Lymphedema management, 3rd edition,textbook, comprehensive guide for therapists and patients, lymphedema. Bandaging for lymphedema is usually comprised of a multi layer system. The layers help to protect the skin from irritation, spread the compression evenly across wide areas, and allow for high working pressure and low resting pressure to encourage lymph flow and. Lymphedema bandaging book is step by step instructions for the application of upper and lower extremity bandages. In the early days, i was horrified by the process of bandaging. It seeks to draw together the current evidence base supporting compression as well as celebrating the.
Next comes a layer of foam, padding, andor swell spots which serves several purposes. Lymphoedema bandaging in practice cj moffatt in producing a focus document, the european wound management association ewma has chosen the challenging topic of lymphoedema management. Uk and canada using the 3m coban 2 compression system. In all the bandaging places i know of there are two steps of the bandaging treatment. Nonadhesive, oven weave bandages are often used on the fingers and toes.
The information presented is intended for general information and educational purposes. The full arm lymphedema bandaging kit comes with the most popular lymphedema bandaging supplies. Legs and feet to reduce lymphedema swelling for patients with lower body lymphedema who have had treatment for cancer, including. To investigate efficacy and safety of the 3m coban 2 compression system coban 2 system with different application. Lymphedema most commonly occurs after lymph nodes have been removed or damaged by surgeries causing the the normal pathway of the lymph system to be degraded and remaining vessels in the body to become overloaded with fluid and swell. This position document on compression bandaging is the.
The kit is designed to provide multiple layers of compression that can be applied over the entire arm. C only perform the bandaging as demonstrated in this video after you have been instructed to do so by a certified lymphedema therapist. Are strapping multilayer compression system codes usable to bill lymphedema bandaging services. An integral part of active lymphedema treatment is bandaging or wrapping. Check the overall pressure by feeling the bandages. Bandages, padding and wraps for lymphedema brightlife direct. On november 11, 2014 the ama cpt editorial board announced in their errata and technical corrections. After two months, i didnt need to use painkillers to ease my discomfort. Compression therapy in breast cancer related lymphedema. Instructions for selfcompression wrap for lymphedema compression wrapping improves the muscle pump, helps to decrease fibrotic tissue and promotes lymph drainage. The experience of patients with lymphoedema undergoing a period. Multilayer lymphedema bandaging mllb traditional bandaging for lymphedema is multilayer lymphedema bandaging, or mllb.
Moisturize the skin with a low acidity moisturizer such as aquaphor, eucerin or johnsons baby lotion 2. Treatment with multilayer lymphoedema bandaging was seen as constraining in that. The course serves to reinforce the correct use of such advanced materials while fostering further development of confidence in therapists of all training backgrounds. A randomised controlled 8week crossover clinical evaluation of the 3m coban 2 layer compression system versus profore to evaluate the product performance in patients with venous leg ulcers. Much of the inspiration for and development of the key treatment programme for this condition, known as decongestive lymphatic therapy, comes from germany.
Always ensure, when bandaging limbs, that the bandage is applied with the muscles relaxed. Full arm lymphedema bandaging kit performance health. Lymphedema is an abnormal buildup of proteinrich fluid in any part of the body as a result of malfunction in the lymphatic system. The text begins with a foundation for the condition, including its pathophysiology, epidemiology, and. The following activities may minimize the chances of lymphedema. Treatment with the 3m coban 2 system was reported as enabling in that it. This guide is to be used under supervision by your healthcare practitioner following full instruction and practice. Selfbandaging techniques for the upper extremity the goal in selfbandaging in the selfmanagement phase, or phase two of cdt is to maintain and improve the success achieved in the first phase of treatment. It seeks to draw together the current evidence base.
Having the correct medical footwear is critical for helping to manage and minimize the impact that lymphedema may have. Bandaging is an important part of lymphedema therapy that can be used during the intensive and maintenance phases. Lymphedema bandaging is a very helpful reductive therapy for those who develop lymphedema in a limb. Documentation should support a diagnosis of lymphedema and not tissue edema due to other etiologies chronic. The effects of lymphedema may include any of the following. There are a number of commonly used methods of bandaging your arm for lymphedema, but all apply the principles of layered wrapping and gradient pressure. Bandaging plays an important role in the treatment of lymphoedema. Lymphedema has long been treated with bulky bandages that are difficult to fit. Bandaging, which is also known as wrapping, is an effective form of achieving compression for some lymphedema patients because bandaging can be safely worn both day and night. It interlocks with the inner layer creating an inelastic bandage system that is less likely to slip down the leg during wear.
Compression bandaging for lymphedema jobst duration. These materials allow for a more consistent bandage application with better. Maintain your active lifestyle with the right therapeutic footwear. Until a therapist is fully trained in manual lymphatic drainage or compression bandaging, his or her primary role is to serve as an advocate, educate patients on appropriate care, and help them locate an. This is followed by tubular stockinette andor gauze for added skin protection. Lymphedema diagnosis, treatment, and followup from the view. Bandaging involves creating a soft cast on the arm or upper body by wrapping with multiple layers. Lymphedema bandages are referred to as short stretch because when compared to a traditional ace bandage, they only stretch an additional 50% of their length. Short stretch bandages contain no rubber threads so they generate comfortable, safer pressures. Basic lymphedema education and bandaging an introductory course in lymphedema, assessment and bandaging techniques for both upper and lower extremities. A typical ace bandage can stretch up to an additional 300% of its length. The lymphatic system is made up of many vessels that carry fluid throughout the body.
