Abstract: Embodiments of the present invention relate to medical devices and treatments for chronic venous insufficiency, open ulceration and related medical conditions, and more particularly to a device and treatment incorporating negative pressure compression to the foot and lower leg or other appendage of a patient.

Abstract: Embodiments of the present invention include an apparatus for encouraging compliance with a prescribed orthotic treatment, including an orthotic device applied to a limb of a user, a strap coupled to the orthotic device, the strap having two ends and configured to wrap around the orthotic device at an attachment area, where a length along the strap is smaller than a maximum circumference of the limb distal to the attachment area, and a locking mechanism to lock the strap onto itself. Other embodiments of the present invention include a system for off-weighting a user's foot, including a hardenable cast; a rigid outer boot having a footbed, a first side strut with a first strap aperture, a second side strut with a second strap aperture, and a strap extending through the first strap aperture and the second strap aperture and operable to tighten around the hardenable cast.