MOH Essentials

Dive deep into the Essentials of compression therapy and veno-lymphatic disorders featuring expert videos explaining concepts and discussing various disorders

Step into the evolving world of compression therapy with MOH Essentials – your dynamic digital compendium. Imagine a library of engaging video chapters that grows with the field, continually updated with the latest insights and results. Here's what to expect:

  • A Growing Knowledge Base: Each new chapter expands your understanding of compression therapy, built on fresh, relevant findings.
  • Recordings & Summaries: Dive into foundational sessions on compression treatment methods and distilled knowledge from pivotal studies.
  • Expert Lectures: Absorb state-of-the-art talks from leading voices in the field, discussing topics at the forefront of compression therapy.

Latest video

6: Stiffness and pressure - the role in compression treatment

Compression therapy plays a vital role in the management of various venous and lymphatic conditions. The materials used in compression garments can be broadly categorised into two types: elastic and inelastic.

Each material type has distinct properties that influence its therapeutic application. Two key factors—pressure and stiffness—determine the effectiveness of compression therapy and vary significantly between elastic and inelastic materials.

Introduction

Discover a dynamic new resource for compression therapy. MOH Essentials provides basic information, study summaries and expert lectures that are continually updated to keep you abreast of the latest advances in compression therapy.

1: What is compression?

Compression therapy improves circulation and reduces symptoms of venous and lymphatic disorders using bandages, stockings, adjustable systems, and pneumatic devices. It helps reduce swelling, enhance healing, and prevent complications in both acute and chronic conditions.

2a: Indications for compression treatment - chronic venous disorders

Compression therapy treats chronic venous disease by reducing symptoms, swelling, and skin issues. Using devices like stockings and bandages (15–40 mmHg), it improves quality of life and manages conditions like varicose veins and eczema.

2b: Indications for compression treatment - chronic venous disorders (CVD) - Part 2

Compression therapy is essential for treating and preventing venous leg ulcers. It supports healing, reduces pain and recurrence, and is recommended after procedures like surgery or sclerotherapy to minimise swelling and discomfort.

3. Indications compression treatment - acute venous diseases, postthrombotic syndrome

Compression therapy is essential immediately after deep vein thrombosis (DVT) to reduce pain and swelling and promote mobilization. Used in conjunction with anticoagulation, it helps prevent clot progression. Compression also reduces the risk of post-thrombotic syndrome (PTS) and alleviates symptoms such as pain and skin changes. Individualized treatment ranges from 6 to 12 months based on symptom improvement, with ongoing use recommended for persistent PTS symptoms. Compression is also recommended for superficial venous thrombosis.

​4: Risks and contraindications of compression treatment

Compression therapy is generally safe, but may cause side effects such as skin irritation, discomfort, or rare complications such as infection, nerve damage, or arterial problems. Contraindications include severe peripheral arterial disease with low ankle or toe pressures and advanced heart failure (NIHA stage 4). Patients with heart failure or diabetes should be closely monitored. Compression should be avoided in cases of severe diabetic neuropathy or arterial bypass compression. Proper use and assessment of arterial circulation are essential before initiating treatment.

5: Principles of Adjustable Compression Wraps (ACW)

Adjustable compression wraps (ACW) are a good and effective alternative to compression bandages in the initial decongestion phase in patients with venous and lymphatic edema. They are further indicated in the initial phase in venous leg ulcers (VLU), the maintenance phase in lymphedema, in lipoedema and in patients with limited ability to use medical compression stockings, they make self-adjusted compression in the maintenance phase possible. 
ACW are open compression garments adjusted around the limb by the patient alone or by support persons and consist of a modular system with calf, foot, knee, and thigh or hand and arm compression parts which can be combined.