Level of compression | Level of support | Indication | CEAP* |
<15 mmHg (OTC)¶ | Minimal | Asymptomatic individuals as needed for comfort | 0,1 |
10 to 20 mmHg | Mild | Minor varicosities; tired, aching legs; minor ankle, leg, or foot swelling | 1,2,3 |
20 to 30 mmHg | Moderate | Moderate to severe varicosities, moderate swelling, phlebitis, following vein ablation | 3,4 |
30 to 40 mmHg | Firm | Severe varicosities, severe swelling, management of active ulceration, following DVT, post-surgery, mild lymphedema | 4,5,6 |
40 to 50 mmHg[1,2] | Very firm | Moderate lymphedema | NA |
50 to 60 mmHg[1,2] | Extra firm | Severe lymphedema | NA |
The standard pressure gradients for compression hosiery are shown in the table.
Patients may have coexistant chronic venous disease and lymphedema.
For more severe lymphedema, compression garments are used to provide maintenance therapy following the first phase of complete decongestive therapy) to prevent fluid reaccumulation. The highest compression tolerated by the patient is likely to be the most beneficial.DVT: deep vein thrombosis; NA: not applicable.
* Clinical-Etiologic-Anatomic-Physiologic classification of chronic venous disorders.
¶ OTC: over-the-counter, no prescription needed.Do you want to add Medilib to your home screen?