Carlos Sánchez Fernández de la Vega*

Retired Doctor, Spain

*Corresponding Author: Carlos Sánchez Fernández de la Vega, Retired Doctor, Spain.

Received: August 29, 2025; Published: October 15, 2025

Abstract

Chronic ulcers of the lower limbs remain a major public health and clinical challenge, characterized by high prevalence, prolonged healing times, frequent recurrence, and a severe impact on patients’ quality of life. Compression therapy is widely regarded as the standard of care, yet its limitations in efficacy and adherence are well documented. Double focal compression bandaging, developed from direct clinical observation, applies localized pressure to the ulcer bed to promote angiogenesis, reduce oedema, and prevent infection. More than two decades of clinical practice consistently demonstrate favorable outcomes, including complete healing within three to four months, reduced recurrence rates, and applicability even in elderly and multimorbid patients. Despite its simplicity, reproducibility, and cost-effectiveness, the technique has faced scepticism due to the absence of large randomized trials and its challenge to prevailing wound-care paradigms. These abstract highlights the potential of physiologically informed, low-cost interventions to improve the management of chronic wounds and enhance patient quality of life.

Keywords: Chronic Ulcers; Compression Bandaging; Angiogenesis; Primary Care

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Citation

Citation: Carlos Sánchez Fernández de la Vega. “The Double Focal Compression Bandaging Insights from 25 Years of Clinical Experience". Acta Scientific Clinical Case Reports 6.10 (2025): 01-07.

Copyright

Copyright: © 2025 Carlos Sánchez Fernández de la Vega. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.