Lymphedema compression

Careful measurements for a more personal fit

Sleeves, gauntlets, gloves and wraps — measured at set points along the limb, fitted with you in a private room, and measured again each time you replace one.

  • Sleeves & gauntlets
  • Gloves
  • Wraps & night garments
  • Measured, not estimated

Your fitting support

Fitting support, guided by your care team

Many people visit Marzel's after receiving guidance from a doctor, surgeon, or lymphedema therapist. Our role is to provide careful measurements and fitting support based on that guidance.

We can help when:

  • You have been given a recommended compression level or garment type.
  • Your current garment no longer fits comfortably or the knit has loosened.
  • You would like your fit reviewed after being measured elsewhere.
  • It is time to replace a garment you use regularly.
  • You would like help identifying the garment you currently have.

Your healthcare provider determines whether compression is appropriate and which compression level you need. If they have given you documentation, please bring it with you. If you are unsure what may be needed, call us before your visit. We can explain what is commonly requested so you can follow up with your care team.

The basics

Understanding compression garments

A compression garment is a closely knitted sleeve, glove or wrap that applies graduated pressure — firmest furthest down the limb, easing as it goes up. That gradient is built into the knit itself, which is why size and fit matter so much — a garment that does not fit is simply not the right garment.

What we do is take the measurements, explain the options at the level you have been given, fit the garment carefully, and be here when it needs replacing. Whether a compression garment is appropriate for you, and at what level, is decided by you and the clinician managing your care.

Compression is fitted for a range of needs beyond lymphedema, for men and women alike. Our medical compression fitting page covers the wider range.

Measured, not estimated

Measured with care at specific points

Compression is measured, not estimated. We take measurements around the limb at several set points, plus one or two lengths, and those numbers are what guide the choice of garment.

Small differences matter more here than in almost any other fitting. A sleeve slightly too long bunches at the elbow; slightly too short and the top edge digs in. Careful measurements let us see both before you ever wear it.

Types and options

Compression garment options

A short map of the category, so the words are familiar before you arrive. Which of these applies to you comes from your care team and your measurements — call and we will tell you what we can show you on the day.

Sleeves
An arm sleeve runs from the upper arm to the wrist. Sleeves differ in length, in how tightly the fabric is knitted, and in whether the top band is plain or silicone-lined — and those are the differences we look at together during a fitting.
Gauntlets and gloves
A gauntlet covers the hand and thumb but leaves the fingers free. A glove covers the fingers too. Which one suits you depends on where swelling sits and on what you need your hands to do in a day.
Wraps and night garments
Adjustable wraps fasten with straps instead of being pulled on, which some people find easier on hands and shoulders. Night garments are a softer, bulkier construction intended for wearing lying down.
Ready-to-wear and made-to-measure
Standard sizes fit a great many people well. Where a limb sits outside a size chart, or falls between two sizes, there are garments made to individual measurements instead. Your measurements will show which applies to you.

Your appointment

What to expect during your fitting

Four steps, and the last one is the one people are most glad of afterwards.

  1. Before you come

    Please bring whatever you are wearing now, even if it is worn out — a tired garment tells us a lot. Please bring any documentation a provider has given you, too. If your arm is usually more swollen at a particular time of day, let us know when you call.

  2. Measuring

    We take measurements around the limb at set points, plus length. You stay seated with your arm free — nothing more exposed than a rolled-up sleeve.

  3. Choosing

    We explain what the measurements point to and show you the differences between the options at your level. Knit, seams and the top band are what people notice day to day, so you are welcome to handle them and see how they feel.

  4. Getting it on

    Putting a compression garment on is a genuine skill, and it is much easier to learn here with someone beside you. We show you how, and you can practise before you leave.

The next one, and the one after

When it's time for a new garment

Compression garments do not last forever — the knit relaxes with wear and washing, and a garment past its useful life no longer fits the way it was meant to. If the one you are wearing now has loosened, fresh measurements will show it, and we can talk it through with you.

  1. Your measurements may change

    Limbs change, often too slowly to notice. We check the current numbers against your file before anything is ordered, so the fit is based on where things are now rather than where they were.

  2. Contact Marzel's

    We keep what we measured, so when another garment is due we can start from there rather than from a blank sheet. Please call the location that measured you last time.

  3. Ordering

    Not everything is kept on hand. Where a garment has to be ordered in, we will let you know when you call and tell you what we know about timing, so you are not left guessing.

Insurance and documentation

Help with insurance and paperwork

We can explain what is commonly requested for a compression garment, so you can check with your plan and your provider ahead of your visit.

Whether a garment is covered, and what documentation is asked for, depends on your own plan, so the answer is different from one person to the next.

Common questions

Questions people ask us first

  • I already have a garment. Should I bring it?

    Yes please, even if it is worn out or you have stopped wearing it. Measured against fresh numbers, an old garment usually explains itself — and it tells us what you have been living with day to day, not just what was ordered.

  • Do I need measuring again if nothing has changed?

    We would rather measure than assume. Changes are often too gradual to notice, and the measurements are what a garment is ordered from, so it is worth taking them fresh each time.

  • What if I cannot get the garment on by myself?

    Please tell us. It is one of the most common things people find difficult, there are constructions and aids made for exactly that, and it is much easier to work through together in the room than on your own at home.

  • Can I bring someone with me?

    Yes. Partners, friends and adult family members are welcome, and a second pair of hands is genuinely useful while you are learning to put a garment on.

  • Which of the two locations should I go to?

    Either — both locations measure and fit compression. If you are replacing a garment, please call the one that measured you last time, since that is where your measurements are.

Where to come

Measured and fitted at both locations

Walnut Creek and Pleasanton both fit compression by appointment. If you are replacing a garment, call the one that measured you last time.

Tell us what you need.

Preferred contact method (required)

Please do not include diagnoses, medical records, insurance identification numbers or other sensitive medical information in this form. We will discuss anything clinical with you directly and in private.

Submitting this form does not confirm an appointment. A member of our team will contact you to discuss your request and next steps.