Pressotherapy.

Pressotherapy devices inflate and deflate chambers in a programmed sequence, typically starting distally (at the feet) and moving proximally (toward the heart). The compression pushes fluid through venous and lymphatic pathways in the same direction those systems naturally move it. Modern devices (Normatec, Ballancer, Mego Afek) offer adjustable pressure ranges and programmable sequences.

As an adjunct to manual drainage, as a maintenance tool between MLD sessions, for pre-athletic recovery, and for general circulation support in otherwise healthy adults. It is most useful for diffuse lower-body edema (ankles, calves, thighs). It is not a substitute for MLD in post-surgical recovery, lipedema, or lymphedema, because it cannot target specific lymph node chains or avoid contraindicated areas.

Acute post-surgical patients in the first two to three weeks (the cavities the boots compress may contain unresolved edema and hematoma), active DVT risk, severe peripheral vascular disease, uncontrolled hypertension. A therapist who offers pressotherapy without contraindication screening is not a clinical provider and is operating a wellness device, which is a different thing.

20 to 45 minutes per session, usually as part of a combined appointment with MLD or as a standalone wellness treatment. In wellness settings, pressotherapy is often offered as a single-modality drop-in at cryotherapy, recovery, and med-spa facilities.

$40 to $80 for a standalone 30-minute session at a recovery studio, $60 to $120 added to a manual MLD session at a clinical practice. Memberships and packages at recovery studios typically run $100 to $200 per month for unlimited access.

Is this a standalone session or paired with manual drainage? Which device do you use, and what pressure setting is typical for my case? Do you screen for contraindications (DVT, recent surgery)? If recent surgery — how recent, and what is your protocol for that window?