Main contraindications to compression therapy

Compression is strongly contraindicated in the event of severe peripheral arterial disease when the Ankle Brachial Pressure Index (ABPI) measured by Doppler ultrasound is less than 0.6. Compression using a high level of pressure is contraindicated in the event of an ABPI <0.8. In this instance, when ABPI is >0.6 and <0.8, reduced compression may be applied dependent on local protocols.

 

 

The other main contraindications to venous compression therapy are patients suffering from :
  • cardiogenic oedema caused by heart failure
  • diabetic microangiopathy
    In this case, prescription of compression therapy may be possible on specialist advice following appropriate treatment of the causes of the concurrent disease, under close medical supervision and with a reduction in the pressure levels.

     

  • severe skin infections (such as pyoderma, for example)
  • allergies to bandage or hosiery materials, particularly in the event of a known allergy to natural latex (in the case of cohesive bandages containing natural latex), and to adhesives, etc.

In all cases, it is obviously essential to extend the diagnosis in the event of any oedema, with further investigation to detect any cause other than a venous or lymphatic one.