Flat-knitted compression stockings on the right leg.

In the decongestion phase, compression therapy with bandages helps to reduce oedema: in the maintenance phase, compression stockings prevent renewed swelling.

With bandages

In the decongestion phase, a compression dressing with short-stretch bandages is a must after any form of lymphatic drainage. Short-stretch bandages have a high working pressure – this is the strength of pressure applied by the bandages during movement – and at the same time a low resting pressure– this is the strength of pressure applied by the bandages when the patient is at rest. Short-stretch bandages therefore achieve a good level of resistance and consequently a good decongestant effect during exercise. Directly after lymphatic drainage, a brisk walk with your legs bandaged is recommended, as this achieves the best effect and transports the lymph away. Multilayer bandaging should always be applied by trained personnel.

With compression stockings

The results after completion of the decongestion phase must be maintained with compression stockings. This is done with flat-knitted compression stockings which replace the short-stretch bandages. These are seamed stockings made of material that is less elastic and thicker than in seamless compression stockings (e.g. such as those used to treat venous diseases), and thus exert constant pressure over the surface of the leg. They are fitted exactly to the patient’s body contours and thus are made to measure. When properly fitted, the stockings are characterised by a perfect fit and a precise pressure gradient.

Moreover, the material is more resistant to wear-and-tear and is easier to put on than the thinner material of compression stockings.

A further advantage of flat-knitted compression stockings is that the thicker material does not constrict the skin folds that often occur in this clinical picture. For this reason, a round-knitted, seamless compression stocking, which is made of more pliable material, is not usually recommended. Such stockings may lead to genuine constrictions which impede the flow of lymph and put additional stress on the venous system.

For the optimum effect, flat-knitted compression stockings must fit perfectly. This is why expert advice is necessary. You will find specially trained staff in specialist medical supplies stores.