What are the recommended compression therapy options for managing venous leg ulcers in primary care?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Recommended compression therapy options for managing venous leg ulcers in primary care include the use of multi-layer compression bandaging systems. These are the mainstay of treatment to promote healing by improving venous return and reducing oedema.

Compression hosiery is generally not recommended for active venous leg ulcers but may be considered after ulcer healing to prevent recurrence.

Assessment by a vascular service is advised for people with venous leg ulcers to confirm diagnosis and guide treatment, including compression therapy.

Educational content only. Always verify information and use clinical judgement.