Compression bandaging: Information for patients
Compression bandaging is a key part of treatment for conditions that cause swelling in the legs or problems with blood flow, such as venous leg ulcers, chronic venous insufficiency, or lymphoedema.
What is compression bandaging?
Compression bandaging involves wrapping specially designed bandages around the leg to apply controlled pressure. The aim is to:
- improve blood flow back to the heart
- reduce swelling
- help wounds (such as leg ulcers) heal
- prevent further complications
There are different types of compression bandaging, including two-layer, four-layer, and short-stretch systems. Your nurse or clinician will choose the right one for your needs.
Why do I need compression bandaging?
Compression therapy is commonly used to:
- treat venous leg ulcers
- manage oedema (fluid build-up)
- support healing after a Doppler assessment confirms it’s safe to apply compression
Without compression, wounds may take longer to heal or may return in the future.
What to expect
- Application: Your practitioner will apply the bandages, starting at the toes and working up to just below the knee, so it is important to wear clothing that allows access to the area. The pressure is firm but should not be painful.
- Duration: Bandages may be changed once or twice a week, depending on your wound and how much fluid is present. Compression bandages need to be changed weekly as a minimum.
- Mobility: You should remain as active as possible. Walking helps improve circulation and supports healing.
Caring for yourself at home
- Keep the bandage dry: Use a waterproof cover when showering.
- Check your toes daily: They should be warm and pink (unless advised otherwise). If they become cold, pale, or numb, remove the top layer of compression and contact your
- Elevate your legs when sitting to reduce swelling.
- Wear appropriate footwear: Make sure shoes fit comfortably over the bandaging to avoid slipping or pressure areas.
When to seek medical advice
Contact the neighbourhood clinics if you experience:
- increased pain or discomfort
- numbness or tingling in your toes
- swelling above the bandage
- redness, oozing, or signs of infection around the wound
- slipping or loosening of the bandage
Contact your GP, 111, or A&E, if you are confused, have a raised temperature, have increased lethargy, aching, flu like symptoms or have a reduced urine output.
Ongoing care
Compression therapy may continue even after your wound heals, often in the form of compression hosiery or wraps (stockings), to help prevent recurrence. Your nurse will guide you on the next steps and provide education on long-term leg care.
Follow-up and support
Your practitioner will guide you on how long the compression may need to be place and when it may need changing.
If you have any questions or concerns, please don’t hesitate to speak to your nurse or doctor.
