The concept around compression therapy is to apply external pressure to the affected limb or limbs to enhance the competency of the venous
and lymphatic systems
in the body. The amount of applied pressure is determined by a clinician and can vary dependent upon the severity of the condition. These conditions can start out as tired or achy legs and can progress to varicose veins
or more severe illnesses such as Chronic Venous Insufficiency (CVI) , Venous Leg Ulcers (VLU)
, or Deep Vein Thrombosis (DVT)
. The amount of compression delivered is measured in millimeters of Mercury, or mmHG, with the higher pressure prescribed delivering the most compression therapy. To successfully combat the elements of gravity, effective compression therapy usually begins at 20 mmHg for mild conditions, with compression levels exceeding 40 mmHg for more severe cases. Always check with a doctor first to ensure the correct compression level is prescribed.
What types of compression wraps are available?
There are several types of compression wraps available that provide various forms of therapy based on the characteristic of the product. Choosing the correct wrap can depend on the severity of the venous condition, at what stage a patient may be in the healing process, or the general preference of the patient. Regardless of the product choice, obtaining the correct prescribed compression level and maintaining a consistent compliance level while using the product, will help deliver healthy patient outcomes.
Compression wraps can be categorized as either a bandage application (roll or Ace-like product) or an inelastic compression garment (Velcro® enclosed wrap). Bandages come in both short-stretch and long-stretch types with the compression level determined by the clinician applying the product. Bandages are an excellent choice for short-term applications or for unique limb shapes. Inelastic compression wraps, such as the circaid® juxtalite®
and circaid® juxtalite® hd
, only come in low-stretch or inelastic compression which delivers dynamic compression verses static compression. The resistance of the garment will make compression levels rise and fall, thus creating a DYNAMIC compression system. Inelastic compression garments are sized to the individual and are used in more long-term therapy applications.
Why use a compression wrap verses a compression bandage?
Inelastic compression garments have some key advantages over a bandaging application. Most notably, compression wraps like the circaid® juxtalite® and juxtalite® hd have measurable compression levels that give the clinician and patient the ability to apply the prescribed dosage. Due to the hook-and-loop (Velcro®-like) application, a garment can be adjusted and reapplied as compression products can migrate during activity. And, inelastic garments can be washed and dried, allowing for long-term wear of at least 6 months which is a tremendous value on a cost-per-application basis.
Why use a compression wrap verses a compression stocking?
There are three functions to evaluate when choosing between an inelastic compression garment versus a compression stocking such as the mediven®
assortments. Both provide accurate, graduated compression when fit and applied correctly, and both provide quality long-term therapy.
Compression wraps are made of inelastic material that delivers dynamic compression. Meaning, at rest the garment will hold at the set compression level. But when the patient ambulates, the calf muscle pumps or “flexes”, causing additional pressure that makes the delivered compression level rise temporarily. Compression stockings are made up of an elastic material that delivers static compression. The delivered compression level in a compression stocking stays relatively constant as the elastic material stretches with the calf “pump” during ambulation.
The other core difference between a compression wrap and a stocking is the application methods. Traditional stockings are applied like other socks or hosiery. There are techniques
and application aids
that can assist those who may be challenged. Some patients may find that the wrap application
is a good alternative. Lastly, the inelastic properties and design allow compression wraps to be adjusted for wear both day and nighttime wear. While in a reclined position, less compression is needed due to diminished effects of gravity pulling fluids to the feet.
How to choose the right compression wrap?
Always consult with a physician to help select the proper compression garment. The circaid® products are categorized either as lymphedema products
or products for venous health. Within each segment, there are products for use in the acute stage of treatment as well as in the transitional and preventive stages. Know that the medi education, sales, customer service and dealer network
teams will help with selection and fit of all garments.
What compression wrap is best for Chronic Venous Insufficiency?
circaid® has several products in its venous health segment clinically proven to help in the treatment of chronic venous insufficiency. During the acute phase, the circaid® juxtacures
has been a cost-effective treatment for venous leg ulcers in both the clinical and home care settings. The circaid® juxtalite® product line has been the undisputed compression wrap choice of clinicians for venous health. The features of the product were designed to ensure proper compression accuracy while enhancing patient compliance and independence.