Compression Bandaging

Compression Bandaging

Compression Bandaging is a very specific method of applying short-stretch bandaging, foam, and other materials to reduce fluid in an area of the body. 

Typically, compression bandaging is done prior to fitting for long-term compression garment wear in persons with Lymphedema.  Compression Bandaging Therapy is considered an essential part of Complete Decongestive Therapy (CDT).  It is temporarily used until the maximum amount of fluid has been removed from the affected area.

Although it is most commonly known for its effectiveness in Lymphedema, Compression Bandaging is also appropriate for Edema, Chronic Venous Insufficiency (CVI), and Lipedema.  Compression often provides great relief when pain is associated with any of the aforementioned conditions. 

Compression Bandaging for Lymphedema Management

Compression bandaging is an essential part of Complete Decongestive Therapy (CDT).  When used together with Manual Lymphatic Drainage (MLD) or Electro-Lymphatic Therapy (ELT), bandaging can significantly improve the degree of fluid reduction achieved in a single session.  

Because the lymphatic pathways are opened and flowing following a lymphatic drainage session, compression is able to encourage more fluid to move out of the affected area long after the session is over.

compression bandaging of a leg - part of complete decongestive therapy for lymphedema

Compression Bandaging for Chronic Venous Insufficiency

Compression bandaging has been shown to improve the speed of healing wounds that come about as a result of Chronic Venous Insufficiency (CVI).  Compression helps narrow veins and may help restore valve competency, which in turn reduces venous reflux (the backfl0w of blood).  Compression also helps to improve lymphatic flow.  In short, compression helps to mimic normal circulatory function which speeds the healing of wounds.

Can’t I Just Wrap with an Ace Bandage?

why ace bandages are not appropriate for lymphedema and chronic venous insufficiency

In a word, no – and the reason is very important.

So-called “Ace bandages” that can be purchased at your local pharmacy have very different properties than the bandages used in Complete Decongestive Therapy (CDT) for Lymphedema.

Ace Bandages stretch to 140% of their original length when pulled.  They are manufactured with a material called polyurethane.

By contrast, “short stretch bandages,” the kind used in CDT for Lymphedema are made of cotton and are woven so that they only allow 60% of stretch.

Working Pressure vs. Resting Pressure

Working Pressure is a term used to describe the amount of pressure a bandage is providing when a person is moving their muscles under the bandage.

Resting Pressure is the pressure applied by a bandage when a person is being still.

Short Stretch Bandages, the kind that should be used for Lymphedema, have a high working pressure and a low resting pressure.  This means that when a person is up and about or exercising, the bandages are actively applying solid pressure to move fluid and reduce the swelling.  When that person is resting, the bandages are applying low pressure.  That is, enough to keep swelling from worsening, but not so much that it could damage tissues.

Ace bandages, or “long stretch” bandages, have a low working pressure, meaning that they stretch too much when a person is moving and don’t provide enough resistance to be effective in moving fluid.  They also have a high resting pressure, which means when a person is resting that the pressure could restrict the flow of lymph and blood in the veins.  This can be dangerous, especially if someone falls asleep or has limited sensation in the wrapped area.

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