Compression bandaging as basic therapy
Compression bandaging is to be regarded as the basic
therapy for all venous leg ulcer conditions because it
intervenes causally in the disease process. Compression
The exactly fitting compression bandage is recommended
applied to the leg causes
both for acute and initial treatment and for maintenance
▪ narrowing of the suprafascial veins with at least partial
therapy of all phlebological conditions. Many patients
restoration of valve function
▪ closure of incompetent perforating veins and thus pre-
can be successfully treated by this method alone. The
vention of reflux from sub- to suprafascial, as well as
decisive factor for therapeutic efficacy, however, is that abolition of harmful “shear effects” accompanying mus-
the various available compression materials such as
cle contraction
bandages and stockings should be used in accordance
▪ when using a suitable technique, reduction of the
with therapeutic needs.
lumen of the deep and muscle veins and thus a
decrease in the dead space, acceleration of blood flow
velocity and, to a certain extent, substitution or restora-
tion of valve function when valves or valve remnants are
still preserved
▪ an increase in tissue pressure and an associated
increase in reabsorption in the terminal vessels and the
lymph vessels
▪ reinforcement of the fascia as a resistance surface for
the muscles and hence an improvement in the joint
muscle pump and self massage of the tissue during
movement
Schematic diagram of an insuffi-
cient vein (left) and its constric-
tion by a compression bandage
(right)
Compression therapy [62.63]
Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47