Compression Therapy in Venous Disease: and How to Continue

Abstract

 Compression therapy is an important treatment for lower limb venous diseases that cause venous return problems, like varicose veins and deep vein thrombosis. In 2002, the Japanese Society of Phlebology established the Elastic Stocking Conductor system to train healthcare professionals in the specialized knowledge and skills required for compression therapy. In 2020, venous compression procedures for refractory ulcers caused by chronic venous insufficiency were covered by health insurance. This change has increased the importance of compression therapy in clinical practice. However, despite its importance, compression therapy presents challenges like complicated application, discomfort, and cost, making it difficult to educate patients and achieve acceptance, and maintain adherence the therapy. For healthcare providers practicing compression therapy, determine how to support patients “stick with the therapy” remains constant challenge. It is important for providers to consider “why continuation is difficult” and “how adherence can be continued” and to persist with treatment and guidance without giving up.