Kinesio tape
Last week, my LE therapist placed a 2" wide strip of kinesio gold tape that covers my entire axilla from the side of my breast to my upper inner arm. The goal of the tape is to decrease fibrosis, scar tissue and axillary webbing, not LE control per se. I've read the stepup page on kinesio tape, but I still have questions/concerns.
On the step-up site, it says that kinesio tape should not be placed on irradiated or fragile skin, but my axilla has been through a lot -- 7 surgical procedures (2 BC-removing, 5 I&Ds), radiation (6000 cGy), and cellulitis. It took 12 months for the skin to close, but it has been intact for 9 months and I'd like to keep it that way!
The great news is that, despite the fragility of the skin, the tape hasn't irritated the skin - indeed, the beige tape covers the ugly mess that is my axilla and the friction-induced irritation caused by day and night garments and clothing has been less.
My immediate concern has to do with getting the tape off. My therapist said that the tape would begin to loosen in 3 or 4 days, but it is as firmly affixed as it was 5 days ago. How long is it safe to leave a piece of kinesio tape on? Should I wait for it to begin to come off on its own, or at a certain point must I take the tape off?
My therapist told me that I should reapply the tape when the first piece comes off. When she put the tape on, it looked idiot-proof, but the step-up site makes it sound more complicated. Assuming the skin looks ok when the first tape comes off, should I apply another piece? If so, should I give my skin a break before reapplying? She said that I might tape for 6 months or longer. Has anyone does this? I would greatly appreciate advice as I am not scheduled to see my therapist again (no insurance approval). - KS1
Comments
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KS, soak it with some oil - cooking oil is fine. It should come off a lot easier but I would definitely make her be careful, careful with that area. I am allergic to the adhesive and have to use a barrier on my skin before I apply the kinesio tape. My LE therapist uses plain old milk of magnesia - just a thin coating, and lets it dry. I use some wipes that at home that work really well...the milk of mag. is too messy for me and I find that the tape doesn't adhere as well.
Best of luck to you - I love kinesio tape, but it can be really hard on my skin, especially on my scars.
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KS, by all means give the skin a rest between applications. And three days at a time is plenty.
Suzy, maybe in her case the M of M would be beneficial if it doesn't adhere as well? Would it help her get it off easier in a timely manner, do you think? My skin doesn't like kinesio tape, sadly, so I don't have much experience with it (though what I have is memorable!
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As for re-application by yourself, KS, that would depend on how much instruction she did and how confident you feel that you know what you're doing. As with everything else concerning LE, it's easy enough to do damage when we aren't sure what we're doing. Let us know how it goes, KS.
Hugs,
Binney -
Binney, I think so - m of m makes the tape not last as long, but it does come off easier.
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Hi KS, I use Kinesio Tape on the back of my hand when there is a bit of lymph there and I found that it drains lymph away better than my compression glove. I have also used it as a preventive measure to prevent pooling in my chest area before flying. Definitely works. Only place where I did not see much difference is the upper arm, but my therapist was not sure she had put it properly. I have to try again . For my hand, my daughter helps me to position the strips properly, because I find it a bit tricky to do it alone, particularly because the tape should be applied over skin and tissues that are stretched. You stretch the skin slightly, not the tape. You should keep it on for no more than 3-5 days. When removing the tape, do so in the direction of hair growth (usually from the top, down) - this is generally easier after bathing or when the skin is moist. Lifting the tape from the skin, gently try and push the skin away from the tape rather than the tape away from the skin. After you have taken the tape off, moisturize the area well and leave your skin to rest for at least 24 hours before applying the tape again.
Remove the tape immediately if there is ever any sign of redness, pain or itching. When the tape is wet (after showering or washing your hands), pat it dry with a towel or a tissue. Don't use any heat source to dry it as it will cause the adhesive to stick more than it should. Tape that is strongly adhered to the skin can be loosened by using baby oil or olive oil.
Here is a link where you can find a short video called. " KT Tape: Tips for removing" Even though this site is about taping for athletes and various injuries, there is a lot of information in the "Education Centre" about application tips, removal, short videos, FAQ....
http://www.theratape.com/education-center/about-kt-tape/kt-tape-videos/?tubepress_page=2
Hope this helps.
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Question: When you LE therapist applies the kinesiotape are you still supposed to wear your compression sleeve over it? Or should you go without? I was taped for the first time 2 weeks ago and my therapist still had me wearing my sleeve over it. I think it made my arm a little worse... but who knows since my arm is finicky and does whatever it wants with no rhyme or reason anyway. Very frustrating.
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Thank you all so much for your advice and suggestions. The tape was applied 8 days ago and is still firmly affixed. From what I read on the theratape website (thanks, Nitocris, it is a fantastic website) and what you all have written, I really must get the tape off ASAP. Last night I tried using oil to loosen it without much success. The theratape site says to soak the tape in oil for 15-20 minutes. I'll try that tonight and hopefully, it will work. If it doesn't, what do you think about using alcohol? For a month or so when my axillary skin had completely broken down, my surgeon used a huge 18 x 12" piece of tegaderm to cover my axilla/upper arm. It worked well as a barrier, but it took my husband 2 hours to get it off without ripping off tissue. I sure hope that kinesio tape comes off easier....
Nordy, my therapist is using the kinesio tape to reduce scar tissue, not for LE control per se, and so I have been wearing my sleeve. The tape covers my axilla, anchored on the breast and upper inner arm. The top of my sleeve does cover the tape. That said, I haven't seen any irritation of the upper arm. (actually less skin irritation than when no tape). KS1
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Nordy,
I always wear my compression garments on top of the kinesio tape...just be careful not to catch the tape with the sleeve as you're donning the garment because it hurrtttttssssss.
