Role of compression therapy in pathophysiology of the venous system in lower limbs

The management of varicose veins and their sequelae are estimated to cost the NHS approximately £400-600 m annually. Along with interventional procedures, the National Institute for Health and Care Excellence (NICE) also recommends the use of compression therapy. With the vast array of different compression therapies available, prescribing the correct method can be challenging, with patients receiving incorrect compression being a matter of concern. This review summarises the key principles underpinning the management of these patients with particular emphasis on the pathophysiology and different classes of compression.