This cookie is set by GDPR Cookie Consent plugin. These cookies ensure basic functionalities and security features of the website, anonymously. Necessary cookies are absolutely essential for the website to function properly. International consensus document on Compression Hosiery A little compression is better than none.Ĭlick here for information on prescribing and measuring for “off the shelf” (ready made) garments but for further information on the role of hosiery in the management of lower limb oedema and guidelines on measuring for custom made garments, please click on below link: When choosing the compression of a garment it is often better to start with a class 1 compression garment and if well tolerated can be increased to class 2 if required.
#Compression garments for lymphedema skin
Factors to consider before advising 24 hour compression hosiery – stocking wont roll down in bed, patient has means to remove stocking if it is uncomfortable, skin is able to tolerate 24 hour compression without irritation or tenderness).
#Compression garments for lymphedema trial
A trial period is strongly advised to ensure this is both comfortable and safe. Garments should be applied in the morning and removed overnight (unless instructed to wear overnight by experienced prescriber e.g uncontrolled oedema that requires 24 hour compression or patients who don’t go to bed.Garments should be well fitting and comfortable.General principles of wearing compression garments: Circular knit garments are often finer and more cosmetically pleasing. The majority of circular knit garments are off the shelf although if required can be custom made. The majority of flat knit garments require to be custom madeĬircular knit garments can be used for mild swelling especially in venous disease, where there is a normal shape and intact skin. In conjunction with movement, it produces a high theraputic pressure providing optimum compression of the tissue. The flat knit stocking won’t yield to oedema.
The thicker fabric offers a lymph draining effect when treating lymphedema or lipoedema. The fabric is joined with a flat, elastic linking seam. Flat-knit stockings are knitted stitch by stitch to precisely follow the contours of the body. There is a wide range of garments available on prescription giving a choice of flat knit or circular knit garments.įlat knit hosiery is preferred if the legs are fatty and if there are pronounced skin folds especially the ankle. Many of the hosiery companies can provide training. It is your responsibilty to identify any education needs regarding this and subsequently sourcing appropriate training. Other contraindications to the application of compression include:Īpplication of compression requires a significant degree of skill and knowledge. Before applying compression stockings, assessment of the arterial circulation is necessary to ensure compression can be safely applied. Without the application of hosiery, any reduction from compression bandaging will be short-lived and the oedema will rebound.
Compression hosiery is the main stay of treatment in chronic oedema.
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