Everything for successful therapy in lymphoedema With compression stockings that are effective and pleasant to wear
The fact is that only consistent compliance with therapy can prevent worsening of the disease. In the treatment of lymphoedema, Complex Physical Decongestion Therapy (CPDT) has proved successful and has now been generally adopted as the first phase of treatment. The effect is to drain away accumulations of lymph, to restructure modified and hardened connective tissue, to activate the muscle pumps etc.
In this first phase a compression dressing using a particular bandaging technique exerts pressure on the tissue and the muscles. It supports decongestion, promotes lymph drainage during exercise and prevents the reflux of lymph fluid into the affected parts of the body. This prevents further swelling.
Compression therapy using compression stockings
The second phase of therapy (CPDT Phase II) is different from Phase I particularly with respect to the compression therapy. Instead of bandages the patient is now given special compression stockings to maintain the success of decongestion. These are manufactured generally on an individual basis, using flat knit technology. Compression garments are available for arms, hands, legs and toes
Decisions concerning compression category (I to lV) and type of garment are taken by the doctor. Modern compression stockings, consist of high-tech fibres that are pleasant to wear and highly permeable to air, which is highly beneficial for the skin.
Tips for successful compression therapy
- Important factors in the success of compression therapy are the provision of comprehensive advice by the doctor and specialist retailer, and also the correct measuring technique for the stockings. Measurements must be taken at specific points.
- In order to be effective, compression stockings must fit exactly. Each patient must be shown exactly how to put these on and take them off correctly and practise this a number of times when the garments are first supplied.
- Special dressing and undressing aids are available – like the compression stockings themselves – from selected specialist retailers.
- It is important to follow the care instructions: only if the compression stockings are properly cared for will they keep their shape and ensure lasting therapeutic success.