Pillar 2: Bandaging

In addition to Dr. Vodder’s Manual Lymph Drainage, another important pillar of lymphedema treatment is correct and consistent bandaging. (Compression) bandaging supports the positive effect of MLD. 

Bandaging

Bandaging increases both lymph and venous return, and also serves to soften fibroses. Fibroses are changes in skin texture frequently associated with lymphedema. The proteins accumulated in the tissue cause the tissue to harden.

At the Wittlinger Therapy Center in Kaiserwinkl/Tyrol we use bandages by Messrs. Lohmann-Rauscher for treating our lymphedema patients. We distinguish between long stretch and short stretch bandaging. The specific properties of these different bandages produce specific effects in the lymphedematous arms or legs. 

Compression stockings

Wearing compression stockings is indispensable for maintaining the positive effects of Dr. Vodder’s MLD. At the end of the second week of the standard three-week stay at the Wittlinger Therapy Center, measurements are taken by a specially trained member of our therapy unit for individually fitted compression stockings, as prescribed by our physician. These stockings are given to patients for post-therapy use upon discharge from residential treatment at the Wittlinger Therapy Center. 

If patients wear their custom-made stockings on a daily basis, the success of their residential stay (edema volume reduction) will be maintained over a long period of time, during which venous and lymphatic return are stimulated and missing tissue pressure is substituted and compensated.

Our primary supplier of compression stockings is Messers. Jobst

There are two basic types of compression hosiery, flat bed knit stockings and circular knit stockings:

  • Flat´s knit stockings: feature seams down the back, are suited for high Compression Classes and offer many made-to-measure varieties for special needs, comfortable to wear
  • Circular knit stockings: have no seams; suited for lower Compression Classes and comfortable to wear, but provide only a few made-to-measure options for special needs