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Multi-Layer Compression Bandaging in Lymphedema

Drainage of interstitial fluid in chronic lymphedema with four-layer external compression.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Multi-Layer Compression Bandaging in Lymphedema?

Multi-Layer Lymphedema Bandaging (MLLB) is a four-layer bandaging system applied by a certified lymphedema therapist. The layers are: 1) skin-protective cotton tube, 2) finger bandage, 3) synthetic cotton padding (cone shape), 4) short-stretch compression bandage.

Short-stretch bandages provide low resting pressure and high working pressure. This optimizes lymphatic drainage together with muscle pump activity.

The bandage is left on for 24 hours, changed daily, and applied continuously during the intensive phase (2–4 weeks). Correct technique (uniform pressure, conical shape, correct tension) is the key to success. Incorrect application can cause constriction and skin damage.

Symptoms

Active phase lymphedema
Marked limb swelling
Skin firmness
Need for the intensive phase of CDT
Insufficiency of compression garments
Pitting edema

Risk Factors

Incorrect application and constriction
Arterial insufficiency
DVT
Skin sensitivity
Patient intolerance
Infection

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • At the start of the intensive lymphedema phase
  • When rapid volume reduction is needed
  • When fibrotic changes develop
  • When compression garments become insufficient
  • In preparation before surgery

Treatment Methods

01
Assessment by a certified therapist
02
Skin care and protection
03
Finger bandaging
04
Conical padding
05
Short-stretch compression
06
24-hour continuous use
07
Daily change and exercise
08
Transition to maintenance garment

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.