Who should not use compression therapy? | Insights by Longest

Tuesday, 09/9/2025
This article explores the contraindications of compression therapy, providing essential insights for professionals in the physiotherapy equipment wholesale industry to consider during procurement. It covers conditions such as severe peripheral arterial disease, decompensated heart failure, and more, emphasizing the importance of patient safety and informed decision-making.

Understanding Contraindications in Compression Therapy: A Guide for Physiotherapy Equipment Procurement

Compression therapy is a cornerstone in managing various venous and lymphatic conditions, offering benefits like reduced swelling and improved circulation. However, it's crucial to recognize that certain medical conditions can render compression therapy unsafe. For professionals in the physiotherapy equipment wholesale industry, understanding these contraindications is vital when selecting and recommending products. Below are five key conditions where compression therapy is generally contraindicated:

1. Severe Peripheral Arterial Disease (PAD)

Patients with advanced PAD exhibit significantly reduced blood flow to the limbs. Applying compression in such cases can further impede arterial circulation, potentially leading to tissue damage or necrosis. Indicators of severe PAD include an ankle-brachial pressure index (ABPI) of less than 0.5, ankle pressure below 60 mmHg, or toe pressure under 30 mmHg.

2. Decompensated Heart Failure

Individuals with severe heart failure (New York Heart Association class III and IV) may experience worsened symptoms due to compression therapy. The increased pressure can lead to fluid accumulation in the lungs and other complications.

3. Active Infections or Skin Conditions

Compression therapy should be avoided in patients with active infections, such as cellulitis, or open wounds. The pressure can aggravate the infection, impede healing, and potentially cause further tissue damage.

4. Severe Diabetic Neuropathy

Patients with advanced diabetic neuropathy may have impaired sensation in their limbs, increasing the risk of unnoticed injuries or pressure sores during compression therapy. Additionally, microangiopathy associated with diabetes can make tissues more susceptible to damage.

5. Recent Arterial Bypass Surgery or Stenting

After arterial bypass surgery or stent placement, compression therapy can interfere with wound healing and blood flow, increasing the risk of complications. It's essential to consult with healthcare professionals before considering compression therapy in these cases.

Conclusion

For professionals in the physiotherapy equipment wholesale industry, understanding these contraindications is essential when selecting compression therapy products. Ensuring that equipment is suitable for patients' specific medical conditions not only promotes safety but also enhances therapeutic outcomes.

About Longest Medical

Longest Medical is a leading manufacturer specializing in high-quality compression therapy equipment. Our products are designed with patient safety and comfort in mind, adhering to the latest medical guidelines and standards. By choosing Longest Medical, you ensure access to reliable and effective compression therapy solutions for your clients.

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