Demand Inflection Point: Adjustable Compression Wraps Rapidly Replacing Traditional Multilayer Bandaging In Chronic Edema And VLU Care

Executive Summary

Adjustable compression wraps are rapidly gaining traction over traditional multilayer bandaging in the treatment of chronic edema and venous leg ulcers. Driven by ease of application, consistent therapeutic pressure, improved patient adherence, and reduced clinician time, this shift marks a pivotal inflection point in demand. Providers are increasingly viewing wraps as a superior and scalable solution for modern compression management.

Comparative Analysis of Adjustable Compression Wraps and Traditional Multilayer Bandaging:

Source: Grand View Research Analysis

Shift from traditional multilayer bandaging to adjustable compression wraps for edema management and VLUs

Clinical trials and research efforts are increasingly examining the effectiveness of adjustable compression wraps compared with traditional multilayer bandaging in lymphedema management. For example, in February 2025, a clinical study of 55 patients at the University School of Physical Education in Poland evaluated the effectiveness, physical functioning, and comfort of two inelastic compression methods ACWs and multilayer bandaging during the intensive treatment phase for advanced upper-limb lymphedema in breast cancer survivors. These investigations underscore the growing clinical focus on ACWs.

In terms of trends and innovations, manufacturers are focusing heavily on user-friendliness (ease of donning, adjustability for fluctuating limb size), patient independence (home use), and comfort/adhesion. In Europe, the Swiss-based SIGVARIS Group, in partnership with the HARTMANN GROUP, announced the launch of an adjustable wrap range for the foot and calf in Germany in May 2023. This co-branded range emphasizes reusable wrap systems for patients with venous leg ulcers and edema, aiming to facilitate self-management.

“Two companies with unique expertise are combining their knowledge to expand the next generation of compression therapy to a broader range of patients. The co-branded products with Sigvaris include re-usable compression wrap systems that enable venous leg ulcer patients to keep up their active lifestyles.” Said Peter Schuck, Vice President Global Sales Marketing Wound Management, HARTMANN

Regulatory & Reimbursement Trends

On the regulatory and reimbursement front, in the U.S., the Lymphedema Treatment Act (effective January 1, 2024) has created a new Medicare Part B benefit category covering standard and custom compression garments and wraps for lymphedema, including “gradient compression wraps with adjustable straps. Thus, such supportive regulatory & reimbursement initiatives are anticipated to drive the adoption of adjustable compression wraps over the traditional multilayer bandaging in the coming years.

Key Clinical Indications for Adjustable Compression Wraps (ACWs)

Adjustable compression wraps are increasingly used across several therapeutic areas due to their ease of application, ability to maintain consistent pressure, and support for patient self-management. They are widely indicated for conditions such as venous leg ulcers (VLU), lymphedema, deep vein thrombosis (DVT) / post‐thrombotic syndrome, chronic venous insufficiency, post-operative edema, and pregnancy-related edema.

Furthermore, adjustable compression wraps are segmented by different compression class as mentioned below: 

Competitive Scenario

A large number of medical device manufacturers and compression therapy companies offer adjustable compression wraps, reflecting rising clinical adoption and patient demand. These companies provide products tailored for conditions such as chronic edema, lymphedema, and venous leg ulcers, with designs focused on ease of use, durability, and consistent pressure delivery. Their portfolios often include wraps for both upper and lower limbs, featuring user-friendly tightening systems, breathable materials, and options suitable for both clinical and home care settings. This expanding landscape demonstrates strong commercial and clinical momentum behind adjustable compression wrap solutions.