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Flat Knit Compression

What compression products are best for lymphedema?

Within the compression arena, there are two types of compression therapy: elastic and inelastic.

Elastic compression therapy includes circular and flat-knit compression stockings for venous, lymphatic and wound care applications. These products use elastic fibers that enable the stocking to provide compression and allow stretch for easy application.

The elastic nature of the garment provides a consistent or static compression to the limb. Thus, when a patient moves or ambulates, the compression fluctuates very little and maintains a fairly consistent level.

Key Benefits of Static Compression:

  • Precise and accurate compression
  • Maximum wearing comfort at rest and during activity to enhance compliance
  • Fits every lifestyle need with color and pattern choices

How to choose elastic compression garments for lymphedema?

Compression garments for lymphedema should be prescribed by a physician with input from a Certified Lymphedema Therapist. The specific garment prescribed is dependent upon several factors including limb volume, skin condition, garment experience, the stage of lymphedema, and the phase of treatment.

Lymphedema Therapy Concept

The aim is to reduce the circumference of the affected limbs. So, in the first phase of complex physical decongestion therapy (CPD), manual whole-body lymphatic drainage is performed once or twice a day to promote the return transport of the fluid away from the tissues. A compression dressing is applied after each treatment session. The decongestion therapy is also supported by special exercises. When beginning treatment, skin conditions such as fissures or athlete's foot are treated intensively, because an inflammation can cause additional damage. Consistent skin hygiene and care are also important later on. Only pH-neutral cleansing products and creams may be used.

The first phase of complex physical decongestion therapy lasts about three to six weeks. The individual duration depends on how successful decongestion is. Once the circumference of the affected regions of the body are no longer reduced any further, we then move to the maintenance phase.

The circaid juxtafit can be worn in the transition phase to optimize the result of reduction. Following intensive therapy, some patients may benefit from a transition phase, where results achieved during the decongestion phase can be optimized before moving on to the maintenance phase. The transition period may be helpful to:

  • maximize the effects of intensive therapy and stabilize fluctuations in swelling to an individually acceptable level
  • prevent rebound swelling on transfer to compression hosiery
  • evaluate long-term maintenance strategies
  • support and facilitate self-management
  • reduce practitioner input

During the maintenance phase, patients with lymphedema normally wear flat-knitted compression stockings or an inelastic circaid compression wrap, such as a the circaid juxtafit or the circaid graduate. The circaid graduate is a custom-made, padded device to be worn at night, which maintains the outcome of decongestion even when the patient sleeps. So, patients with lymphedema can be cared for around the clock with medi products.

medi’s lymph therapy concept offers the necessary flexibility and variety of products for this and all three phases.

Round (Or circular) knit compression stockings are knitted on cylinder machines and are seamless. The yarns used are pliable and knit to allow two-way stretch both in circumference and in length. Round-knit stockings mold to the shape of the limb and perform well during movement by staying in place. Round-knit products can be purchased in pre-made sizes (off-the shelf, ready-made) or customized to fit the individual.

Flat-knit compression stockings are elastic garments used typically in the maintenance phase of lymphedema. Flat-knit compression garments are usually custom-made and provide the most containment of all the elastic compression garments that can help support lobes and address problems that occur with skin folds. Flat-knit products can be measured to the exact millimeter to provide optimal fit and have the versatility to add special features for therapeutic support, added comfort and aesthetics.

Compression stockings are available by prescription from medi authorized dealers or medical retailers such as durable medical stores, specialty pharmacies, or orthotic and prosthetic centers with trained individuals who take measurements and provide billing options.

medi custom resource center

What types of mediven® flat-knit garments are available?

There are four flat-knit garment product lines within the mediven family to choose your perfect solution: mediven sensoo, mediven mondi, mediven 550 (leg & arm) and mediven mondi esprit.

For stage 1 lower leg lymphedema, mediven sensoo provides a soft and comfortable fabric choice for those with sensitive skin structures who require a gentler option. mediven mondi is a lower leg, flat-knit solution that provides ultimate customization with aesthetic variety for those with lymphedema up to stage 2. Lastly, our most robust garment, mediven 550 for leg, provides high-working pressure to achieve best therapeutic results for patients with skin folds or lobules that require additional support.

For patients with upper limb lymphedema in stages 1 and 2, mediven mondi esprit delivers fashion and effective edema control through customized fit and a variety of choices, ultimately enhancing compliance. The mediven 550 for arm provides another custom option for all forms of edema with plenty of design and color additions to satisfy any patient while providing maximum containment.

How can I maintain my personal style while wearing compression?

To wearers’ benefit, over the years, compression stockings have evolved to be indistinguishable from traditional hosiery to reflect different lifestyles and patient preferences. From a variety of patterns, design elements, transparency levels, and color motifs, modern compression stockings now complement any wardrobe to reflect individual style while improving overall leg health and wellbeing.

The mediven flat-knit family of products contain an array of vibrant color choices, sophisticated patterned design and fashion elements, and even Swarovski® crystal additions that can add a pop of flair to any outfit. Wearing flat-knit compression for health reasons doesn’t mean you have to lose your sense of style.

Brilliant colors: From standard to trend, medi has up to 13 color varieties to match any desire.

Design & fashion elements: For the leg and arm, different design and fashion features from pyramids to sportive, to animal and flower, and even new color combinations of berry and lilac, to name a few, offer plenty of fun options to spice up any wardrobe.

Are there technology features in flat-knit products?

mediven flat-knit products feature unique elements to help with therapy and functionality, providing all-over comfort and compliance.
Knitting Marks & Functional Zones: medi has a special knitting pattern that creates a softer fabric, with a functional zone that provides even more wearing comfort due to its expansion during movement in areas of flexion like the knee, elbow and toe regions.
Anti-slip silicone dots: With no seams, the anti-slip silicone dot features allow for improved stretch of the garment.
Oblique Borders: Providing optimum fit and a better grip, medi’s oblique borders give unimpeded lymph drainage without circular constriction.
Silk-Lining: This feature allows for ease of application and added comfort in troublesome areas.
Levamed: This fabric enhancement provides additional support for small lobes and ankles to help with decongestion around the malleolus.

What are inelastic products?

Also referred to as Velcro® compression wraps, this category is comprised of our circaid® product line for venous, lymphedema and wound care applications. These products use inelastic materials that have limited stretch when the circumference of the limb changes with movement of the body. The resistance of the garment will make compression levels rise and fall, thus creating a DYNAMIC compression system.

Key Benefits of Dynamic Compression:

  • Ability to adjust compression levels of day and night use
  • Ease of application
  • Maximum edema containment
  • Improved venous hemodynamics