A reduced pressure treatment appliance is provided for enclosing and providing reduced pressure treatment to a portion of a body of a patient. The reduced pressure treatment appliance may be used to treat wounds and other conditions, such as lymphedema, varicose veins, venous insufficiency and stasis, and other infirmities. In some embodiments, the appliance includes an enclosure that encloses the portion of the body to be treated for purposes of applying a reduced pressure to the enclosed portion of the body. In other embodiments, the wound treatment appliance also includes a vacuum system to supply reduced pressure to the portion of the body to be treated in the volume under the enclosure. Finally, methods are provided for using various embodiments of the treatment appliance.