{"id":6552,"date":"2020-04-22T05:14:36","date_gmt":"2020-04-22T08:14:36","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/terapia-de-compresion\/"},"modified":"2020-04-27T17:19:39","modified_gmt":"2020-04-27T20:19:39","slug":"compression-therapy","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/terapia-de-compresion\/","title":{"rendered":"Compression therapy"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/terapia-de-compresion\/#%C2%BFQue-es-la-terapia-de-compresion\" >What is compression therapy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/terapia-de-compresion\/#%C2%BFComo-ayuda-la-terapia-de-compresion-a-curar-las-ulceras\" >How does compression therapy help heal ulcers?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/terapia-de-compresion\/#Tipos-de-terapia-de-compresion\" >Types of compression therapy.<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/terapia-de-compresion\/#Vendaje-de-compresion\" >Compression bandage<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/terapia-de-compresion\/#Vendaje-de-cuatro-capas\" >Four-layer bandage<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/terapia-de-compresion\/#Medias-de-compresion\" >Compression socks<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/terapia-de-compresion\/#Medias-de-compresion-2\" >Compression socks<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/terapia-de-compresion\/#Medias-de-antiembolismo\" >Anti-embolism stockings<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/terapia-de-compresion\/#Media-de-antiembolismo\" >Antiembolism average<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/terapia-de-compresion\/#Cuales-son-los-contraindicaciones-a-la-terapia-de-compresion\" >What are the contraindications to compression therapy?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-terapia-de-compresion\"><\/span>What is compression therapy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Compression therapy with compression bandage or graduated compression stockings is an integral part of the management of varicose veins, gravitational <span class=\"term\" data-term-id=\"491\">eczema<\/span> me <span class=\"term\" data-term-id=\"1178\">venous<\/span> leg <span class=\"term\" data-term-id=\"1279\">ulcers<\/span> both as an active treatment for ulcer healing and to prevent ulcer recurrence.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-ayuda-la-terapia-de-compresion-a-curar-las-ulceras\"><\/span>How does compression therapy help heal ulcers?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-size: 1rem;\">Compression therapy works by applying controlled pressure to surface veins, keeping their diameter small and forcing blood back into the deep venous system which in turn pushes blood uphill toward the heart. Improved blood flow helps heal active ulcers and prevent <span class=\"term\" data-term-id=\"290\">ulcer<\/span> recurrences<\/span><\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Tipos-de-terapia-de-compresion\"><\/span>Types of compression therapy.<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There are several options for compression therapy. The two most commonly used methods are 3\u20134-layer compression bandage and elastic graduated compression stockings.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Vendaje-de-compresion\"><\/span>Compression bandage<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Bandages with predetermined levels of compression are available; Light, moderate, high and extra high performance. The type of bandage used depends on the severity of the swelling and the amount of pressure that should be applied. For example, high-performance bandages are reserved for very large, swollen legs.<\/p>\n<p>Compression bandages are useful if there are active ulcers, as once the wound is cleaned and dressed, the bandage can be easily wrapped around the leg from the toes to the calf. Elastic bandages provide graduated compression with the highest pressure on the ankle where it is needed most. The filler should be applied in strips over bony prominences to avoid excessive pressure.<\/p>\n<p>Bandages may be left on or reapplied for several weeks until the swelling has subsided. Because of its elasticity as swelling goes down, the bandage maintains the right amount of pressure. When the ulcer has healed, compression hosiery may be recommended to provide a smaller but sufficient amount of pressure to maintain adequate blood circulation and prevent recurrences of the ulcer.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Vendaje-de-cuatro-capas\"><\/span>Four-layer bandage<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='4layer1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1825763-6103672' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/4layer1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1825763.jpg'>\n<\/div>\n<p class=\"p-small\">First layer<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='4layer2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1438008-9314249' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/4layer2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1438008.jpg'>\n<\/div>\n<p class=\"p-small\">Second layer<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='4layer3a__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1372221-4351631' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/4layer3a__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1372221.jpg'>\n<\/div>\n<p class=\"p-small\">Applying the third layer<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='4layer3b__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3904103-5807813' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/4layer3b__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3904103.jpg'>\n<\/div>\n<p class=\"p-small\">Third