Compression garments are a common solution for anyone with circulation problems, tired or sore legs, vein diseases, or lymphedema. Compression options range from ready-to-wear stockings, maternity support, and athletic socks to custom-made compression and compression sleeves.
Ready to Wear Stockings
Stockings come in a wide variety of styles, colors, lengths, toe closures, and compression levels. Closed toe options include: knee-high, thigh-high, full panty length and maternity. Open toe options include: knee-high, thigh-high and full panty length. Compression stockings provide graduated compression, meaning that most of the pressure is at the ankle and the least amount is at the top of the stocking. There are different levels available depending on your need:
- 8-15mmHg – very light compression used for relief of tired and aching legs.
- 15-20mmHg – the most common compression for those that are sitting or standing for long periods of time or for those that travel and need swelling and varicose vein relief. This compression level is the most recommended during pregnancy.
- 20-30mmHg – the most frequently prescribed compression level for those with circulation problems and vein disease including venous thrombosis, varicose veins, edema, and venous insufficiency. Note: you must have a prescription from a physician for any compression garments above 20 mmHg.
- 30-40mmHg – relief from severe vein disease such as venous stasis ulcers and should only be worn under doctor’s supervision.
CEP athletic compression socks improve blood flow, reduce muscle soreness and cramping, and quickens recovery time. This means increased endurance, sustained power, and reduced chance for injury for the athlete. They are manufactured to wick away moisture and heat without any pressure points or creases in the fabric. We carry various lengths: ultralight low cut, ankle support, and calf length compression. And the bold neon colors are perfect for any athlete’s wardrobe.
Custom-made compression can be an option for long-term management of fluid and volume reduction. It helps maintain the shape of the limb and assures therapeutic results are achieved. Different compression level classes are available, depending on the severity of the condition and how well the patient can put on and remove the garment. A prescribing physician will make the decision of the appropriate compression class. Measurements for custom-made compression garments should be taken right away in the morning when swelling is at its minimum.
Compression Pneumatic Pump
Compression pneumatic pumps are intended for the primary or adjunctive treatment of primary or secondary lymphedema. The device is intended for alternate treatment of chronic venous stasis ulcers and associated venous insufficiency, as well as general treatment of swelling of the extremities. There are two style sleeve types: upper extremity and lower extremity. The support from a compression sleeve treats indurated tissue, stimulates initial lymphatics, protects limbs, and supports lax tissue.
Insurance coverage should always be verified with one of Rice Home Medical’s customer service representatives. Coverage for compression garments vary by policy plan. Eligibility for the number of garments and how often you can get garments also vary by policy plan. Medicare will only cover the cost of compression garments if there is a presence of an open venous stasis ulcer.
Compression garments for open venous stasis ulcers may be covered by Medicare, and other insurance providers who follow Medicare guidelines, if all of the following are met:
- Edema in the affected lower extremity
- One or more venous stasis ulcer(s)
- The ulcer(s) have failed to heal after a 6-month trial of conservative therapy
Compression pneumatic pumps for lymphedema may be covered by Medicare, and other insurance providers who follow Medicare guidelines, if all of the following are met:
- The patient has a diagnosis of lymphedema
- The patient has persistence of chronic and severe lymphedema and documented presence of at least one of the following clinical findings:
a. Marked hyperkeratosis with hyperplasia and hyperpigmentation
b. Papillomatosis cutis lymphostatica
c. Deformity of elephantiasis
d. Skin breakdown with persisting lymphorrhea
e. Detailed measurements over time confirming the persistence of the lymphedema with a history evidencing a likely etiology
- The lymphedema must be unresponsive to other clinical treatment over the course of a required four-week trial.