What is Compression Therapy?

What is Compression Therapy?

March 19, 2020

Most people think compression socks are just for older people, but compression socks help keep your veins healthy, and many vein problems start when people are young.

The concept of compression therapy is the external application of a controlled pressure to an extremity to help increase the efficiency of the venous and lymphatic systems. This is done with an elastic garment that has a specific amount of compression that is strongest around the ankle and gradually decreases up the extremity/garment. Depending on the pathology, compression therapy can be applied in different forms such as socks, stockings, pantyhose, or sleeves.

INDICATIONS & RISK FACTORS

Compression therapy can be utilized to help with the treatment and prevention of many venous and lymphatic issues and assist in performance and recovery during activity. As a treatment measure, it can be prescribed to treat such things as phlebitis, thrombosis, aftercare from surgery, sclerotherapy, aiding achy and heavy feeling legs, varicose veins, spider veins, edema, and leg ulcers.

Compression therapy has also been utilized in activity as a performance and recovery measure by assisting continuous blood flow, minimizing blood pooling, increasing drainage of toxins like lactic acid, and helping to sustain reparative processes.

As a preventative measure, compression can be prescribed for such things as long distance flying, pregnancy, occupation, and lifestyle. Below are some important risk factors for the development of venous and lymphatic issues:

  • Age: Risk Increases With Age Due To Wear And Tear On The Valves Of Veins
  • Sex: Women Are More Likely To Develop Venous Issues Due To Hormonal Changes Relaxing Vein Walls
  • Family History: Venous And Lymphatic Issues Are Hereditary
  • Obesity: Being Overweight Puts More Pressure On The Veins
  • Occupation: Sitting And Standing For Long Periods Of Time Effects Blood Flow And Increases Blood Pooling Overtime

That being said, it is also important to know that compression therapy is not suitable for everyone. Compression should not be worn if someone has advanced arterial disease of the legs, septic phlebitis, advanced peripheral neuropathy, or uncontrolled congestive heart failure. 

EFFECTS & BENEFITS OF COMPRESSION THERAPY

Graduated compression has many positive effects on the body to both blood flow and the tissues themselves. Below are some of the physiological effects of compression:

Blood Flow Effects:

  • Increases Venous Blood Flow (Circulation)
  • Decreases Venous Blood Volume (Blood Pooling)
  • Decreases Reflux In Diseased Superficial And Deep Veins (Minimize And Reduce Spider And Varicose Veins)
  • Decreases Pathologically Elevated Venous Pressure

Effects on Tissue:

  • Decreases Elevated Edema Of The Tissue (Swelling)
  • Increases Drainage Of Toxic Substances Like Lactic Acid
  • Decreases Inflammation
  • Sustains Reparative Processes
  • Improves Movement Of Tendons And Joints

HEALTHY LEG TIPS

To maintain healthy legs, it is important to implement more than just compression therapy. Here is a useful list of how you can play your part in keeping your legs healthy:

  • Avoid Sitting And Standing For Long Periods Of Time. Circulation Improves With Physical Activity, So Take A Short Walk, Climb Stairs, And Make An Effort To Move Around At Home And Work.
  • After A Long, Tiring Day, Revitalize Your Legs With A Cool Shower Or Bath. This Is Especially Important In The Summertime As Heat Will Cause Your Veins To Dilate And Can Induce Swelling.
  • Elevate Your Legs. Help The Effects Of Gravity And Boost Your Body’s Natural Circulation.
  • Work Out. Regular Exercise Helps Keep Muscles Strong And Active To Help Blood Flow.
  • Manage Your Weight. Excess Weight Puts Added Pressure Onto The Veins.
  • Wear Compression Socks Every Day To Help Improve Venous Circulation And Prevent And Treat Venous Problems.

FINAL REMARKS

It is very important to see a certified compression therapy fitter to get a pair of compression socks. Ill-fitting garments can cause harm to an individual such as pressure ulcers, arterial occlusions, and even gangrene. Compression stockings are a medical prescription that you wear on your legs and therefore should be recommended by a health care professional. There are many different materials, sizes, types, and colours of garments that need to be taken into consideration to be the most effective and beneficial to an individual. If you would like to have all the benefits of compression therapy, please talk to a health care professional and have them fitted by a certified compression therapy fitter.

