A compression device can treat edema with a plurality of shell structures, each having an inside pad. A ligature network is routed across the shell structures. A plurality of tensioners mounted on at least some of the plurality of shells can separately adjust tension in different portions of the ligature network to affect the balance of compression forces at spaced positions along the plurality of padded shells. At least some of the shell structures have an underpass sized to accommodate passage of a portion of the ligature network. The underpass is integral with a corresponding one of the plurality of shell structures. In one case the shells include an interconnected plurality of volar shells placed on one side of a body part and a dorsal shell on the opposite side.
