How is compression therapy performed in the treatment of stasis dermatitis?

Updated: Mar 27, 2020
  • Author: Scott L Flugman, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Compression accomplished by means of specialized stockings that deliver a controlled pressure gradient (measured in mm Hg) to the affected leg are suitable for long-term management of edema, but not for healing of stasis ulcers. Compression stockings should be applied early in the morning, before the patient rises from bed, in order to facilitate application when leg edema is at its lowest point.

High-level compression can be performed by using elastic wraps, compression (Unna) boots, and more sophisticated devices, such as end-diastolic compression boots. Most of these modalities require administration in a physician's office or wound care center. Frequent leg elevation is a necessary adjunct to leg compression.


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