It would be great to be able to pull a magic box off the shelf that works for every patient. But that’s not the case. It’s about tailoring the treatment to the patient and knowing which box to pull off the shelf.
I often see patients who come to me after receiving traditional standards of care, but seeing no improvement or slow improvement. By just tweaking the routine with simple things, we get success. You might try changing the application of the compression, the compression textile or the type of compression.
Say you have a patient who’s in a lot of pain and you know that a two-layer system will be best. But that two-layer wrap might be so uncomfortable that the patient will take it off. Try starting with something lighter and building up to the more aggressive solution.
Or maybe your ideal plan of care entails seeing a patient once a week, but you learn that the patient is removing their compression wrap after two or three days. You might need to bring them back sooner. I think there’s something to be said, at least in the beginning, for seeing the patient in two or three days. This helps do two things: