not yet published, we've said so.
Tucker A, Maass A, Bain D, et al. Augmentation of venous, arterial and microvascular blood supply in the leg by isometric neuromuscular stimulation via the peroneal nerve. Int J Angiol 2010;19(1):e31–7
Nicolaides A, Griffin M. Measurement of Blood Flow in the Deep Veins of the Lower Limb Using the geko™ Neuromuscular Electro-stimulation Device. Int Angiol 2016;35(4):406–10
Wainwright TW, Burgess LC, Middleton RG. A feasibility randomised controlled trial to evaluate the effectiveness of a novel neuromuscular electrostimulation device in preventing the formation of oedema following total hip replacement surgery. Heliyon 2018;4(7)
Van Overschelde P, et al. MoveUP: the geko™ device vs standard of care in post-operative recovery following total knee replacement. Pilot randomised controlled trial
CTR Oedema Registry — geko™ vs standard of care, oedema reduction over time following knee replacement.
Sallent A, Abidi N, Baduell A, Patel S. Activation of the Venous Muscle Pump by Neuromuscular Stimulation of the Common Peroneal Nerve Reduces Postoperative Edema in the Foot and Ankle. doi:10.1101/2025.05.20.25327913 View study
Baker et al. The geko™ Neuromuscular Electrostimulation Device Reduces Pre-Operative Oedema and Accelerates Readiness to Theatre in Patients Requiring Open Reduction Internal Fixation for Ankle Fracture. 2020
Zhao X, Zhang J, Li Y, et al. Impact of Geko Neuromuscular Stimulator on Preoperative Preparation in Fractures. J Coll Physicians Surg Pak 2024;34(5):568–72
Loyd BJ, et al. The relationship between lower extremity swelling, quadriceps strength, and functional performance following total knee arthroplasty. The Knee 2019;26:382–91
NICE Medical Technologies Guidance HTG344 — The geko™ device for reducing the risk of venous thromboembolism. Issued June 2014 View study