Compression

Category-level compression products for venous disease and oedema management—matched to clinical need, supplied to healthcare institutions.

What does pressure do in the leg veins?

Compression applies controlled external pressure to the leg. Its purpose is to facilitate venous return to the heart, reduce swelling and manage symptoms caused by chronic venous disease. The 2022 guideline of the European Society for Vascular Surgery recognises this approach as a core component of non-pharmacological treatment for chronic venous disease.

01

How does it work?

With graduated compression, pressure is highest at the ankle and decreases up the leg. This pattern reduces pooling in the superficial veins and supports the action of the calf muscle pump.

02

Clinical stages

Findings can progress from spider veins to swelling, skin changes and open ulceration. The clinician selects the pressure level and product form according to the presentation. For a shared clinical language, see the CEAP classification and the summary strip below.

Clinical representation of compression product categories
Representative image — product and pressure selection are based on the clinician’s assessment.

Compression by CEAP stage

Matching clinical class (C0–C6) with a product group provides category-level guidance; final selection rests with the clinician. Select the relevant row for detailed information and supply enquiries. See the CEAP article for details of the classification.

Which product groups are used?

Forms commonly cited in guidelines include elastic compression stockings, short-stretch bandages, adjustable compression garments and intermittent pneumatic compression (IPC) devices. They are summarised below as product categories.

01

Medical compression stockings

These are graduated elastic stockings in which pressure decreases upwards from the ankle. They are frequently selected for symptoms such as heaviness, pain, cramp and swelling in the leg, as well as for oedema and skin changes. The European guideline discusses at least approximately 15 mmHg at the ankle for symptoms, and often a range of 20–40 mmHg for oedema and skin induration. Final selection rests with the clinician.

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02

Multi-layer bandage sets

Multi-layer or short-stretch bandage systems are used for open venous leg ulcers and when higher pressure is required. A 2021 Cochrane review found that compression therapy increases the probability of complete ulcer healing.

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03

Elastic and short-stretch bandages

Long-stretch elastic bandages and short-stretch bandages have different pressure characteristics. Suitability is determined by the stage of swelling, ulcer status and the practitioner’s application experience.

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04

Intermittent pneumatic compression device

The device applies pressure by sequentially inflating chambers in a leg cuff. In lymphoedema and persistent oedema, it can be considered as an adjunct to treatment with stockings or bandages. Device selection is based on clinical need.

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Product categories by clinical need

These mappings provide category-level guidance. Pressure values are drawn from the general framework in the European Society for Vascular Surgery guideline and expert consensus statements. Pressure class and product form are clinical decisions made by the treating physician.

Clinical need

Symptomatic chronic venous disease

Heaviness, pain, cramp or a sensation of swelling in the leg, without a clearly open ulcer.

Which product category is relevant?

Arterial assessment and concurrent care

Compression is planned with care when lower-limb arterial disease is also present. Comparing ankle and arm blood pressure and undertaking a vascular examination support this decision. For dressing selection in venous ulcers, see wound care; for endovascular intervention products, see angioplasty. For patient information, see Dr Kadir Çeviker’s articles on varicose veins and chronic venous insufficiency.

Bandages and multi-layer systems

We group compression bandaging products into four categories. Each item is presented with its material composition, extensibility and manufactured sizes; pressure level and wrapping technique are determined by the clinician.

Short-stretch bandage

These woven bandages have low extensibility. They provide high working pressure during muscle activity and low pressure at rest. They are used for marked oedema and open ulceration, and during the decongestion phase of lymphoedema treatment.

  • Cohesive short-stretch bandage

    Material
    100% cotton
    Extensibility
    Approximately 65%
    Sizes
    4 m × 10 cm · 4.5 m × 6/8/10 cm · 5 m × 6/8/10/12 cm · 7 m × 20 cm
    Features
    Latex-free synthetic polymer coating; adheres to itself but not to skin or hair. Low tendency to slip. Single use.
  • Bi-elastic short-stretch bandage

    Material
    100% cotton
    Extensibility
    Approximately 90% in the warp direction and approximately 40% in the weft direction
    Sizes
    5 m × 6/8/10/12 cm
    Features
    Thin construction allows normal footwear to be worn. Absorbent and washable at 60 °C.
  • Strong short-stretch bandage

    Material
    100% cotton
    Extensibility
    Approximately 90%
    Sizes
    5 m × 6/8/10/12 cm · 10 m × 10/12 cm
    Features
    Conforms to the leg contour. Absorbent and washable at 60 °C.
  • Ultra-short-stretch bandage

    Material
    66% cotton, 34% polyamide
    Extensibility
    Approximately 40%
    Sizes
    5 m × 6/8/10/12 cm
    Features
    Air-permeable and absorbent. Washable at 60 °C.

