an apparatus for treating swelling and tissue induration comprises a therapeutic garment comprising quilting seams which form pockets or channels , wherein the pockets provide gradients that are approximately parallel channels or have a width that tapers from a wide to a narrow configuration and wherein a flexible elastic or elastomeric foam filler at least partially fills the pockets or channels and an outer covering attached to or overlaying the therapeutic garment , wherein the outer covering is adapted to provide constrictive force to the therapeutic garment .