A physical therapist reviews a patient's medical history before administering intermittent compression. Which condition would be a contraindication to this mechanical device?

Intermittent compression is often used to improve circulation, reduce edema, and promote healing in various conditions. However, there are specific contraindications where its application could worsen a patient’s condition or lead to serious complications.

Acute pulmonary edema is a condition characterized by the accumulation of fluid in the air sacs of the lungs, which can severely hinder breathing and oxygen exchange. The application of intermittent compression in this scenario can exacerbate pulmonary edema by increasing fluid return to the heart and subsequently to the lungs. Additionally, the increase in central venous pressure caused by the mechanism of intermittent compression could lead to further pulmonary complications, making it an absolute contraindication.

On the other hand, conditions such as venous stasis ulcers, intermittent claudication, and lymphedema may benefit from the use of intermittent compression. Venous stasis ulcers are typically a result of poor circulation, and compression can assist in improving venous return. Intermittent claudication relates to muscle pain due to inadequate blood flow; while there may be considerations regarding the application of compression, it is generally not an outright contraindication. Lymphedema often improves with the use of compression therapies aimed at reducing swelling and promoting lymphatic drainage.

When evaluating a patient’s