Compression Therapy

  • Joshua S. Mervis
  • Hadar Lev-TovEmail author
Part of the Updates in Clinical Dermatology book series (UCD)


Compression therapy is the primary treatment for chronic venous insufficiency (CVI) and venous leg ulcers (VLUs). In the outpatient clinic, dermatologists often use compression to treat CVI-related sequelae, such as varicose veins, edema, venous dermatitis, and lipodermatosclerosis. Various compression modalities are available, including stockings, elastic and inelastic bandages, pneumatic pumps, and specialized garments. The different compression systems have pros and cons that may make certain types of compression more or less appropriate depending on clinical and social factors. Patient compliance has historically been one of the biggest challenges with compression, and new devices have sought to make compression more comfortable and acceptable to patients. Finally, evidence is emerging for use of compression therapy in wounds other than VLUs and is well established for treatment of lymphedema. Thus, a thorough understanding of compression is important for all dermatologists and, in particular, those with an affinity for wound care.


Compression Bandages Stockings Venous leg ulcer Venous ulcer Wounds Chronic Wound healing Venous insufficiency Edema 



4-layer bandage


Ankle-brachial index


Congestive heart failure


Chronic venous insufficiency


Intermittent pneumatic compression


Short-stretch bandage


Venous leg ulcer


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Dermatology and Cutaneous SurgeryUniversity of Miami Miller School of MedicineMiamiUSA
  2. 2.Dr. Phillip Frost Department of Dermatology and Cutaneous SurgeryUniversity of Miami Miller School of MedicineMiamiUSA

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