It is dramatic in augmenting the failing venous pump. Patients usually remark on how their legs feel lighter and stronger as soon as they begin walking with it. It is powerfully anti-inflammatory and it eliminates dermatitis and swelling. Unfortunately, proper isometric compression bandages require much experience to apply correctly. Initially, they have to be changed every couple of days.
Patient education takes time and repetition.
But the effort is well worth while. Long term management. Patient responses are variable, and because of the many pathologic components, some may find the treatment to be palliative rather than a cure. We use ultrasound imaging to find and inject, and later to confirm that our objectives were achieved. We also use ultrasound after one year to illustrate that proper healing did occur.