Compression therapy: specialists & treatment information

Compression therapy is used for phlebological treatment of the legs. The compression stockings used in this treatment method promote blood flow. Treatment with compression stockings is part of the basic therapy for venous disorders. It is particularly necessary at an advanced stage of the disease, but can also be successful in the early stages.

Here you will find further information and selected specialists for compression therapy.

Article overview

Compression Therapy - Further information

Areas of application and how it works

Blood returns from the extremities to the heart through the leg veins. In venous diseases, the walls of the blood vessels are often damaged. This slows down the blood flow and thus the entire blood circulation. As a result, blood clots can accumulate, which further impede the blood flow. In this way, circulation gradually comes to a virtual standstill.

In such cases, thromboses and pulmonary embolisms can occur. These clinical pictures can pose a serious threat to the health of those affected.

Orthopaedic compression stockings are used in compression therapy. They exert pressure on the veins and reduce their size. This leads to an increase in blood flow and promotes the return flow of venous blood to the heart.

Kompressionstherapie
Compression stockings exert pressure on the blood vessels and thus improve blood circulation © tibanna79 | AdobeStock

By accelerating blood circulation, the risk of clotted blood accumulating is reduced. Compression therapy also helps to prevent blood from accumulating in the interstitial tissue. Such oedema could otherwise affect the vessel walls and attack the tissue.

Compression therapy is also used to treat leg ulcers. This open wound occurs in the area of the lower leg. Ulcus cruris can be attributed to three different causes:

  • Chronic venous insufficiency, a disorder in the venous blood circulation.
  • Peripheral arterial occlusive disease(PAD). This form of leg ulcer is colloquially known as "smoker's leg". PAD refers to the gradual occlusion of the arterial vessels in the legs.
  • Diabetes - then known as "diabetic foot".

Compression may only be used in the first case, a leg ulcer caused by venous insufficiency.

An overview of other areas of application:

  • after varicose vein surgery
  • after foam sclerotherapy
  • after spider vein sclerotherapy
  • after phlebitis

Compression therapy is also often used as a preventative measure for

  • hospitalization,
  • prolonged immobilization and
  • during rehabilitation

rehabilitation.

Compression therapy procedure

After a thorough examination of the condition, the doctor prescribes compression stockings or bandages.

Incorrect fixation of the compression stockings not only fails to achieve the desired effect. It can even make the medical problem worse. Careful instruction by the doctor is therefore very important.

As a rule, the patient must wear the compression stockings for at least 8 hours a day . During the night-time rest phase, the patient can do without the stockings unless the doctor prescribes otherwise.

Duration of compression therapy

The length of time the compression stockings are worn depends on the severity of the condition. After spider vein sclerotherapy, the therapy only lasts one week. Other cases require a longer wearing period, e.g.

  • two weeks after phlebitis,
  • six weeks after varicose vein surgery or
  • at least three months after a thrombosis.

Thrombotic conditions often recur after an initial illness. Anyone who is thrombophilic or has already suffered a thrombosis is more susceptible to a recurrence. This is why compression stockings are often used prophylactically as a preventative measure.

In serious cases, compression therapy may also be necessary for life. This is particularly the case for conditions such as

are recommended.

However, the periods given here are for guidance only and may vary depending on the severity of the condition. The attending physician will estimate the exact wearing time based on the medical findings.

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