Skip to main content

Controlled Compression Therapy and Compression Garments

  • Chapter
Lymphedema

Abstract

The most important factor to maintain the effect of any therapy is the use of compression garments. Garments should be prescribed in such a number so that the edema does not recur. A common mistake is that the patient receive one, or if lucky two garments, after treatment. When the arm or leg is swollen again, the patient comes back to the therapist and treatment starts again, and so on. Instead the patient must be followed up at regular intervals during the first year in order to find out the exact number of garments that the patient needs in order to prevent recurrence. This means that treatment must be individualized. An elderly woman may need two garments every 6 months, while a young active patient with a heavy work may need two garments every month. One can draw a parallel to the dosage of insulin to a patient with diabetes that in the same way must be individualized. You do not prescribe two vials of insulin for 6 months, when the patient needs that same amount for 1 month.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Brorson H, Svensson H. Liposuction combined with controlled compression therapy reduces arm lymphedema more effectively than controlled compression therapy alone. Plast Reconstr Surg. 1998;102(4):1058–67. discussion 68.

    Article  CAS  PubMed  Google Scholar 

  2. Swedborg I. Effects of treatment with an elastic sleeve and intermittent pneumatic compression in post-mastectomy patients with lymphoedema of the arm. Scand J Rehabil Med. 1984;16(1):35–41.

    CAS  PubMed  Google Scholar 

  3. Brorson H. From lymph to fat: liposuction as a treatment for complete reduction of lymphedema. Int J Low Extrem Wounds. 2012;11(1):10–9.

    Article  PubMed  Google Scholar 

  4. European Committee for Standardisation (CEN/TC 205WG2). Medical compression hoisery. European Standard CEN/ENV 12718, 2001.

    Google Scholar 

  5. Andersen L, Hojris I, Erlandsen M, Andersen J. Treatment of breast-cancer-related lymphedema with or without manual lymphatic drainage–a randomized study. Acta Oncol. 2000;39(3):399–405.

    Article  CAS  PubMed  Google Scholar 

  6. Dayes IS, Whelan TJ, Julian JA, Parpia S, Pritchard KI, D’Souza DP, et al. Randomized trial of decongestive lymphatic therapy for the treatment of lymphedema in women with breast cancer. J Clin Oncol. 2013;31(30):3758–63.

    Article  CAS  PubMed  Google Scholar 

  7. Javid SH, Anderson BO. Mounting evidence against complex decongestive therapy as a first-line treatment for early lymphedema. J Clin Oncol. 2013;31(30):3737–8.

    Article  CAS  PubMed  Google Scholar 

  8. Brorson H, Svensson H. Complete reduction of lymphoedema of the arm by liposuction after breast cancer. Scand J Plast Reconstr Surg Hand Surg. 1997;31(2):137–43.

    Article  CAS  PubMed  Google Scholar 

  9. Brorson H, Svensson H, Norrgren K, Thorsson O. Liposuction reduces arm lymphedema without significantly altering the already impaired lymph transport. Lymphology. 1998;31(4):156–72.

    CAS  PubMed  Google Scholar 

  10. Ketterings C, Zeddeman S. Use of the C-scan in evaluation of peripheral lymphedema. Lymphology. 1997;30(2):49–62.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Håkan Brorson M.D., Ph.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Ohlin, K., Svensson, B., Brorson, H. (2015). Controlled Compression Therapy and Compression Garments. In: Greene, A., Slavin, S., Brorson, H. (eds) Lymphedema. Springer, Cham. https://doi.org/10.1007/978-3-319-14493-1_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-14493-1_18

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14492-4

  • Online ISBN: 978-3-319-14493-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics