Post-orthopaedic lymphoedema and compression therapy: How it works?
Post-orthopaedic lymphoedema and compression therapy: After orthopaedic surgery one of the most common complications is lymphoedema, caused by trauma in the lymphatic system during the procedure. Lymphoedema main symptom is persistent swelling due to impaired lymphatic drainage. Managing this condition early and efficiently is crucial for optimal recovery; for that reason, compression therapy and Manual Lymphatic Drainage stand out as one of the most effective non-invasive strategies to treat and manage this condition. Lest´s see how it works…
How do compression garments and wraps reduce swelling?
Compression therapy, e.g., garments (sleeves and socks) and bandaging, plays a pivotal role in treating post-surgical lymphoedema. It should be always advised by your surgeon to avoid circulatory complications and accompanied with MLD for better lymphatic and blood flow. Let´s see how compression therapy can help:
Reduces fluid accumulation
It applies consistent and controlled pressure to the affected area, helping to prevent the buildup of lymphatic fluid and consequently reducing swelling.
Improves lymphatic flow and venous return
Compression garments help your lymphatic system in movilising excess fluid away from the surgical area, while increasing venous return; as a result, decreasing the risk of fluid stasis.
Prevents complications
It limits space available for fluid to collection, so it reduces the chances of developing seromas (fluid pocket) and other complications associated with stocked fluid.
Tissue healing support
Compression provides structural support to the healing tissues, promoting alignment and reducing strain during movement, which is important for both comfort and the healing process.
Reduces pain and promotes faster recovery
Patients, in recent studies, showed less swelling. Besides, some cases reported pain reduction, especially in the immediate post-operative period.
Disclaimer
As these kinds of procedures go deep in order to repair tissues, sometimes the nearest area to the surgery can´t be wrapped (even if fluid is retained and is swollen), so compression should always be prescribed by your surgeon and assisted with manual lymphatic drainage to treat the area that cannot be compressed.
Post-orthopaedic lymphoedema and compression therapy: What are the types of compression garments and wraps?
Bandages
There are multi-layer and long-stretch bandages; for best results use them right next the post-operative phase, especially when significant edema is present. It is key to wear tailor-graded pressure, which is especially beneficial for severe or diffuse swelling.
Compression stockings/sleeves
Patients wear them in their limbs (arms or legs) and come in various compression strengths. Stockings are ideal for gradual, sustained compression during daily activities or for periods after the initial acute swelling goes down (but you can continue using bandages if wanted).
Tailored made garments
Specially confectioned for patients whose limb size or shape does not fit standard sizing.
Choosing the right compression level
Choosing the appropriate compression level, in your garments, maximises treatment efficacy and ensures comfort, always advised by your lymphoedema team. Here, a summary chart of the available compression levels:
| Compression Level (mmHg) | Indication | Typical Use Case |
| 15–20 (Mild) | Minor swelling, prevention and comfort | Light swelling, post-minor procedures, initial phase |
| 20–30 (Moderate) | Moderate swelling, post-surgery edema | Common after routine orthopedic surgery |
| 30–40 (Firm) | Pronounced edema, moderate lymphedema | After major surgery, more severe persistent swelling |
| 40–50 (Extra-Firm) | Severe lymphedema, chronic venous insufficiency | Complex cases, severe or long-term lymphoedema |
Disclaimer: Always consult a healthcare professional (your lymphoedema team) before selecting compression garments to ensure the correct pressure for your condition and anatomy .
To keep in mind: garment’s tips
Fit Matters
Choose compression garments that fit tight but comfortably; improper fit may reduce efficacy, reduce circulation or cause discomfort.
Consistency + follow advice
Wear garments as recommended by your lymphoedema team: surgeon, lymphoedema therapist, etc. Most patients wear them during the day and remove them at night unless advised otherwise.
Customisation
Patients who require (unique limb shapes or sizes) custom-fit garments ensure proper compression.
A final word
Compression therapy (when properly tailored) is pivotal and offers a lot of benefits to patients when managing post-orthopedic lymphoedema. It helps to reduce swelling and pain; gives support; speeds up the recovery process and prevents complications. Choosing the right compression garment and level guarantees best outcomes. Always work with your lymphoedema team, who treat you better, to create a treatment plan according to 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!
