Compression therapy is essential for lymphoedema management, and therefore, is worth it write a blog where we are going to talk about what compression is ideal for what lymphoedema presentations, including the mmHg levels. I’m Giovanni, and I run Melbourne Massage and Treatment, a Myotherapy and Lymphoedema clinic in Fitzroy North. I trained with the Vodder Academy in lymphoedema management, and I provide Complete Decongestive Therapy (CDT), which forms the foundation of effective lymphoedema treatment.
What Does mmHg Mean in Lymphoedema Compression?
As when measuring blood pressure, even when working with Lymphoedema, we use the measuring unit mmHg (millimetres of mercury) when talking about compression. Based on the type of presentation, as lymphoedema therapists, we would recommend different types of compression garments, including flat knit or circular knit.
So, here is a short list of the purposes of compression garments:
- Support the lymphatic system
- Encourage lymphatic flow
- Prevent fluid from re-accumulating
- Maintain the results achieved through CDT
Therefore, choosing the correct mmHg compression level is about balancing effectiveness, safety, and comfort, and not only apply some form of pressure on the affected limb.
Compression Classes and Lymphoedema Management
To simplify how compression garments work, companies like Sigvaris or Juzo grouped the compression into classes or levels, each corresponding to a specific mmHg range.
Common Compression Levels Used in Lymphoedema Compression
Lower compression levels – 15–20 mmHg
Often considered in:
- Mild lymphoedema
- Early-stage swelling
- Fragile or sensitive skin
- Situations where tolerance is limited
Moderate compression levels – 20–30 mmHg
Commonly used for:
- Established lymphoedema
- Post-intensive CDT
- Long-term volume maintenance
- Daily functional support
Higher compression levels – 30–40 mmHg
Usually required for:
- Moderate to severe lymphoedema
- Fibrotic or hardened tissue
- Significant limb shape changes
- Swelling that rebounds quickly
My personal suggestion is that the correct Compression Level should always be determined following a thorough clinical assessment, in order to avoid fluid retention and waste of money.
Why Higher Compression Is Not Always Better
Compression level in lymphoedema treatment, as mentioned above, has to be a balance of effectiveness and comfort, and different presentation, with or without fibrosis, mobile or immobile limb, comes with different compression needs. Indeed, applying the wrong type of compression can:
- Reduce comfort and compliance
- Increase skin irritation or skin breakdown
- Compromised lymph circulation
- Make garments difficult to don and doff
In fact, effective Lymphoedema Compression works with the body, not against it, and that’s why for lymphedema presentation compression garments are recommended to be worn after taking specific measurements, that ensure a gradient pressure is applied on the limb, so that the lymph fluid is pushed in the right direction and not towards the extremity of the limb.
Compression Levels and Complete Decongestive Therapy (CDT)
At Melbourne Massage and Treatment, as part of lymphedema management, I offer MLD as a manual therapy to stimulate the lymphatic system, and CDT (Complete Decongestive Therapy), to reduce the swelling and limb size.
More specifically, CDT, can help with:
- Reduce swelling after the delivery of Manual Lymphatic Drainage (MLD)
- Improve tissue quality
- Shape the limb appropriately
- Prepare the limb for long-term Lymphoedema Compression
- Help in the breakdown of fibrosis
Once the limb has stabilised, compression garments help maintain volume reduction and prevent progression of lymphedema.
Professional Assessment Is Essential
Certain pharmacies or retail shops (including online one) may sell compression garments, but those are probably not specific enough for a Lymphoedema presentation. Indeed, the appropriate Compression Level depends on:
- Lymphoedema stage
- Limb shape and size
- Tissue texture and fibrosis
- Skin condition
- Functional needs and daily activity
For compression garments, post MLD and CDT therapies, I refer patients to Sigvaris in West Melbourne, which specialises in medical compression for lymphoedema and ensures accurate fitting and garment selection.
Lymphoedema Compression in Fitzroy North
Living with lymphoedema can be challenging, and you may find yourself in need of ongoing care and help in navigating information regarding the right compression strategy.
At Melbourne Massage and Treatment in Fitzroy North, I provide:
- Evidence-based CDT
- Personalised lymphoedema management
- Clear guidance on Lymphoedema Compressions
- Collaborative care with trusted compression garment providers
So if you’re seeking professional lymphoedema treatment in Melbourne, or want clarity around compression levels and mmHg, I’m here to help.
Book now a Free 15 minute Lymphoedema online consultation
Accessing Compression Garments Through the SWEP Program
For some people living with lymphoedema, the cost of Lymphoedema Compression garments can be a barrier to effective long-term management. In Victoria, eligible patients may access support through the State-Wide Equipment Program (SWEP), which provides funding for medically necessary aids, including compression garments for lymphoedema. As a Clinical Myotherapist, I can help you go through the SWEP program in collaboration with your GP. The role of the GP is to write a diagnosis and a referral to the SWEP program, and that’s where I can assist them. After that, you can refer to an approved compression provider, such as Sigvaris in West Melbourne, who can advise on garment selection and fitting.
The Swep program for Lymphoedema patients can help with:
- Reduces the cost of Lymphoedema Compression garments for eligible patients
- Supports long-term lymphoedema management after Complete Decongestive Therapy (CDT)
- Ensures clinically appropriate compression through professional assessment
FAQ – Lymphoedema Compression Levels
Yes, you can. Once lymphedema is diagnosed, you may be eligible for compression garment support through the SWEP program. A clinical assessment is essential, and approved providers manage the application and fitting process to ensure the correct Lymphoedema Compression is prescribed.
Giovanni La Rocca
Giovanni moved to Melbourne, Australia, from Italy in 2008 and became a citizen in 2017. He started studying massage therapy in 2016, then completed a Bachelor of Health Science in Clinical Myotherapy in August 2024. During those years, he also specialised in Thai Massage and Manual Lymphatic Drainage for presentations like Lipoedema and Lymphoedema. Nowadays, he runs his clinic in Fitzroy North, Melbourne, where he integrates movement therapy into his practice to enhance overall well-being. He also values meditation, having completed several Vipassana courses. Committed to continuous learning, he aims to share his expertise in integrated therapies to help others achieve balance and resilience.