Compression Garments
No, They are Not Spanx or Skims - Here’s the “Skinny” on Compression Garments
While we see a generation of consumers using lycra shapewear to reshape bodies, flatten bulges, lift sags etc., we know that the compression garments recommended by lymphedema therapists are for a far more important purpose, and can be an essential component to treating and managing lymphedema. Our therapeutic goal is using them is to help limit lymph fluid buildup and also provide support to muscles to help pump fluid out of affected body parts.
Getting Started - This is not a one size fits all ….
If you require compression garments, it is strongly recommended that you have a lymphedema specialist, or someone experienced in measuring and fitting compression garments help you decide what compression garment(s) would be most appropriate for you. This includes whether a ready to wear garment is appropriate or if a custom compression garments tailored to fit your affected body part is best, the grades of pressure you might need, and whether you should be fitted for daytime and night time usage.
Typically, a compression garment would be recommended once you’ve completed the intensive phase of Complete Decongestive Therapy where your affected limb/body part has reduced in swelling. Your therapist will recommend a daytime and/or nighttime compression garment to be used to continue to help you manage your lymphedema and maintain the reduction achieved in the intensive phase of treatment.
Either your therapist or an experienced and certified compression garment fitter will measure you and assist in ordering the compression garment(s). Once the garment(s) has been received, you should have your lymphedema therapist or the certified garment fitter assess the fit of the garment(s) on you. It should feel snug but not uncomfortable, and it should not cause pain or numbness. If the compression garment does not fit correctly, especially if it causes a tourniquet, then it may cause more harm than good, so you should be re-measured and exchange it for a different garment (if it’s ready to wear) or have it modified (if it’s custom).
Wearing the Garments -What to Know
If the compression garment(s) fits well, start wearing them daily. It is usually recommended that you wear them first thing in the morning and wear them all day. Daytime compression garments are not recommended to be used at night when you are sleeping. The pressure may be too high when you are lying down (gravity lessened position). If it’s been recommended that you wear nighttime compression garments, you should put them on as soon as you take daytime compression off. If you moisturize your skin, it is recommended that you wait at least 20 minutes for the moisturizer to be absorbed into your skin prior to wearing your compression garment as the oil in the moisturizer may damage the elastic fabric.
When putting on the compression garment, make sure the fabric is distributed evenly over the limb and there is no bunching or rolling of the garment. Do not fold the garment over at the top or anywhere, as that may create a tourniquet. If you have difficulty putting on the compression garment, ask your lymphedema therapist or a certified fitter to give you tips on techniques for easier donning and doffing of the garment(s). There are also various tools available to assist. It is recommended to keep your nails filed to minimize snagging the compression garment. Sometimes, the compression garment may shift during the course of the day. Often the fabric tends to gather at your joints (elbow, knee, ankle). A texturized glove is helpful in shifting the fabric out of your joint to decrease discomfort.
Compression garments should be washed on a regular basis. Daytime compression garments should be washed daily or at least every other day. Night compression garments often have a liner that should be washed daily or every other day. The night compression garment itself can be washed less frequently; once a week or as needed. Follow the washing and drying instructions as different compression garments may have different recommendations. However, a general rule of thumb is to wash compression garments by hand most of the time with a gentle detergent (never use bleach or fabric softener, and Woolite is not recommended) with cold water and hang to dry. Do not use an iron as high heat can damage the elastic component of the fabric. Some compression garments may be washed on the delicate cycle in the washing machine and on the non-heat setting for the dryer. If you use the washing machine, it’s recommended that you place the compression garment in a garment bag to protect it. Be careful not to wash it with other items that have zippers, hooks, velcro etc. that can snag and damage the compression garment.
Compression garments like any other garment wears out over time. Daytime compression garments typically have to be replaced every 4-6 months. Night compression garments typically last for 1+ years. If you feel your compression garment is not containing and managing your lymphedema well, it’s important to seek out your lymphedema therapist ASAP to be assessed and order new compression garments. If you have gained or lost weight or have had an exacerbation in your lymphedema, and the compression garment does not fit right, it is recommended that you see your lymphedema therapist or medical professional to have your limb/body part assessed.
At SDK Therapy, we evaluate and fit over 500 clients annually for compression garments. Please feel free to reach out to us in confidence at 212.421.5505 if you have any questions or would like to set up a confidential consultation.