A compression boot is an intermittent pneumatic compression (IPC) device that reduces swelling and improves circulation. More and more people prefer it, and the market predicts that by 2032, sales will reach $1.2 billion. Although everyone recognizes its effectiveness, it is not actually suitable for all and can be risky for some. This article will explain what kind of people should not use compression boots, so please buy wisely according to your situation.

Possible Risks and Problems with Compression Boots

There are a number of risks you may face if you have sensitive skin or if your compression boots are not the right size or are used improperly.

If you have sensitive skin, the material of the boots may make your skin red, break out in a rash, or even trigger allergies. After wearing them for a long time, your skin may become more fragile.

The size of the boots is too tight and too loose for you. If they are too tight, they can press on the blood vessels, making your legs numb, tingly, and swollen, and in severe cases, damaging the tissues. If they are too loose, not only are they uncomfortable to wear, but they don't work as well as they should, and the pressure is not evenly distributed, which affects the experience.

You can make existing wounds worse or even cause pressure sores, blisters, or ulcers if you don't use the right pressure on your compression boots. This is especially true for people with nerve problems or dulled senses.

Also, don't wear compression boots if you have poor blood supply to the arteries above the knee, have heart failure, or have an infection that isn't under control. For peace of mind, always follow the instructions and ask your doctor if necessary. When using them, pay more attention to how they feel on your legs, and adjust or stop using them if you notice something is wrong.

Frequency of Risks of Wearing Compression Boots：

Medical Conditions That Make Compression Boots Unsafe

Before using compression boots, check if you have any health conditions that might make them unsafe. If your doctor has told you to use them, you can go ahead with confidence. Otherwise, be careful. Here are some conditions where you should avoid or be extra cautious with compression boots:

• Poor blood circulation (severe PAD) – If your arteries are already blocked, compression can make things worse.

• Blood clots (DVT) – (pressure) can loosen a clot and cause serious problems.

• Heart failure (CHF) – Extra pressure can put too much strain on your heart.

• Skin infections (cellulitis) – Compression can spread the infection and slow healing.

• High blood pressure (uncontrolled) – Pressure can make your blood pressure rise.

• Nerve damage (severe neuropathy) – If you can't feel pressure properly, you might not notice if it's hurting you.

• Open wounds or recent surgery – Compression can slow down healing and cause discomfort.

• Severe swelling (from organ failure) – If your body can’t manage fluids well, compression might not be safe.

• Severe lymph swelling (advanced lymphedema) – If the swelling has hardened, compression may not work and could cause pain.

Who Should Not Use Compression Boots

Individuals With PAD Or Severe Arterial Insufficiency

Medical devices such as intermittent pneumatic compression (IPC) are not safe for people with PAD. These devices can cause swelling or tissue damage, such as ischaemia. Arterial insufficiency occurs when the arteries are too narrow to deliver enough blood to the arms or legs. Pressure boots can make the situation worse by further blocking blood flow.

Severe Cardiac Insufficiency (NYHA Class III or IV)

Stress therapy may be helpful for people with mild heart failure (NYHA class I or II). However, there is not enough research to prove it is safe for severe cases. Using a compression leg massager may cause more damage to your heart. If you are going to use one, consult your doctor first.

Untreated Deep Vein Thrombosis (DVT) or Blood Clots

A DVT is a blood clot that forms in a deep vein, usually in the leg. Compression boots can move the clot, which can lead to a dangerous blockage in the lungs known as a pulmonary embolism. Compression therapy is not safe until the clot has been treated.

Severe Skin Infections, Open Wounds, or Ulcers

Do not use compression boots if you have serious skin infections, open wounds or ulcers. The pressure created by the boot can aggravate the infection or slow healing. It can make your skin more fragile and vulnerable.

Severe Diabetic Neuropathy and Microangiopathy

Neuropathy can make it difficult to feel pain or pressure, so injuries may go unnoticed. Microangiopathy affects small blood vessels, and incorrect blood pressure may aggravate the condition. Tissue damage or slow healing may result.

Recent Arterial Bypass Surgery or Stenting

After bypass surgery or stent placement, your body needs time to recover. Pressure boots can compress sensitive areas and interfere with wound healing. This pressure may block blood flow or cause swelling near the surgical site. The recovery process can also increase the risk of blood clots. Compression therapy should only be used when closely monitored by your doctor.

How to Know If Compression Boots Are Safe for You

Consult Your Doctor First

Always ask your doctor before using a leg compression massager. They will check your health to see if the compression boots are safe for you. Your doctor will look at your medical history, such as blood clots or swelling, to avoid risks and ensure safe use.

Your doctor will also teach you how to use your compression boots properly. They will help you choose the right size and pressure.

Tests To Check For Problems

The doctor will do some tests to determine if the compression boot is right for you. They will check for problems such as arterial disease, untreated blood clots, or serious skin infections.

If you didn't have any problems before and now you want to try compression boots, you can first test yourself to see if you have any of the problems mentioned above, and if you don't, you can use them without any problems. If you are not sure, you can consult your doctor and the customer service of the store

Watch For Signs After Use

Discontinue use if you feel redness, irritation or worsening of wounds, pain, swelling, or discomfort on your skin. The boots may not fit properly, or there may be a health issue.

Alternatives to Compression Boots for Recovery

If compression boots aren't for you, try light compression sleeves or compression garments. They provide gentle compression to help blood flow and reduce swelling. They are often used for vein problems or after surgery. Unlike boots, they are easier to put on and adjust.

Compression stockings are another great alternative to compression boots. They apply steady pressure to the legs, helping blood flow and reducing swelling. People use them to treat minor vein problems or after sitting or standing for long periods of time. Compression stockings come in different compression levels, from mild to severe. Compression stockings are affordable and easy to use.

Non-compression recovery methods (e.g., rest, hydration, and nutrition). Resting, drinking water, and eating help muscles recover and regain energy. Drink fluids with electrolytes after exercise to replace lost water and prevent cramping. Consume foods such as yogurt or smoothies within 30 minutes of exercise for quick muscle repair. Eat foods with protein and carbohydrates during the day to maintain recovery.

Getting a good 7-9 hours of sleep helps muscles heal and improves concentration.

Conclusion

Compression boots help by improving blood flow and reducing swelling. They also ease soreness and improve movement when used with other recovery methods. But, they are not safe for everyone. Some health issues, like vein problems or untreated clots, can cause risks. Studies show compression therapy helps recovery faster. It works best with rest, drinking water, and eating healthy foods. Always ask a doctor to make sure compression therapy is safe for you.