How does bandaging or wrapping control lymphedema?
The practice of bandaging and wrapping is more recent innovation in the U.S., although it has been used in Europe for quite some time. This treatment utilizes a four-layer wrap that works in conjunction with a pump and compression garments to control edema. All the digits (fingers and toes) are wrapped individually. The hand or foot is then wrapped, followed by the forearm/calf, elbow/knee, upper arm, and thigh. This type of therapy can be taught to some patients, but older patients or those with limited dexterity (e.g., arthritis) may have difficulty applying the wrappings themselves. The bandages are reusable. This is important because the bandages are not stocked by every medical supply company and are expensive. Those patients who are able can wrap their limb at night, and in the morning take off the wrap and put on their compression garment.
