Compression garments and bandages

Why compression?

Compression is the most important part of treatment. Firm, even pressure stops fluid from building up again and keeps the swelling down.

Bandages first, then a garment

Your therapist may first wrap the limb in special firm bandages for a few days or weeks to bring the swelling down.
Once the swelling is down, you will be fitted with a sleeve or stocking (a garment), or an adjustable Velcro wrap.
Wear your garment every day from when you get up until you go to bed.
Some people also need a night garment or night bandaging. Ask your therapist.

Looking after your garment

Wash it by hand or on a gentle cycle and dry it flat, away from direct heat. Washing helps it keep its shape.
A garment stretches with use. Replace it about every six months, or sooner if it becomes loose.
It helps to have two garments, so one can be washed while you wear the other.
Rubber gloves make it easier to pull a garment on.

When to take it off and ask for advice

Pain, numbness, tingling or the fingers or toes turning blue or white.
Red marks, blisters or broken skin under the garment.
An infection (see the skin-care handout).

Before a leg garment is fitted, the blood flow to the leg should be checked, especially if you have diabetes, smoke, or have pain in the calf when walking.

Keep going

Compression only works while you wear it. The swelling usually returns within days if you stop.

General information based on the Lymphoedema Evidence Library (www.vascular.co.za/lymph-evidence.html), 31 October 2026. It does not replace advice from your own doctor or therapist.