What are Compression Garments?

Compression garments are pieces of clothing that apply gentle but firm pressure to specific areas of the body. 

They are typically made from elastic materials like nylon and elastane, and come in a variety of forms like socks, tights, sleeves, vests or tops.

Compression garments are a key part of managing lymphoedema, a condition that causes swelling in a part of the body, usually the arms or leg and it works by applying gentle pressure to the affected arm or leg (or area) which helps to:

• Reduce and control swelling
• Improve circulation
• Prevent further fluid build-up
• Promote lymph drainage
• Improve quality of life

There are different types of compression garments available, including sleeves, stockings, tights, and wraps. The type of garment you will need will depend on the severity of your lymphoedema and the location of the swelling.

It is important to get compression garments that are fitted properly by a Lymphoedema Therapist, or a Lymphoedema Nurse. This is because garments that are too loose will not be effective, and garments that are too tight can be uncomfortable and may even damage your skin. The type of material and the style of garment is also very important.

If you have lymphoedema, you will likely need to wear compression garments for life. It is therefore extremely important that they are comfortable and that the garment achieves the goal of reducing swelling and improving your quality of life. Compression can be a remarkably effective way to manage the condition, along with self-Lymphatic Drainage exercises at home, a good skincare routine and regular activity.

ompression garments are a crucial part of recovery after many cosmetic surgery procedures. They apply gentle, constant pressure to the surgical site, which can offer a number of benefits, including:

• Reduced swelling: Compression helps to minimize fluid buildup after surgery, which can lead to swelling and discomfort.
• Improved circulation: Compression can improve blood flow to the surgical site, which can promote healing and reduce bruising.
• Reduced pain: Compression can help to stabilize the surgical site and reduce pain.
• Improved contour: Compression can help the skin conform to the new underlying tissues, which can lead to a smoother, more sculpted appearance.
• Reduced risk of infection: Compression garments can help to keep the surgical site clean and protected.

Your surgeon will typically recommend that you wear a compression garment for a specific period of time after surgery. The exact duration will vary depending on the type of procedure you had, but it is typically for a few weeks to a few months.

Here are some things to keep in mind when wearing a compression garment:

• You must wear the garment as directed by your surgeon, typically 24 hours a day except for when showering or bathing.
• Let your surgeon know if you experience any pain, discomfort, or difficulty breathing while wearing the garment.
• Check with your MLD Therapist that you are wearing it correctly, and that it fits you correctly. You may need to buy a smaller size after two or three weeks.
• Surgeons and Surgical Teams are not always the experts when it comes to post surgical compression – if there are any concerns speak to your MLD Therapist, who should have good experience and knowledge in this area.

The main difference between off-the-shelf and made-to-measure compression garments comes down to fit and customisation. Here's a breakdown:

• Fit: These garments come in standard sizes based on measurements like ankle, calf, and thigh circumference. They may not perfectly conform to your body shape, potentially leading to bunching or loose areas.
• Customisation: Limited options. You'll typically choose from a range of sizes and compression classes (strength of squeeze). Material options are also generally more limited.
• Pros: Affordable, readily available, and easy to find in drugstores or online retailers.
• Cons: May not provide optimal compression due to imperfect fit, limited material choices for sensitive skin, and may not be ideal for unusual body shapes.

• Fit: A medical professional will take precise measurements of your body to ensure a perfect fit. This is crucial for targeted compression and maximum effectiveness.
• Customisation: Highly customisable. You can choose the compression class, material (including options for sensitive skin), and features like reinforced areas or open toes.
• Pros: Provides the most precise and effective compression, more comfortable wear, and caters to specific needs and body shapes.
• Cons: More expensive than off-the-shelf options, requires a consultation and fitting process, and may take longer to obtain.

• For mild conditions or preventative wear, off-the-shelf compression might be sufficient.
• For moderate to severe conditions, where optimal fit and targeted compression are crucial, consider made-to-measure garments.
• Consult a healthcare professional to determine the right type of compression for your needs. They can advise you on compression class, fit, and whether off-the-shelf or made-to-measure is best for you.

Getting compression garments on and off:

The higher the class of compression, the more difficult it can be to get the garment on – and sometimes getting it off again too.

There are aids available that will help to make this task much easier. These are available in different shapes and sizes from various compression companies and are available on prescription, or direct purchase.

• Do put on your compression garments first thing in the morning. This is when your legs/arms are least swollen, and it will be easiest to put them on.
• Do make sure your skin is dry before putting on your compression garments. Lotion/creams can make them much harder to put on.
• Do trim your toenails and fingernails to avoid snagging your compression garments. A snag can lead to a run or tear, which means you’ll need to replace them sooner. This also creates risk of snagging your skin and causing a bleed, or a leg ulcer.
• Do wear rubber gloves when putting on compression stockings. This will give you a much better grip and makes it easier to get them on.
• Do sit down when putting on your compression garments. This will help you apply even pressure and avoid bunching of material behind the knee.
• Do wash your compression garments daily, if possible, in warm, soapy water and allow them to air dry. Don’t put them in the dryer, as this can damage the fibers.
• Do wear socks, slippers, or shoes over your compression stockings to protect them from snags and tears.

• Don't fold or roll down the top of your compression garments. This can create a tight band around your leg and cut off your circulation.
• Don't wear ripped or torn compression garments. These won’t provide the level of compression you need and could irritate your skin.  Book a re-measure for new garments.
• Don't wear compression garments that are too tight or too loose. If they are too tight, they could cut off your circulation. If they are too loose, they won’t be effective. If you are unsure about the right size, talk to your doctor.
• Don’t forget – you should be. -measured every six months in case there is an increase or decrease in size. This may mean you need new garments.