Ensure Compression Therapy Is Safe
Compression garments can be highly effective for managing leg swelling, venous insufficiency, varicose veins and travel related swelling. However, compression should only commence after assessing circulation to the feet and legs.
At Entire Podiatry we provide:
- Toe Brachial Index (TBI) assessment
- Ankle Brachial Pressure Index (ABPI) assessment where appropriate
- Doppler vascular assessment
- Compression suitability screening
- Written report with recommendations
Our preferred assessment is the Toe Brachial Index (TBI) as it is often more reliable than an Ankle Brachial Index (ABPI) in patients with diabetes, older patients and those with arterial calcification.
Who May Benefit From This Assessment?
Frequent Travellers
People undertaking regular travel may choose to wear compression stockings to assist with comfort and swelling management during long flights.
For example, a patient whose spouse is a pilot may travel frequently and seek advice regarding safe and appropriate compression wear.
Leg Swelling Following Stroke
Patients who have experienced a stroke may develop swelling in one or both legs due to reduced mobility.
A vascular assessment helps determine whether compression garments can be used safely and what level of compression may be appropriate.
Varicose Veins and Venous Insufficiency
Compression stockings are frequently prescribed for patients experiencing aching legs, heaviness, fatigue, visible varicose veins or venous insufficiency to assist with symptom management and support venous circulation.
Chronic Leg Swelling (Oedema)
Patients with ankle swelling, lower leg swelling or fluid retention may be prescribed garments to help manage oedema and improve comfort during daily activities.
Venous Leg Ulcers
Patients with venous leg ulcers often require compression therapy as part of their wound management plan.
Diabetes
People with diabetes are at greater risk of peripheral arterial disease. A TBI assessment provides valuable information regarding blood flow before compression is prescribed.
Older Adults
Circulation problems become more common with age. A vascular assessment can assist in determining whether compression garments are appropriate and safe.
What Happens During An Assessment?
The assessment typically takes up to 1 hour and includes :
- Doppler vascular assessment
- Toe pressure measurement
- Calculation of TBI and/or ABPI
- Written report outlining findings and recommendations
Example Report Summary:
Who Refers Patients for This Assessment?
Referrals are welcomed from:
- General practitioners
- Vascular surgeons
- Wound Care Nurses
- Lymphoedema Therapists
- Physiotherapists
- Occupational Therapists
- Compression Garment Suppliers
- Self-referring patients
Booking an Appointment
Due to the specialised nature of this assessment, appointments cannot be booked online.
To arrange a vascular screening appointment, please contact your preferred Entire Podiatry clinic directly.
Our team will ensure sufficient appointment time is allocated with the appropriate podiatrist and confirm any referral information required prior to your visit.
Fees
View Doppler Assessment costs on our Podiatry Pricing page.