In this episode:

• Compression is the mainstay for managing venous leg ulcers and other lower limb wounds with oedema
• Most patients with poor arterial supply can safely use compression with proper assessment via arterial duplex ultrasound
• A key contraindication for compression therapy is significant sensory loss or neuropathy due to risk of undetected pressure injuries
• Starting with light compression (tubular bandages) allows patients to adjust before progressing to stockings or multi-layer systems
• Managing neuropathic pain with appropriate medications is crucial for ensuring compliance with compression therapy

Expert: Dr Iestyn Lewis, Emergency Physician

Host: Dr Marita Long, GP and Medical Educator

Total time: 40 mins

Recommended resources:

• Wound care 101 | Healthed
• Graduated compression therapy management | Sutherland Medical
• Handbook of non-drug interventions (HANDI) | RACGP