The support wrapper is identical, whichever program your patient is enrolled in.
Chronic swelling caused by a lymphatic system that can no longer keep up with normal fluid transport. Protein-rich fluid backs up in tissue, triggering inflammation that drives progressive fibrosis. More than 90% of cases are secondary — most commonly following lymph node dissection or radiation.
Atherosclerotic plaque narrows the arteries supplying the legs and feet, reducing blood flow — especially during activity. In advanced disease, flow can’t meet tissue demand even at rest, and PAD can progress to critical limb-threatening ischemia.
International Society of Lymphology staging. Early intervention changes the trajectory.
Lymph transport is impaired but there’s no visible swelling yet. The limb is considered at risk.
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Soft, pitting swelling that improves with elevation. Minimal fibrosis.
Swelling persists despite elevation. Fibrosis and skin thickening progress.
We handle the claim end to end at no up-front cost to your practice.
Severity is also graded by limb-volume increase against the unaffected side: mild 5–20% · moderate 20–40% · severe over 40%
Compression therapy follows two phases. Pneumatic compression is an adjunct to foundational compression and skin care, not a replacement for it.
Clinician-led decongestion to bring limb volume down.
Patient-managed, lifelong. This is where our program lives.
A wrap and a pump aren’t alternatives — most well-managed patients use both.
The daytime compression wrap is applied before getting up and moving.
The wrap comes off for a 30–60 minute pneumatic compression session that actively moves fluid.
The wrap goes back on for continued graduated compression through the rest of the day.
The wrap holds ground all day; the pump moves fluid the wrap alone can’t.
| Feature | circaid juxtafit essentials |
AIROS 6 | AIROS 8 | ARTAIRA |
|---|---|---|---|---|
| Type | Inelastic band wrap | 6-chamber pneumatic pump | 8-chamber pneumatic pump | Arterial compression |
| Treats | Lymphedema, lipedema, venous disease | Lymphedema, chronic venous insufficiency | Lymphedema, CVI, lipedema, truncal swelling | PAD, claudication, rest pain, critical limb ischemia |
| Worn | Through the day | Session-based | Session-based | About 3 hrs/day in sessions |
| Pressure | Prescribed level, verified with the BPS card | 30–80 mmHg | 30–80 mmHg | 120 mmHg sequential |
| Sizing | Upper and lower sized separately; left/right specific | Garment sized to the limb | Garment sized to the limb | Foot, ankle and calf cuffs |
| Adjustable by the patient | Yes — re-tighten without removing it | No — fixed garment | No — fixed garment | No — fixed cuffs |
| Where it fits | Maintenance phase, all day | Maintenance phase, daily session | Maintenance phase, daily session | Arterial therapy, alongside wound care |
| Notable | High working pressure, low resting pressure; machine washable | Straightforward cases | Skip-chamber mode for active ulcers; unilateral therapy | For patients who aren’t surgical candidates |
The wrap and the pumps aren’t alternatives — most lymphedema patients use both. The wrap holds compression through the day; the pump runs a focused session that moves fluid the wrap alone can’t.
Circaid juxtafit essentials uses inelastic compression to hold the limb at a measurable, prescribed pressure throughout the day. Because the bands don’t stretch, the calf meets firm resistance each time the muscle contracts — producing high working pressure during movement and low resting pressure when the patient is still.
Within a lymphedema program, the wrap is the maintenance layer: it holds the volume reduction achieved in decongestive therapy, and because it’s adjustable without being removed, patients re-tighten it themselves as swelling falls rather than waiting for a refit.
Application sequence
Undersleeves on first
They protect the skin and help the wrap sit correctly.
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The whole leg system includes
Upper and lower sections are sized independently, so the combination is matched to each patient rather than forced from one size. Because the bands don’t stretch, they can be re-tightened at any point in the day without removing the garment — which matters as limb volume drops.
Pressure behaviour
At rest
The bands sit against the limb without squeezing it, so the wrap stays comfortable when the patient is sitting or lying down.
Pressure on the limb
Why it matters
Inelastic material doesn’t stretch. When the calf muscle contracts during walking it meets a firm wall, and the pressure inside the limb rises sharply — the effect that pushes fluid out. When the muscle relaxes, pressure falls away again.
The whole leg system sizes in two parts, so a patient can be one size on the lower leg and another on the upper. Six circumference points and two lengths determine the combination. Use the diagram below to see where each landmark sits — hover or tap any measurement in the list to highlight it on the limb — then match your readings against the size charts. Record which limb you measured; garments are left- and right-specific.
Lower leg measurements
Lower leg — circumference in centimetres
| Size | S | M | M–X full calf | L | L–X full calf | XL | XL–X full calf | XXL |
|---|---|---|---|---|---|---|---|---|
| cC | 30–38 | 36–43 | 43–50 | 41–48 | 48–56 | 41–51 | 51–61 | 53–64 |
| cB1 | 20–28 | 25–33 | 33–40 | 30–38 | 38–46 | 33–41 | 41–51 | 43–53 |
| cB | 15–23 | 20–28 | 20–28 | 25–33 | 25–33 | 30–38 | 30–38 | 33–41 |
Upper leg measurements
Upper leg with knee — circumference in centimetres
| Size | XXS | XS | S | M | L | XL |
|---|---|---|---|---|---|---|
| cG | 40–52 | 46–62 | 54–70 | 60–80 | 69–90 | 77–101 |
| cE1 | 32–42 | 37–48 | 42–55 | 50–65 | 58–76 | 66–87 |
| cD | 23–30 | 27–35 | 31–41 | 35–46 | 40–52 | 44–58 |
Sizes combine. Upper and lower sections are chosen independently, so a patient can be one size on the lower leg and another on the upper. Garments are also left- and right-specific — record which limb you measured.
Before you measure
Verify against the current order form. These landmarks and ranges are transcribed from one printed medi sheet for the whole leg system. Size charts are revised periodically, and other circaid products use different points. Always size from the form supplied with the product.
AIROS uses sequential pneumatic compression to inflate a series of chambers one after another, starting at the ankle and working toward the body. Each chamber stays inflated as the next one fills, creating a wave of pressure that moves lymphatic and venous fluid out of the limb. These cycles mimic the body’s own drainage, helping to reduce swelling, maintain the gains made during clinical decongestive therapy, and give patients a routine they can manage at home between visits
Compression cycle
Chamber 1 inflating
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Pressure is highest at the ankle and eases as the wave moves up the limb, so fluid is pushed proximally rather than trapped.
Each chamber inflates in turn from the ankle upward and stays inflated, building a wave that moves fluid toward the body. All chambers then release together before the next cycle begins.
Compression isn’t appropriate for every patient. We take circumference measurements at the specified landmarks so sizing drives both efficacy and comfort, walk the patient through their first session, and confirm the diagnostic workup — including ABI screening where relevant — is on file before a device is dispensed.
Measurement points
Before you measure
Verify against the manufacturer form. These landmarks follow conventional compression-garment lettering. Each device has its own measurement form, which may require different or additional points. Always size from the form supplied with the product.
ARTAIRA uses intermittent pneumatic compression (IPC) to sequentially compress the foot and calf three times per minute at high pressure. These compression sequences mimic fast walking and improves blood flow to the feet, ankles, and toes, helping to reduce pain, heal ulcers, and potentially prevent amputation
Compression cycle
Foot compressing
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Sequential compression to the foot, ankle and calf mimics the muscle-pump action of fast walking — pushing venous blood out of the limb so arterial blood flows in more easily. Over three or more months of consistent use, sustained sessions may support collateral vessel formation.
Schedule a free consultation with our team and let’s make things happen.
