Caring for Your 4-Layer Compression Boot
What is a 4-layer compression boot?
A 4-layer compression boot is used to care for
leg ulcers caused by venous hypertension.
This 4-layer boot pads bony bumps, absorbs
wound drainage, and helps to decrease
swelling in the leg. This boot may be left on
for up to 7 days.
How is the boot put on?
Your leg and wound will be washed before
putting on the 4-layer compression boot. A
topical antibiotic and/or a dressing may be put
on over the wound before the boot is applied.
The boot will be put on in 4 layers, starting
with a padding bandage.
Layer #1 protects bony bumps, absorbs
wound drainage, and helps to shift pressure
evenly around the leg.
Layer #2 is fine mesh gauze with calamine
layer which absorbs drainage and smoothes
out the first layer and prevents the boot from
slipping down when ambulating.
Layer #3 is a compression bandage. It
conforms well to the leg and must be applied
in a figure-8 pattern.
Layer #4 is a cohesive compression bandage
that places pressure on the wound and holds
the 4-layer system in place until it is changed.
How do I care for the compression
Watch the toes for change in color (blue,
darkening, or white), temperature (cold),
swelling, or numbness. Call if any of these
Keep the leg raised above the level of your
heart when sitting or lying down if possible.
Do not sit with leg at a 90° angle as this
affects the blood supply to your legs.
Keep the boot dry. Sponge bathe or cover
boot with a heavy plastic bag secured with
tape above the boot when taking a shower.
Keep the leg out of the tub if bathing.
Walk as advised by your health care provider.
You may need to obtain a slipper or shoe 1-2
sizes larger to cover your foot.
Do not put any object into the boot if the leg
Call the clinic if your boot slides or shifts
down your leg.
For questions or concerns about this 4-layer
boot, call the Burn/Wound Clinic at
Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 7/2016 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#5808