The main veno-lymphatic indications of compression therapy

Compression therapy has demonstrated its efficacy:

  • by improving chronic venous disease,
  • by accelerating the healing rate of venous ulcers,
  • in the prevention and treatment of deep and superficial venous thrombosis and post-thrombotic syndrome,
  • by optimising care following phlebological surgery,
  • in the correction and prevention of dynamic or mechanical lymphatic insufficiency (lymphoedema), etc...

Depending on the indications, and the severity stages of the conditions to be treated, different average pressure levels to be applied to the ankle are recommended with varying degrees of consensus according to the data in the literature:

  • Low to moderate pressure is considered to be enough to relieve the symptoms of chronic venous disease (CVD) in the early stages (C0 to C3).

    C1: Presence of telangiectasia

    C2: Development of varicose veins

    C3: Presence of venous oedema
  • However, high pressure is recommended in the event of advanced CVD (C4 to C6, particularly in the event of venous ulcers) and for lymphoedema.
    According to the international guidelines, in the presence of venous leg ulcers and/or severe trophic changes without any co-morbidities, in particular those of arterial origin, it is widely agreed that the pressure applied to the ankle must be high, in the region of 40 mmHg.
    For lymphoedema, the pressure must also be high, with the level varying dependent on the publications or references used and the severity of the condition.

    C4: Trophic changes of venous origin

    C5: Healed ulcer with trophic changes

    C6: Presence of one or more active venous ulcers

    Lymphoedema
Level of pressure (Read more...)