Compression Therapy for Lipoedema: What You Need to Know
Compression therapy is one of the most widely recommended non-surgical treatments for lipoedema. While it is not a cure, it plays a vital role in managing symptoms, improving comfort, and supporting mobility. For those living with lipoedema, understanding how compression works and how to use it correctly, is essential. In this blog, we explore how compression therapy helps, the different types and levels available, where to find garments, and tips for getting the most benefit.
What Is Lipoedema?
Lipoedema is a chronic condition that causes an abnormal and painful build-up of fat, typically in the legs, thighs, buttocks, and sometimes arms. It mainly affects women and often appears or worsens during hormonal changes such as puberty, pregnancy, or menopause.
Due to poor awareness among healthcare professionals, it is often misdiagnosed as obesity or lymphoedema. Pain, tenderness, swelling, and a heavy sensation in the limbs are common symptoms.
How Compression Therapy Helps
Compression therapy helps by applying controlled, consistent pressure to the affected areas. This can:
- Improve lymphatic drainage
- Enhance blood flow
- Reduce discomfort and swelling
- Support the tissues and reduce bruising
- Prevent progression of the condition
It’s particularly effective when combined with other lipoedema treatments, such as manual lymphatic drainage (MLD), anti-inflammatory nutrition, and movement therapies.
Types and Levels of Compression
Compression Levels Explained:
Compression garments come in different pressure levels, measured in mmHg (millimetres of mercury):
- Class 1 (18–21 mmHg): Mild compression. Suitable for early-stage lipoedema, light support, or for patients new to compression.
- Class 2 (23–32 mmHg): Moderate compression. Commonly used in lipoedema to manage swelling and discomfort.
- Class 3 (34–46 mmHg): Firm compression. Used in more advanced cases, often under medical supervision.
- Class 4 (Over 49 mmHg): Very strong compression, typically reserved for severe lymphatic or venous conditions and not usually necessary for lipoedema.
Always consult a specialist to ensure you are fitted with the appropriate level.
Types of Compression Garments
- Flat-knit garments: Ideal for lipoedema. They provide structured, firm support and are custom-made for uneven fat distribution.
- Circular-knit garments: Softer and more elastic, but may not offer enough resistance for lipoedema.
- Wraps and bandages: Often used during decongestive lymphatic therapy (DLT), especially in advanced cases or during flare-ups.
- Pneumatic compression devices: At-home tools that apply rhythmic pressure, often used alongside compression garments.
Where to Find Compression Garments
If you’re in the UK, compression garments can be accessed through:
- NHS Prescription: Your GP, lymphoedema clinic, or lipoedema specialist nurse can refer you for custom-fitted garments. You may need to advocate for yourself if the GP is unfamiliar with lipoedema.
- Private Clinics: Lipoedema specialists often work with suppliers who can measure and order flat-knit compression garments directly.
- Approved Suppliers
- Juzo UK (https://www.juzo.com/en-uk)
- Haddenham Healthcare (https://www.haddenhamhealthcare.com)
- Medi UK (https://www.mediuk.co.uk)
- Lymphoedema Products Ltd
- Online options like Daylong (https://www.daylong.co.uk) offer ready-to-wear garments.
Make sure to be properly measured ideally by a trained professional to ensure fit and effectiveness.
Tips for Getting Started with Compression
- Start with a comfortable level and gradually increase wear time
- Apply in the morning when swelling is minimal
- Use a donning aid if you struggle to put garments on
- Keep your skin well-moisturised to prevent irritation
- Replace garments every 6–12 months or when they lose elasticity and have at least 2 to exchange them when washing.
In short
Compression therapy is a powerful tool in managing lipoedema symptoms. When fitted and used correctly, it can significantly reduce pain, swelling, and heaviness, improving quality of life. Whether accessed through the NHS or privately, the right compression garment can offer long-term relief.
Always speak to a healthcare professional before starting compression, especially to determine the right type and level for your needs.
We hope this information is useful for you. If you need advice or have any questions about our treatments, , please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!
References:
https://www.haddenhamhealthcare.com
