Why Compression Therapy Works for Venous Leg Ulcers
When it comes to treating venous leg ulcers (VLUs), one therapy stands above the rest: compression therapy.
These painful, slow-healing wounds don’t occur randomly, they’re the result of a deeper issue: chronic venous insufficiency (CVI). That means the root problem isn’t just the wound you can see, but the poor circulation underneath it.
At Hill Country Wound Care & Hyperbarics, compression therapy is a core part of our advanced, physician-led VLU treatment protocols. Here’s why it works, and why it remains the gold standard for healing venous ulcers and preventing them from coming back.
What Causes Venous Leg Ulcers?
Venous leg ulcers form when the veins in the legs can’t pump blood effectively back to the heart. This leads to blood pooling in the lower legs (a condition called venous hypertension), which over time damages skin and tissue, causing open sores that don’t heal.
Without addressing this root cause, even the best wound dressings or creams will only provide temporary relief.
How Compression Therapy Works
Compression therapy uses controlled external pressure, through wraps, bandages, or stockings, to support the veins in your legs and restore healthier blood flow.
When compression is applied:
✅ It helps blood return to the heart more efficiently
✅ It reduces swelling (edema) that contributes to tissue breakdown
✅ It lowers venous pressure inside the leg
✅ It improves oxygen delivery to the wound
✅ It creates a more stable environment for tissue to regenerate
Think of compression as both a treatment and a preventative tool. It helps heal your current ulcer and protects against new ones from forming.
What Kind of Compression Does Hill Country Use?
At Hill Country Wound Care, we tailor compression therapy to each patient based on your wound’s severity, size, and overall vascular health.
We may use:
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Multilayer compression bandages: These are applied in-office and changed regularly to maintain consistent pressure. They’re ideal for active wounds.
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Graduated compression stockings: Once your ulcer is healed, these are worn daily to prevent recurrence by applying the right pressure at the ankle and reducing it higher up the leg.
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Adjustable wraps: For patients with fragile skin or limited mobility, adjustable compression systems may be more appropriate.
All compression materials used at Hill Country are medical-grade, breathable, and selected based on clinical best practices.
Is Compression Therapy Safe for Everyone?
In most cases, yes. However, it’s not suitable for patients with severe arterial disease or compromised circulation to the feet. That’s why Hill Country always conducts a thorough vascular assessment before starting compression.
We may perform:
● Ankle-Brachial Index (ABI) testing
● Doppler studies
● Pulse checks and capillary refill assessments
These evaluations ensure that compression is both safe and effective for your specific condition.
What the Research Says
Compression therapy isn’t just common. It’s backed by strong evidence.
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Clinical trials show that VLUs heal up to twice as fast with compression compared to standard wound care alone.
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The Society for Vascular Surgery and the American Venous Forum recommend compression as first-line treatment for all venous ulcers, unless arterial compromise is present.
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Patients who continue compression therapy after healing are less likely to experience recurrence.
In other words, compression isn’t optional. It’s essential.
What to Expect During Compression Treatment at Hill Country
Your first visit:
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We evaluate the wound, check for infection, and perform vascular screening
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Our physician develops a personalized compression and wound care plan
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Your bandages are applied during your visit and scheduled for follow-up changes
Weekly or Biweekly Follow-Ups:
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Wound size, drainage, and skin integrity are monitored
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Bandages or wraps are changed as needed
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Adjustments are made based on your healing progress
After Healing:
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We’ll fit you for compression stockings to wear at home
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Our team will coach you on lifestyle changes to prevent recurrence, including leg elevation, walking routines, and skincare
Why Choose Hill Country for Compression Therapy?
We’re proud to offer San Antonio’s most advanced outpatient wound care experience, guided by board-certified physicians and a highly trained support team.
Our Difference:
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Physician-led compression protocols based on the latest clinical research
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Convenient outpatient locations in Live Oak, Southwest San Antonio, and Bulverde
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Ultrasonic mist debridement, cellular tissue products, and HBOT are available as needed
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Insurance-friendly care in a comfortable, patient-first environment
