What is the physical therapy approach to venous insufficiency?

Updated: Oct 22, 2018
  • Author: Robert Weiss, MD; Chief Editor: William D James, MD  more...
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Additional physical measures may also be helpful. Leg elevation causes venous flow to be augmented by gravity, lowering venous pressures and ameliorating edema. In a sitting position, the patient’s legs should be above the thighs; supine, they should be above the level of the heart. The Unna boot, first described in 1854, is now a mainstay of treatment for people with venous ulcers. Unna boots are rolled bandages that contain a combination of calamine lotion, glycerin, zinc oxide, and gelatin.


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