Choosing the Right Compression for Leg Ulcers: Stockings, Wraps, and Foam Bandages

Compression Therapy for Leg Ulcers: Choosing the Right Option

If you or a loved one has a leg ulcer or swelling, you may have heard about compression therapy. Compression is a key part of helping ulcers heal faster and prevent them from coming back. But with so many options—stockings, Velcro wraps, foam bandages—it can be confusing. Here’s a simple guide to help you understand which option might be best.

1. Compression Stockings

Best for: Healed or mostly healed ulcers and preventing new ones.

Compression stockings are stretchy, snug socks that apply gentle pressure from the ankle up. They help improve blood flow and reduce swelling.

• When to use them: Your ulcer is healed or nearly healed; you want to prevent future ulcers; you can put them on and take them off by yourself.
• Tips: Make sure the stockings fit well—too tight or too loose won’t help. Not recommended for actively draining ulcers unless you have a protective dressing underneath.

2. Compression Velcro Wraps

Best for: Open ulcers, moderate swelling, and legs that change size throughout the day.

Velcro wraps are adjustable straps that provide consistent compression while being easy to take on and off. You can wear them over dressings, which makes them perfect for active ulcers.

• When to use them: You have an open, draining ulcer; your leg swells or changes size during the day; you need easy access for daily dressing changes.
• Benefits: Adjustable and comfortable all day; easy for people with limited mobility; works well for legs that don’t fit into regular stockings.

3. Foam Bandages

Best for: Open ulcers with irregular shapes, heavy drainage, or tender skin.

Foam bandages are soft and absorbent. They cushion the wound, protect the skin, and soak up fluid, making them ideal for ulcers that are still actively healing.

• When to use them: Your ulcer is draining or painful; the wound is uneven or over bony areas; you need extra padding under wraps or bandages.
• Benefits: Keeps the wound comfortable and protected; helps compression wraps fit better over uneven areas; reduces pressure on tender spots.

Quick Guide

Bottom Line: For open, draining ulcers, use Foam Bandage + Velcro Wrap. For partially healed ulcers, Velcro Wrap provides comfort and flexibility. For healed ulcers and prevention, Compression Stockings are ideal. Always check with your healthcare provider before starting compression therapy to ensure proper technique and safety.