Compression Pump or Compression Garments: Which Do You Need?
Most people with lymphedema start with compression garments, and many use them for life. A compression pump is usually added when garments, wraps and exercise are not keeping swelling under control on their own. Many patients end up using both: the pump to move fluid out, and garments to keep it from coming back.
How each one works
Compression garments apply steady, graduated pressure all day. Sleeves, stockings, wraps and night garments keep fluid from building back up in the limb. They come in ready-to-wear sizes or custom flat knit for limbs that are larger or uneven in shape.
A compression pump (also called a pneumatic compression device) uses a sleeve or legging with air chambers. The pump fills the chambers in order, from the hand or foot toward the body, to move fluid out of the limb. Most patients use it at home once or twice a day for about an hour, as their doctor prescribes.
Side by side
What it does: Garments hold swelling down all day. A pump actively moves fluid out of the limb.
When it's used: Garments are worn daily, with night garments while sleeping. A pump is usually used for 1–2 sessions a day at home.
Often a fit for: Garments suit mild to moderate swelling, or keeping results after therapy. A pump suits swelling that keeps returning despite garments and therapy, hardened tissue, or swelling in more than one limb.
Prescription: Garments need one for 20–30 mmHg and higher, and for insurance. A pump always needs one.
Replacement: Garments are usually replaced every 6 months. A pump is a durable device with a multi-year warranty.
Your doctor or lymphedema therapist decides what is right for you. Some people should not use a pump, including those with an active infection, a blood clot or certain heart conditions.
What insurance usually wants before covering a pump
Garments and pumps are covered under different rules. For a pump, most plans want to see:
A diagnosis such as lymphedema, documented by your doctor
A recent progress note and limb measurements
A trial of at least four weeks with garments or wraps, exercise and elevation, and a note that swelling is still a problem
A prescription and, in most cases, prior authorization
We gather this paperwork with your provider and check your benefits in writing before anything is ordered.
Not sure which you need?
Midwest Compression fits garments and sets up BioCompression pumps for patients across Kalamazoo, Battle Creek, Grand Rapids and Lansing from our office in Richland, MI. A Certified Compression Therapist measures you, and we handle the prescription paperwork and benefit check.
Call (800) 883-1549 or text (517) 657-5223, or see what to bring to your doctor.
Helpful resources
This article is general information, not medical advice. Talk with your doctor or lymphedema therapist about your treatment.
Want to know if your insurance covers it?
Use our secure patient forms to send your information and documents. We'll check your benefits in writing at no cost before anything is ordered.
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