Click here to browse our selection of over-the-counter compression socks!

Katrina Dittmann, BSc. Kin, CPT

Kinesiologist, Head Brace Fitter, Certified Compression Therapy Fitter 

Book your apppointment today


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[OLD] Sizing Charts

FOOTWEAR:

European Sizing chart conversion:

*Please note that these conversion charts serve as a general guideline, actual fitting may vary by style.

Women’s

US

4.5-5

5.5-6

6.5-7

7.5-8

8.5-9

9.5-10

10.5-11

11.5-12

12.5-13

EU

35

36

37

38

39

40

41

42

43

 

Men’s

US

7.5-8

8.5-9

9.5-10

10.5-11

11.5-12

12.5-13

13.5-14

14.5-15

EU

41

42

43

44

45

46

47

48

 

SOCKS :

Sockwell

Brooks

Sock Size

US Men's Shoe Size

US Women's Shoe Size

Euro Shoe Size

Small

 

4 - 6.5

34 - 37

Medium

6 - 8.5

7 - 9.5

38 - 41

Large

9 - 11.5

10 - 12.5

42 - 45

XL

12 - 14.5

 

46 - 49


ANKLE BRACES:

 

Bauerfeind

 

Professional Orthopedic Products (POP)

  

DJO - Roboboots – Short and Tall

SHOE SIZE MEN

SHOE SIZE WOMEN

SIZE

Up to 4

Up to 5

XS

4 - 7

5 - 8

S

7 - 10

8 - 11

M

10 - 13

11 - 15

L

13+

15+

XL

 

 

 

DJO- Aircast Airsport

DESCRIPTION

MEN

WOMEN

SIZE

Left

Up to 5

Up to 5

X-Small

Right

Up to 5

Up to 5

X-Small

Left

5.5 - 7

5.5 - 8.5

Small

Right

5.5 - 7

5.5 - 8.5

Small

Left

7.5 - 11

9 - 12.5

Medium

Right

7.5 - 11

9 - 12.5

Medium

Left

11.5 - 13

13 - 14.5

Large

Right

11.5 - 13

13 - 14.5

Large

Left

13.5 +

15 +

X-Large

Right

13.5 +

15 +

X-Large

  

KNEE BRACES:

 

Bauerfeind

 

 

 

Ossur

Size

Circumference*

*Circumference measured 6” above mid-patella

XSmall

11.5" (29cm) to 13.75" (35cm)

Small

13.75" (35cm) to 16" (41cm)

Medium

16" (41cm) to 18" (46cm)

Large

18" (46cm) to 20.5" (52cm)

XLarge

20.5" (52cm) to 22.5" (57cm)

XXLarge

22.5" (57cm) to 24.75" (63cm)

XXXLarge

24.75" (63cm) to 28.5" (72cm)

XXXXLarge

28.5" (72cm) to 32" (81cm)

 

DJO

*Measurements taken 6” above mid-patella

SIZE

MEASUREMENT

XS/S

13" - 18.5" (33 - 47 cm)

M/L

18.5" - 23.5" (47 - 60 cm)

XL/XXL

23.5" - 29.5" (60 - 75 cm)

XXXL

29.5" - 31" (75 - 79 cm)


 

ELBOW BRACES:

Bauerfeind

 

 

HAND BRACES:

 

Professional Orthopedic Products (POP)

 

Size

Wrist Circ.

X-Small

4 ¾" - 5 ½"

Small

5 ½" - 6 ¼"

Medium

6 ¼" - 7"

Large

7" - 7 ¾"

X-Large

7 ¾" - 8 ½"


 

Orliman (thumb brace)

 

Size

Wrist

Circumference

in CM   (A)

 

Length

in CM   (B)

Small

14 - 18

11

Large

18 - 22

13

 

Our team is here to help you Move Well, Be Well

Orthoquest is open for orthotic, bracing, compression sock, and shoe fitting appointments. In following with the rules and regulations set out by the  provincial health authority, we are continuing to implement proper physical distancing practices and cleaning procedures.

Our Kinesiologists are also here to help.  As of May 25th, Kelowna Kinesiology will be transitioning from virtual appointments to in-person appointments. We are also continuing to offer online classes.

Please call 250-448-5908 to answer screening questions in order to qualify for an appointment with one of our team members.