Long-stretch elastic bandage

Extensibility exceeds 100%, with higher resting pressure. These bandages are used where support, fixation and light compression are required. Duration of application and patient tolerance are planned separately.

  • Elastic long-stretch bandage

    Material
    57% cotton, 33% viscose, 8% polyamide, 2% elastane
    Extensibility
    Approximately 180%
    Sizes
    3.5 m × 6/8 cm · 4.5 m × 6/8/10/12 cm · 7 m × 6/8/10/12 cm
    Features
    Low creasing and air-permeable. Washable at 60 °C.
  • Permanently elastic light-compression bandage

    Material
    82% cotton, 13% polyamide, 5% elastane
    Extensibility
    Approximately 170%
    Sizes
    7 m × 6/8/10/12 cm
    Features
    Low creasing and air-permeable. Washable at 60 °C.
  • Centre-line long-stretch bandage

    Material
    83% viscose, 12% polyamide, 4.5% elastane, 0.5% cotton
    Extensibility
    Approximately 180%
    Sizes
    8.7 m × 10 cm · 11.3 m × 10 cm
    Features
    A coloured centre line indicates the overlap margin during wrapping. White; single use.
  • Permanently elastic strong-compression bandage

    Material
    85% cotton, 8% elastane, 7% polyamide
    Extensibility
    Approximately 180%
    Sizes
    7 m × 6/8/10/12/20 cm · 14 m × 10 cm
    Features
    Low creasing and air-permeable. Washable at 60 °C.
  • Cohesive non-woven long-stretch bandage

    Material
    84% polypropylene, 16% elastane
    Extensibility
    Approximately 120%
    Sizes
    Unstretched 3 m × 7 cm · 3.5 m × 10 cm
    Features
    Hand-tearable; adheres to itself but not to skin or hair. Latex-free coating and air-permeable.

Zinc paste semi-rigid bandage

These bandages are coated with a zinc oxide-based paste. After application, they form a semi-rigid casing that conforms to the leg contour and can remain in place for up to seven days. They are used on intact skin.

  • Zinc paste bandage

    Material
    71% viscose, 29% polyamide
    Extensibility
    Approximately 60%
    Sizes
    5 m · 7 m · 9.15 m · 10 m — each in 8/10 cm
    Features
    Latex-free paste containing zinc oxide, glycerine, gelatine and preservative. White, with a cooling effect. Contains biological material of animal origin. Single use.
  • Calamine zinc paste bandage

    Material
    71% viscose, 29% polyamide
    Extensibility
    Approximately 55%
    Sizes
    9.15 m × 8/10 cm
    Features
    Paste containing zinc oxide, castor oil, calamine and gelatine. Pink; conforms closely to body contours and resists slipping.
  • Bi-elastic zinc paste bandage

    Material
    76% viscose, 24% cotton
    Extensibility
    Approximately 60%
    Sizes
    5 m × 10 cm · 7 m × 8/10 cm · 10 m × 10 cm
    Features
    Gelatine-free paste containing zinc oxide, glycerine and preservative. White and easy to mould.

Two-component multi-layer system

The system comprises a padding bandage and a cohesive outer bandage supplied as a set; it can be applied for up to seven days. The printed indicator on the outer layer appears symmetrical when the target stretch is reached, helping to standardise application.

  • Two-layer compression system with indicator

    First layer
    Padding bandage — 92% polyester, 8% elastane; extensibility approximately 60%; 6.5 m × 10 cm; coated on one side, white
    Second layer
    Cohesive bandage — 85% polypropylene, 15% elastane; extensibility approximately 150%; 8.2 m × 10 cm; printed indicator
    Features
    The extension limit of the first layer makes wrapping predictable; the layers adhere to one another, reducing slippage. Supplied only as a set; single use and stored below 25 °C.
  • Reduced-pressure two-layer system

    First layer
    Padding bandage — 92% polyester, 8% elastane; extensibility approximately 60%; 6.5 m × 10 cm; with indicator
    Second layer
    Cohesive bandage — 85% polypropylene, 15% elastane; extensibility approximately 150%; 8.2 m × 10 cm; with indicator
    Use
    When lower compression pressure is required: an ankle–brachial pressure index (ABPI) of 0.6–0.8, patients unable to tolerate full compression, and a staged approach for leg ulcers of mixed arterial–venous aetiology.

Sizes, packaging and supply

The listed sizes show the manufacturing range. For pack quantities, lead times and institutional pricing, use the form on the contact page. The products are medical devices used on intact skin; the number of layers and duration of application are determined by the clinician or institutional protocol. High-pressure systems are planned only after arterial circulation has been assessed.

Product and collaboration information

Contact our team for technical scope, supply and institutional collaboration.

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