I am shortly to start a three week period of intensive Multi-Layer Lymphoedema Bandaging with (from the presciption) Coban Comfort Foam Layer and Compression Layer. This will be from toe to thigh on my left leg. I have no idea as to how far my mobility might be afected by the bandaging. If anyone has received this treatment could they advise please. And how effective was it in long-term swelling reduction?
Multi-Layer Lymphoedema Bandaging: I am shortly to start... - LSN
I had multi layered bandaging in both legs 25 years ago (full leg bandaging - both legs at the same time). I lost 2 litres of fluid between the 2 legs (from my calves down). I went to work each day of the 2 weeks of treatment (on the London Underground) and the reduction has been maintained for the 25 years (although I still need class 3 knee length stockings - and still have swollen ankles/feet).
Coban should be very effective in reducing fluid in your legs quite quickly. It is very flexible and allows good mobility. You will be encouraged to move as much as possible so that your leg muscles will push against the bandages and encourage the lymph to move. Remember to have much larger shoes available unless you have been prescribed bandage boots as your feet will be larger in the layers of Coban.
Coban is not as bulky as standard wrapping. My son has had both kinds and both times he managed to walk around no problem. you will need loose clothes and outsize shoes, the latter is tricky as you can't really find some to fit until you've got the bandages on ... We paid a visit to a shoe shop on day 1 and got some cheap extra large trainers
I use Coban in my practice, and find that those people who do not need to have their toes wrapped, can manage to get their usual shoes back on.
Coban (I'm assured!) is very comfortable and far easier to live with than the multi-layer cotton short stretch over layers of padding! People used to leave me looking like upholstered chairs!!!! Now, they put their normal trousers and normal shoes on and drive away (doesn't stop people driving).
I often have multi layer compression bandaging and while it can be painful and just a damn nuisance, it does help my legs a lot. My mobility isn't really affected, although mobility is an issue at all times!! The only other problem is not being able to have a shower. I resorted to all over washes at the bathroom sink and baby wipes!!! XX
Coban bandaging is quite flexible so when you first get them on they are a bit awkward to move around in but they ease off a little as you wear them. It does get very frustrating when you go to bed in it... and you'll really want to take them off... but bare with it. I went under treatment for 4 weeks from toe to thigh. My legs reduced in size and then I received level 3 compression tights to wear during the day and then wraps for wearing during the evening. Hope you get sorted out.
Thank you for all your comments which helped ease some of the advance worries. I am now in second week, third change of bandages this morning. They are getting progressively tighter, but I can still walk around for household purposes and short outside walks. Driving is ok for short distances.There is some reduction of swelling in lower leg, although none in thigh which seems to be gaining fluid as calf loses it. Not sure if this treatment will be long-term effective but the inconvenience will be well worth it if the reduction lasts. Meanwhile, another two weeks in track suit bottoms because hardluy any of my trousers will fit over the bandages.