Compression Therapy
What is Compression Therapy?
Compression therapy is an effective treatment method primarily used to improve circulation in the legs, ankles, and feet. It is commonly applied in the treatment of venous leg ulcers, lymphedema, and leg swelling.
While this method may initially seem challenging for many patients and some may resist due to previous negative experiences, scientific research shows that compression therapy is one of the most effective treatments for venous diseases.
What is the purpose of Compression Therapy?
Increases venous return in the legs
• Reduces swelling (edema)
• Accelerates healing of wounds and ulcers
• Decreases pain and inflammation
• Alleviates changes in skin color
• Supports more efficient muscle functionCompression therapy can be applied using bandages, medical stockings, wraps, or specially designed medical garments. It is also recommended to combine this treatment with ankle and calf exercises to enhance its effectiveness.
When is Compression Therapy Used?
Compression therapy is recommended in the following conditions:
Venous leg ulcers
Lymphedema (accumulation of lymph fluid)
Leg swelling
Varicose veins and venous insufficiency
Circulatory disorders in the legs
Recovery after subcutaneous blood clot formation
Compression Therapy Methods
Compression applications are personalized. Methods that can be used include:
Bandaging systems
Compression stockings (Class 1, 2, 3)
Compression wraps
Adjustable compression wrap systems
Medical garments and wraps (wrap-around fabric systems)
Note: Compression strength should be adjusted individually like medication dosage. For example, a patient with superficial varicose veins and a patient with deep vein thrombosis do not require the same pressure level.
Compression Therapy Causes Pain?
At the beginning of treatment, mild discomfort may be felt. However, this should not turn into pain. As swelling decreases, discomfort also lessens. If pain or discomfort continues, bandaging technique or pressure level should be re-evaluated.
Warning: Compression should not be applied without specialist physician control in cases of advanced arterial blockage (critical ischemic disease).
Who Is Compression Therapy Not Suitable For?
Treatment should be carefully planned in the following cases:
Patients with severe arterial blockage
Presence of infection in open wounds
Patients with heart failure (in some cases)
Why Is Correct Dosage Important?
Insufficient pressure reduces treatment success. For example, applying low-dose compression to a patient with venous ulcers is like taking only half a painkiller tablet—it is ineffective. Therefore, strong and effective pressure may be necessary.
Why Is Effective Follow-up Important in Compression Therapy?
Continuity of effective compression therapy is very important. Incomplete application or incorrect product use renders the treatment ineffective. If you do not observe any progress in your treatment, be sure to contact your nurse or therapist.
Frequently Asked Questions
Compression therapy typically begins to show effects within the first few days. Swelling decreases, pain lessens, and wound healing accelerates. However, full results may take weeks or months. The duration depends on the individual and the severity of the condition.
Yes, they should be worn especially in the morning and kept on throughout the day. However, they are usually removed at night while sleeping. Follow your doctor’s instructions for proper use.
Compression can be uncomfortable but should not cause pain. If you experience discoloration, numbness, or severe pain in your toes, the bandage may be too tight—consult a healthcare professional in such cases.
It depends on the type and severity of your condition. For mild varicose veins, Class 1 compression is preferred, while for advanced venous ulcers, Class 2–3 compression is recommended. The correct class should be determined by your doctor or nurse.
You can use a stocking aid device or put on the stockings before getting out of bed in the morning, before any swelling develops. You can also seek assistance from your nurse for proper application.