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It took my DH 45 minutes and a whole lot of canola oil, but the kinesio tape came off without taking off any flesh. The skin was ever so slightly pink, but nothing I would call true irritation. An axillary cord that used to go all of the way to the elbow, now isn't visible much beyond the axilla. Perhaps I am kidding myself, but the axillary skin seems a bit more supple and skin-like, and less like taut chewed up leather. I'm pretty impressed. -- KS
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Hi KS1. I use the tape a lot. Have been to the LE PT this morning and so have new tape from my shoulder done and from edge of mast area under my arm and right around my back. I generally find that it starts to work off after 4 days. I now can tape myself reasonable well. I think you have to work out your own method of doing it and sometimes I have to get DH to make sure it is attached well along my back. I can usually get it off in the shower once it has started to lift.
I find it really helps in the area under my arm where I have what I call my handbag.
Hpe things continue to improve for you.
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Did you try to soak in the bathtub?
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I didn't soak in the bath, as that tends to make me swell. I did put a wet facecloth on the tape for an hour to no avail. Day 8 the kinesio tape was a bit dirty, but was just as firmly affixed as it was day 1. (If you all hadn't taught me the oil trick, I don't know how I would have gotten it off.) Before applying the tape, the therapist swiped the area with alcohol. I wonder if that plus my not having sweat glands there kept the tape from loosening. When I put it on next, I am going to apply a bit of milk of magnesia before hand. KS1
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The first time I used Kinesiotape, my LE therapist used alcohol as a prep and, boy, did that stick!! Ow! The next time we skipped the alcohol, and it loosened up well around the 3rd day. I do think you have do some experimenting to figure out what works for you. Good luck!
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K tape works! There is a report that you can have an expert cover your entire limb in place of a sleeve. It lifts skin to let your fluid flow!!
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Each tape has a different degree of stickyness and waterproofness! I find the beige comes off quite easily. I was told to first take a shower and soap and water it...then use alcohol on it. The black is tougher. My problem is that it starts peeling quickly and I have to trim it.
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Mine seems to peel off quite easily, even if it stays put very firmly before I try to remove it. I stretch it a little before putting it on. Maybe it's the color? I am using the beige one and the very dark pink one.
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Using Dove soap or applying lotion earlier in the day before a taping tends to make it stick less for me. I love the kinesiotape, as it really helps with my truncal LE and I don't need to wear a compression garment. Just as Warrior says, it lifts the skin and really allows movement of fluid. The tape also helped alleviate the pulling and pain of my capsular contracture - gave me support and pulled the implant back toward the outer side of my chest. I know LE is forever, but I am hoping that my experience with the tape somewhat indicates that the implant partially causes a restriction in lymph flow. I am having it removed next month and perhaps without that pulling and tension of the scar tissue that I will get some relief. Of course, there's always new scar tissue to look forward to!
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I am so intrigued by the idea of using kinesio tape INSTEAD of compression garments. I am doing it today as an experiment...anyone have any ideas or experience with this? Please share!!!! I would love to get away from compression garments if at all possible...
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Suzybelle, check this:
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Suzy, I think I may have misrepresented my use of the tape. I wore a compression tank for my truncal LE for 7 mths, 24/7 and finally just couldn't take the pressure over my implants. Never found one that had cups that didn't press on my "hot spots" under my arm and around back. So, my LE physiatrist said I could try wearing nothing, and that has worked best. I will wear the tank and swell spots at times when I flare, but most of the time I wear nothing. So, it's not that I wear the tape instead of the compression garment - it's that the tape is the only thing that's ever worked and been comfortable. I've only had it placed on me by my LE therapist a few times. It really provides such relief! I need to have my therapist train my husband on how to apply, as there's no way I could do it myself.
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Thanks, Day and Tina - I was really more jazzed about what Warrior13 said about the tape...I have a message in to my LE therapist to ask her opinion, as well, but have already started this experiment.
Hope this doesn't result in my big fat arm coming back, but how do you know until you try???
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It wont' work for me..........I've discovered I'm allergic to the adhesive. Good luck to you Suzy!!!
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I am too, Sharon. I have to put down a barrier or I will blister. But as long as I use a barrier, I'm fine.
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Suzy, how do you put down a barrier?
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Anything that dries and leaves a residue - my LE therapist uses Milk of Magnesia. Apply with a cotton ball (very light application but be sure to get it everywhere the tape will be) and let it dry really well. Then just put down the kinesio tape as you normally would. I like the Smith and Nephew barrier wipes better - they dry more quickly and for some reason, the tape lasts longer when I use them. They make a spray, which I also use, but I like the wipes the best.
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Thanks Suzy.
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I need to try the the MOM barrier. I'm not allergic to the KT but maybe it will make removal easier. I have to wait about 2 weeks before I can get it off. It loses most of it's skin lifting stretchiness after a few days but it just won't come off. I swim in it and put cream and oil over it and it still sticks like mad. It sticks the most where my skin is most stretched and tender from LE and starts peeling off over my normal areas quickest.
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I found the pink to be basically the same as the beige...the black feels more sticky and waterproof
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I'm forgetting which direction to go - if I split the KT at one end with a full-sized base at the other, which direction should I place it to improve lymph flow? Should the flow go from "fingers" to the base, or the base to the "fingers"?
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KC, here's a page about using it, with careful instructions and illustrations of a hand application by LindaLou:
http://www.stepup-speakout.org/kinsiotaping_for_lymphedema.htm
Hope some of that helps!
Binney -
Thank you, Binney. I needed that reminder. I had forgotten about this great page on the Step Up site. Well done!
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