Who needs selfbandaging why selfbandaging is important. The lymphedema program is designed to provide patients with comprehensive treatment including manual lymph drainage, skin evaluation, exercise, bandaging techniques and garment wear to control swelling. Up until now, traditional lymphoedema bandaging has incorporated short stretch, inelastic bandages with a variety of padding materials to normalise the limb. This is a main component of the larger treatment regimen called complete decongestive therapy, or cdt, and many research studies have. Over those base layers, a soft padding layer is applied to protect the skin and ensure even compression from the short stretch. Minimizing lymphedema initial swelling from cancer treatment often resolves by itself.
Medicare will reimburse for necessary components of decongestive treatment when the medical record supports that the following requirements are met. How to selfbandage your hands and arms to reduce lymphedema for patients with upper body lymphedema swelling. Lymphedema bandage liners for the leg leg bandage liner. Removal of lymph nodes in the pelvis removal of lymph nodes in the groin, or radiation to the pelvis read this resource to learn. Multilayer compression bandaging mlb for breast cancerrelated lymphedema bcrl patients may be easier to apply during nighttime sleep.
At its worst, it spanned the entire lower portion of my leg. After toe wrapping, continue with the compression layer for the leg see steps 710 above. A randomized, controlled, comparative study of relation between volume and interface pressure changes. Lymphedema compression bandaging techniques, demonstrated by heidi roe m. I was so upset that i had to wear a 4cm thick bandage that went from the end. Further reduction and softening of fibrotic tissue in the affected area is the main focus. Ordering information 3m coban 2 compression system is available in a range of sizes and widths to. Selfbandaging is a way to help treat lymphedema swelling.
The purpose of the treatment is to make your lymphedemadamaged limb as thin as possible, before you go on to wearing compression stockings that will keep the swelling abreast in everyday life. Begin the 15cm compression layer application with a 50% overlap of the below knee bandage. Video practical instruction follows the basic principles of compression bandaging yet employs the use of advanced materials such as foam padding. However, if there is still swelling three months after completing your cancer treatment program, then treatment for lymphedema should be sought. As soon as i started using 3m coban 2 twolayer compression system, i started healing. Exercise to manage lymphedema post breast cancer treatment duration. This volume is a clinicallyoriented book that can be used for patient care, teaching, or research. Bandaging or wrapping is a selfcare tool that you will use time and time again to help control flareups and reduce the volume of your limb. Lymphoedema awareness exercise class breast cancer haven duration. Until now, no one would have believed that two thin layers of compression bandages could provide. Lymphedema management guide cheshire medical center. Short stretch bandages are used to support your patients swelling and can also help move the fluid out of the tissues.
The first layer is for skin protection, this is usually a stockinette material. Extensive research, design and testing led 3m scientists to develop 3m coban 2 compression systema breakthrough in compression bandaging with the potential to change the practice of lymphoedema intensive therapy. Request pdf the experience of patients with lymphoedema undergoing a period. An overview of the many types of bandaging systems and an interactive decisionmaking exercise.
A contextual view of compression bandaging for lymphoedema. Compression therapy in breast cancerrelated lymphedema. Complex lymphedema therapy clt, a combination ofmld, compression bandaging, exercises and skin care, results in lymphedema reduction of about 60% 15,16. Lymphedema is a condition in which proteinrich fluid accumulates in the tissues due to a failure of the lymphatic system. Used underneath the bandages to protect the skin from.
Make sure this fits by entering your model number wrapping compression bandages around swollen and painful limbs helps with recovery from lymphedema includes. We have used a novel fibreopticbased, highresolution subbandage. First lotion is applied to the limb to moisture and protect the skin. Selfbandaging includes layers of padding and bandages that are.
For example, the arm lymphedema bandaging kit, available directly from lymphedema products, supplies all the bandages a patient will need to treat arm lymphedema during the clinical treatment phase. In cancer care it is most often associated with lymph node dissection and radiation therapy to lymph nodes. The second layer is a gauze like bandage for the fingers or toes. By gently, but firmly, squeezing the soft tissues of the arms it is possible to coax lymph fluid back into the circulation, and out of tender. An overview of manual lymphatic drainage for lymphedema. It covers the entire field of lymphedema, including both primary and secondary disease, as well as all diagnostic and treatment modalities. Multilayer lymphoedema bandaging mllb mllb, also known as decongestive lymphatic therapy dlt or intensive lymphoedema treatment is a multi layered system of bandaging which provides a firm casing for the muscles to work against to aid fluid drainage, help improve the shape and size of the limb and reduce the firmness of the tissues. The bandaging should feel firmer at the foot than the calf or thigh. This is due to the low resting pressure exerted when the muscles are inactive and relaxed. These products are generally soft and stretchable for comfortable wear. Bandaging is a mainstay of treatment for stage 2 and stage 3 lymphedema moderate to severe lymphedema. Compression bandaging multilayered padding and shortstretch bandages are applied to the affected limb which.