Choosing the Right Compression Garments: A Guide for Lymphoedema Patients 

Lymphoedema is a chronic condition characterised by fluid buildup/swelling in the limbs caused by a malfunction in the lymphatic system. This condition can result from surgery, radiation therapy, infections, or congenital factors, making it difficult for the lymphatic fluid to drain properly. For many patients, managing lymphoedema involves wearing compression garments to reduce swelling, improve circulation, and prevent further fluid buildup. However, selecting the right compression garment can feel overwhelming due to the wide variety of options available.

In this guide, we’ll break down the key factors to consider when choosing compression garments for lymphoedema, including types of garments, compression levels, proper fit, and care instructions to help you make an informed decision.

The Importance of Compression Garments in Lymphoedema Management

Compression garments play a critical role in managing lymphoedema. These garments apply external pressure to the affected limb, encouraging lymph fluid to move toward areas where the lymphatic system is functioning properly. This process helps reduce swelling, prevent further fluid accumulation, and improve overall circulation.

Wearing compression garments is especially important for lymphoedema patients because, without proper management, the condition can worsen over time. Left untreated, lymphoedema may lead to additional complications like skin infections (cellulitis), fibrosis (thickening of the skin), and decreased mobility. Compression garments help control these symptoms, allowing patients to maintain a higher quality of life.

Types of Compression Garments

Compression garments are available in various forms, each designed for specific areas of the body. The type of garment you choose will depend on where your lymphoedema is located and your individual treatment needs. Here are some of the most commonly used compression garments for lymphoedema:

1. Compression Sleeves

• Best for: Arms and hands
• Use: Often prescribed for individuals who develop lymphoedema after breast cancer surgery or radiation therapy. These sleeves provide pressure from the wrist to the upper arm and may include a gauntlet to cover the hand.
• Fit: Compression sleeves should be snug but not too tight, ensuring consistent pressure across the arm.

2. Compression Stockings

• Best for: Legs and feet
• Use: Commonly recommended for patients with leg lymphoedema, whether due to surgery, injury, or primary lymphoedema.
• Fit: Available in knee-high, thigh-high, or full-leg lengths, these stockings help control swelling in the lower extremities.

3. Compression Gloves

• Best for: Hands and fingers
• Use: Designed to reduce swelling in the hands, compression gloves are often used alongside arm sleeves to provide comprehensive coverage.
• Fit: These gloves can cover the entire hand or only part of the fingers, depending on the patient’s needs.

4. Compression Wraps

• Best for: Large or hard-to-fit areas
• Use: For individuals who need adjustable pressure, compression wraps provide a customisable option. Wraps use Velcro closures to allow patients to adjust the level of compression based on their daily swelling.
• Fit: Compression wraps are flexible and can be tailored to each patient’s unique requirements.

5. Compression Bodysuits

• Best for: Full-body or extensive lymphoedema
• Use: These full-body garments provide consistent compression across multiple areas, such as the arms, legs, and torso, making them ideal for patients with widespread lymphoedema.
• Fit: Bodysuits must be carefully fitted to ensure comfort and effectiveness, particularly when treating large areas of the body.

Choosing the right compression garments: Understanding Compression Levels

Compression garments come in various pressure levels, measured in millimeters of mercury (mmHg). The appropriate level of compression depends on the severity of your lymphoedema and your healthcare provider’s recommendations. Below are the most common compression levels:

• Mild Compression (15-20 mmHg): Suitable for individuals with mild swelling or for preventative use. This level is often recommended for patients at risk of developing lymphoedema, such as those recovering from surgery.
• Moderate Compression (20-30 mmHg): This is the most commonly prescribed compression level for early-stage lymphoedema or mild to moderate swelling. It provides more pressure than mild compression without being too restrictive.
• Firm Compression (30-40 mmHg): Ideal for patients with moderate to severe lymphoedema, this level of compression helps manage more significant swelling and prevent complications.
• Extra-Firm Compression (40-50 mmHg or higher): Used in severe cases of lymphoedema and often prescribed under close medical supervision. This level provides maximum pressure to control extreme swelling and prevent fluid buildup.

It’s important to consult with your doctor or lymphoedema therapist to determine the right compression level for your condition. Remember that wearing your compression garment 24/7 is key for your treatment and quality of life. For that reason, it is pivotal to have 2 or more, so you can exchange them while they get clean.

The right compression garments: Ensuring a Proper Fit

For compression garments to be effective, they must fit correctly. An ill-fitting garment can cause discomfort, limit mobility, or fail to manage swelling effectively. Here are some tips for ensuring a proper fit:

1. Get Professionally Measured: The most accurate way to find your size is to get measured by a professional, such as a lymphoedema specialist or a medical supplier. They will measure various points along your limb (e.g., wrist, ankle, calf) to ensure the garment provides even pressure.
2. Check Manufacturer Sizing Charts: Each brand has its own sizing guide, so be sure to compare your measurements with the manufacturer’s chart before purchasing.
3. Try on Different Styles: Different garments may fit differently depending on the material and design. Trying on a few styles will help you determine which is most comfortable for extended wear

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!