wet bandage for LE

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Lia13
Lia13 Member Posts: 52
edited June 2014 in Lymphedema

Following a discussion on the kicking LE' s butt thread, I'm posting here my experience with wet wrapping.

I have mild LE; minor swelling in my hand, arm, armpit, back of armpit and part of treated breast, with a cushion-like feeling under the armpit, heaviness etc.

My current massage therapist is admittedly NOT following the standard LE care protocol and for the last part of our session he wraps my arm with elastic bandages soaked in cold salted water.  He dissolves salt into water (abt 1 tablespoon for each bandage), puts in the bandages and puts everything in the fridge before we start the session. Abt 40 min later, he wraps my arm moderately tight and on top we put my sleeve (that's optional, alternatively we could wrap a bit tighter, but the sleeve adds the right compression for me) and leave it for 20min-no more no less.

I asked him for more research/articles etc and I'm hoping he'll provide something, but in the meantime the result has been great, even though I cannot know if it's because it's part of his strange treatment plan or if it has any value in itself. 

His explanation was that when cells retain fluid, there is an imbalance in their potassium/salt ratio and there is salt trapped inside that can't get out. By providing external salt, it interacts with the potassium and triggers the cell to release the internal salt, releasing fluid as well (it's not the same like when salt is digested). The optimal time is 20 min, and this time limit also helps protect the blood circulation in case it's necessary to wrap tighter (depending on the case). The elastic bandage works better than other garments, because due to texture/compression it releases the salt gradually, thus making the process smoother. Afterwards the skin is dehydrated, which requires moisturizer-he said the water/salt ratio depends on the reaction of the skin too and it may take a few tries till one gets it right.

I would guess this might work even better for general edema, but it seems to be working for my LE too. I'm having 2 sessions per week and we'll re-evaluate in 4 weeks. 

So far I've had ayurvedic massage abyanga (4 sessions over 4 weeks) and standard MLD followed by 25 min on the compression pump (2 sessions over 2 weeks), which didn't work for me (perhaps I should've tried more frequent sessions). The pump was great, but results didn't last long. With my current treatment the results are not as good as the pump, but they last a lot longer and I'm very excited about it. My arm is clearly a lot happier.

My therapist said he is using a combination of lymphatic massage, along with anthroposophical elements and the word Tibet came up once or twice. I know it's not the norm and since I don't have any medical background whatsoever I cannot really tell if it makes sense or not, but I'll give it a try and report back in case somebody is interested.

Comments

  • Zillsnot4me
    Zillsnot4me Member Posts: 2,687
    edited March 2014

    Congratulations! I'll show it to my PT today. My armpit and underneath are the hardest to get rid of fluid. Thanks for sharing. 

  • vlnrph
    vlnrph Member Posts: 1,632
    edited March 2014

    Sorry, I don't follow the kicking butt thread. Trying to figure out the details and rationale for this interesting approach. You don't specify short stretch bandages but maybe it doesn't matter due to the brief time frame of application. Hope he supplies the moisturizer for you...

    Salt concentration is important so how much water is each tablespoonful dissolved in, at least as a starting point? 

    My understanding of LE is that the excess fluid is more interstitial (amongst the tissue) than intracellular. A similar "drawing out" process due to osmosis could take place anyway with the result being the same loss of volume.

    I should have done my own experiments while in Puerto Rico last month soaking in the ocean! 

  • carol57
    carol57 Member Posts: 3,567
    edited March 2014

    If  the salt draws out the fluid, does the protein stay behind?  Like taking diuretics, not a good solution? Just wondering.

  • Lia13
    Lia13 Member Posts: 52
    edited March 2014

    hi everybody! :-) 

    I, too, am curious as to how this particular part of my plan actually works, IF it works at all and is not just a happy coincidence. I don't have any data to support this strange treatment plan, other than the fact that I feel MUCH better physically :-)

    carol57, about the protein, I cannot know if this fashion of using the salt could have the same effect as diuretics, but I'll sure ask a few more questions in my next session . I'm also drinking LOTS of water (I used to barely drink one glass and now I can go up to 1,8-2 ltrs daily) and the wet bandage thing comes in the end of the treatment, which I hope gives the chance to protein to go on its way and not get stuck behind. Sorry if this sounds too simplistic, it's the only way I can understand it at the moment :-) I've also been encouraged to up my dietary vit C intake, especially with small quantities of cranberries and the therapist uses a natural orange massage oil (for vit C) for part of the massage.

    I'm continuing with hydration, skin-care and my exercise routine wearing the sleeve, all of which also definitely contribute to my overall well-being.

    Zillsnot4me, thanks! let us know if you've had any positive experience with this :-)

    vlnrph, when I went to the ocean a few weeks back (the first time since I got LE), I saw some benefit in the general condition of my arm AFTER the 3rd day. Did you notice any differences and was it right away? just curious! ;-) ocean is great, but I do miss the Mediterranean...

  • vlnrph
    vlnrph Member Posts: 1,632
    edited March 2014

    Actually, one of the most helpful exercise regimens I have found for LE is water aerobics - keeping the hand/arm submerged even when the rest of the class is going overhead (I can do plenty of that on dry land). Mr. Jobst invented therapeutic compression stockings in the late 1940s when he noticed improvement in his swollen ankles following a wading session in one of the Great Lakes.

    Scuba is supposed to be beneficial due to the even higher hydrostatic pressure found at deeper points but that's an expensive hobby!

  • cookiegal
    cookiegal Member Posts: 3,296
    edited March 2014

    good luck... We have to try things!

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