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Published on: September 20, 2019
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[Evidence of compression therapy]
W Konschake1, E Valesky2, H Stege3
1Klinik- und Poliklinik für Haut- und Geschlechtskrankheiten, Universitätsmedizin Greifswald, F.-Sauerbruchstr., 17475, Greifswald, Deutschland.
Summary
Medical compression therapy effectively heals venous ulcers and prevents recurrence. While evidence supports its use for ulcers, its application post-varicose vein procedures relies on clinical experience rather than randomized trials.
Area of Science:
- Vascular Medicine
- Dermatology
- Phlebology
Background:
- Medical compression therapy is a cornerstone in managing phlebologic diseases.
- Both compression bandages and stockings are utilized for therapeutic purposes.
- Compression is recognized as an effective conservative treatment for venous ulcers and other conditions.
Purpose of the Study:
- To present the evidence-based indications for medical compression therapy.
- To review and systematically present the current evidence supporting compression therapy.
Main Methods:
- A comprehensive review of existing literature was conducted.
- Guidelines and consensus statements were systematically searched and analyzed.
- Indications for compression therapy were identified based on the evidence.
Main Results:
- High-level evidence confirms compression therapy's efficacy in healing venous ulcers and preventing their recurrence.
- The use of compression post-varicose vein interventions lacks randomized controlled trial data, relying on clinical experience.
- Clinical experience suggests compression therapy aids in healing inflammatory skin conditions like erythema nodosum and psoriasis.
Conclusions:
- Compression therapy is highly recommended for patients with venous ulcers.
- Further research, including randomized controlled trials, is needed to solidify evidence for post-procedural compression use.
- Compression therapy demonstrates potential benefits across a range of vascular and dermatologic conditions.
