Vasopneumatic compression is utilized in hand therapy to reduce inflammation and swelling in the hand, wrist, or forearm, particularly after injury, surgery, or overuse. This modality combines intermittent pneumatic compression with localized cold therapy. A specially designed inflatable garment, fitted to the affected upper extremity, contains multiple pressure chambers. These chambers sequentially inflate, apply compression for a brief period, and then deflate in cycles over a 10- to 15-minute session.

In the setting of hand therapy, vasopneumatic compression is frequently indicated for edema management. This technique helps shift excess interstitial fluid by temporarily raising interstitial pressure above that of venous and lymphatic capillaries, encouraging reabsorption of fluid into the body’s natural drainage systems. This can improve comfort, facilitate mobility, and support tissue healing after trauma or surgical procedures such as tendon repairs, fracture fixation, or joint reconstruction.

Who should use it?

Patients undergoing hand therapy who experience localized swelling, stiffness, or discomfort due to fluid retention may benefit from vasopneumatic compression, provided there are no contraindications. It is particularly helpful in the early post-operative period or during rehabilitation from soft tissue injuries.

Who should not use it?

Vasopneumatic compression is contraindicated in certain cases involving:

• Significant vascular impairment in the affected upper extremity
• Uncontrolled diabetes with peripheral complications
• History of frostbite in the treatment area
• Moderate to severe arteriosclerosis
• Clinical signs of ischemia

Before use, each patient should be assessed by a licensed therapist to determine if vasopneumatic compression is a safe and appropriate component of their treatment plan.