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[Indications and contraindications for modern compression therapy].

Joachim Dissemond1, Martin Storck2, Knut Kröger3

  • 1Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Deutschland. joachim.dissemond@uk-essen.de.

Wiener Medizinische Wochenschrift (1946)
|October 24, 2017
PubMed
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Compression therapy effectively treats lower extremity edema from various causes. Careful patient assessment ensures safe application, even with contraindications like arterial disease, through tailored treatment plans.

Keywords:
Compression-therapyDiabetesLower extremitiesObesityPatient-oriented care

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Area of Science:

  • Physical therapy
  • Vascular medicine
  • Edema management

Background:

  • Compression therapy is a physical therapy commonly used for lower extremity edema.
  • Edema can stem from diverse conditions including venous or lymphatic diseases, renal insufficiency, obesity, and inflammation.

Purpose of the Study:

  • To review the indications and contraindications of compression therapy for lower extremity edema.
  • To highlight the importance of patient-oriented care in adapting therapy to individual needs and comorbidities.

Main Methods:

  • Review of current literature on compression therapy for lower extremity edema.
  • Analysis of indications, contraindications, and available compression systems.
  • Emphasis on patient-centered approach considering comorbidities and individual abilities.

Main Results:

  • Compression therapy is indicated for edema of various origins.
  • Key contraindications include advanced peripheral arterial occlusive disease and polyneuropathy.
  • A wide range of compression materials and systems allows for treatment in most patients.

Conclusions:

  • Despite contraindications, compression therapy can be safely and effectively applied to a large proportion of patients with lower extremity edema.
  • Therapy must be individualized, considering patient comorbidities, needs, and abilities for optimal outcomes.