Is over-the-counter (OTC) compression as good as made-to-measure (MTM)?

Short answer For children
The best garment is one made just for you — that's usually more comfortable and works better than one bought off a shelf.

For parents & caregivers
The best garment is the one that fits correctly. For many children with primary lymphoedema, made-to-measure compression gives the best long-term result.
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Some children with mild swelling and limbs close to standard sizes may do well with off-the-shelf compression garments. However, many children with primary lymphoedema have limb shapes or proportions that need made-to-measure garments for an effective, comfortable fit. Your specialist team will recommend the most suitable option based on your child's measurements, the location of the swelling, and treatment goals.

As a general rule, flat-knitted garments give a firmer, more accurate fit than circular-knitted ones, which are often less effective for lymphoedema — this is part of why made-to-measure options are so often preferred.