HARTMANN in South Africa
Wound Care > Tips for treatment and care > Compression treatment of venous disorders

Compression treatment of venous disorders

The basic treatment of venous ulcers is compression treatment.

"Phlebology cannot exist without compression treatment" – this dogma applies without restrictions also to the treatment of a venous ulcer. Because the nutritional situation in the damaged area of skin can be improved with a compression bandage to such an extent that the ulcer has a chance to heal.  

A good bandage should tightly surround the leg on all sides, decrease in pressure from the distal to the proximal side and must not pinch or constrict the leg anywhere. Every bandage which meets these requirements is right and good irrespective of the applied method. However a compression bandage achieves its full effectiveness only in conjunction with active movement.

Compression treatment improves the microcirculation in the wound area

A compression bandage constricts the veins and improves the function of the venous valves.

Compression of the leg constricts the dilated veins and thus restores the function of the venous valves to a certain degree. The flow velocity of the venous blood increases; re-transport to the heart is normalized.
Fluid build-ups and metabolic products are removed with the functioning venous return out of the damaged tissue. Swelling and oedema recede. Open ulcera can heal because the microcirculation in the wound area is improved. Simultaneously the compression bandage serves as a stable support for the leg muscles and improves and supports the function of the calf muscle pump.