layer<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='4layer4a__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7806887-2395818' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/4layer4a__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7806887.jpg'>\n<\/div>\n<p class=\"p-small\">Applying fourth layer<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='4layer4b__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3775123-7191568' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/4layer4b__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3775123.jpg'>\n<\/div>\n<p class=\"p-small\">Complete bandage<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Medias-de-compresion\"><\/span>Compression socks<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Compression stockings can be used as an alternative to a compression bandage for the treatment of active ulcers. It is also very useful in preventing ulcer recurrences. Compression stockings are classified according to the level of pressure applied to the ankle.<\/p>\n<table class=\"borders\">\n<tbody>\n<tr>\n<th>Class<\/th>\n<th>Pressure<\/th>\n<th>Indication for use<\/th>\n<\/tr>\n<tr>\n<td>me<\/td>\n<td>14-17 mmHg<\/td>\n<td>\n<p>Varicose veins, mild inflammation<\/td>\n<\/tr>\n<tr>\n<td>II<\/td>\n<td>18-24 mmHg<\/td>\n<td>Moderate to severe varicose veins, mild inflammation, small ulcers, ulcer prevention. <span class=\"term\" data-term-id=\"1074\">reappearance<\/span>\n<\/td>\n<\/tr>\n<tr>\n<td>III<\/td>\n<td>25-35 mmHg<\/td>\n<td>severe varicose veins, <span class=\"term\" data-term-id=\"319\">chronic<\/span> venous insufficiency (severe swelling), ulcers, prevention of ulcer recurrence<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Measurements should be taken of the lower leg to ensure the stocking fits correctly. A properly fitted stocking will produce effective pressure graduation and will be comfortable to wear. An ill-fitting stocking can cause discomfort, <span class=\"term\" data-term-id=\"1365\">trauma<\/span> and more harm than good. In most cases, stockings are worn up to just below the knee, although thigh-high stockings are available if there is swelling above or below the knee or if there is a joint deformity.<\/p>\n<p>Compression stockings are made from several different fibers including nylon, cotton yarn, and spandex. Standard stockings include circle knit stockings and flat knit stockings. Flatbed knit tights are more flexible than circular knit tights, making them easier to put on and take off. Net tights and one-way stretch tights are available as custom-made items.<\/p>\n<p>Studies on compression stockings show that after stocking removal there is little evidence of reversal of the underlying disease process, such as improvement in calf muscle function or restoration of valves. Therefore, patients should be aware that graduated compression stockings, along with exercise, diet, limb elevation, and skin care, are part of the long-term management plan for venous insufficiency. and the leg <span class=\"term\" data-term-id=\"1278\">ulceration<\/span>.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Medias-de-compresion-2\"><\/span>Compression socks<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hose1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9635804-7835984' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hose1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9635804.jpg'>\n<\/div>\n<p class=\"p-small\">Compression hose<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hose2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9059707-8672510' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hose2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9059707.jpg'>\n<\/div>\n<p class=\"p-small\">Compression hose<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Medias-de-antiembolismo\"><\/span>Anti-embolism stockings<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Anti-embolism stockings are not the same as support stockings or compression stockings. A popular type is the TED\u00ae stocking. Anti-embolism stockings have graduated compression to speed blood flow through the leg, but are designed to be worn when lying down rather than standing. They are used after the operation; The intention is to prevent embolism or blood clots.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Media-de-antiembolismo\"><\/span>Antiembolism average<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='hose3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-9458119-6310431' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/hose3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-9458119.jpg'>\n<\/div>\n<p class=\"p-small\">Compression hose<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Cuales-son-los-contraindicaciones-a-la-terapia-de-compresion\"><\/span><span>Which are the <span class=\"term\" data-term-id=\"1324\">contraindications<\/span> to compression therapy?<\/span><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span>Compression should not be used to <span class=\"term\" data-term-id=\"1177\">arterial<\/span> leg ulcers and should be used with caution in diabetic leg ulcers.<\/span><\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la terapia de compresi\u00f3n? La terapia de compresi\u00f3n con vendaje de compresi\u00f3n o medias de compresi\u00f3n graduada es una parte integral del manejo de las venas varicosas, gravitacionales&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6552","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6552","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6552"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6552\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6552"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6552"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6552"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}