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6 Thoughts to “The long and short of it: Understanding compression bandaging”

  1. Gary Freeman

    I recently went to the VA hospital for lymphadema and wound care treatment. Prior to my VA visit I saw a certified lymphadema specialist, and it was suggested I purchase a variety of short-stretch bandages of different widths. While waiting for the bandages to come I went to the VA where the treatment nurse wrapped my legs with Ace bandages. I asked her if they were suitable for lymphadema treatment and asked if they could cause blood clots. She said she never heard of such nonsense and has always treated with Ace bandages. upon my second visit to the VA I had applied the short stretch bandages I received in the mail. The nurse became incensed and told me she would not treat me because I used these bandages not the Ace that she recommended. Was I mistaken for using the short stretch bandages for my lymphedema?

    1. Dear Gary,
      I am sorry you experienced this negative reaction. Short stretch bandages are the standard of practice for the treatment of lymphedema. Short stretch bandaging systems are also the standard of practice in treating venous leg ulcers. You do have the right supplies and were not mistaken in using them to treat your lymphedema. I am impressed you were able to apply them independently!
      Thank you for sharing your question.

  2. Alex Collins

    Is it important to apply compression wrap dressings to the patient while they are in a resting position with the legs supported? I have seen a nurse applying wraps to patients who are sitting on an exam table with their legs hanging down. Is this allowable?

    1. It is important to apply compression in the morning when the edema is reduced, so that the bandages don’t slide down. It is also important to have the patient in a position where the ankle is kept in neutral alignment, or even slightly dorsiflexed, so that the bandages don’t cut into the anterior aspect of the ankle when the patient stands up and walks.
      I have found that it is faster and easier to bandage with the patient sitting at the edge of a treatment table, and that is an acceptable position. Sometimes, I also have the patient slightly weight bear on the extremity to contract the muscles so that my bandaging isn’t too tight when they weight bear and walk.

  3. Denise Stewart

    Can you apply 3layer no compression bsndage for reduction of odeama in lower legs with someone who has chronic heartfailure and do you need to doppler them

  4. Lauren Piedmont

    It appears there are many resources that point to short stretch bandages for lymphadema treatment.

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