A compression bandage is a long strip of stretchable cloth that you can wrap around a sprain or strain. It's also called an elastic bandage or a Tensor bandage. The gentle pressure of the bandage helps reduce swelling, so it may help the injured area feel better.
Elastic sleeves that you can pull over an injured area work the same way. Bandages and sleeves are not expensive. You can buy them at most pharmacies.
A compression bandage may help most to prevent swelling in the first few days after your injury. You can wear it longer than that, as long as it doesn't make your pain worse.
Putting on a compression bandage is easy, and you can do it at home. The steps are similar, whether for a wrist, an ankle, or anywhere else you would wear one. Follow any instructions that come with the bandage.
First, cut several horseshoe-shaped pieces of cloth felt to form a centimetre-thick pad. Place the pad (open end up) under the ankle bone to help keep fluid out of the hollow place under your ankle bone.
Next, if it isn't rolled already, roll up the elastic bandage. Hold your ankle at about a 90-degree angle. Start at the base of your toes. Wrap the bandage around the ball of your foot once, keeping it somewhat taut with a light pull.
After this first wrap, slowly start circling your way around the arch of the foot. Pull the bandage across from the bottom of the toes over the top of the foot and circle it around the ankle. Now bring the bandage across and down over the top of the foot and under the arch in a figure-eight pattern.
When you get to the ankle bone, wrap the bandage around the felt piece so it stays in place under the ankle bone. Continue around the ankle and foot in a figure eight, moving toward the heel on the bottom and up toward the calf. The wrap should cover the entire foot from the base of the toes to about 10 centimetres above the ankle. Secure the end with clip fasteners or tape.
If it isn't rolled already, roll up the elastic bandage. Wrap the bandage around the hand a few times, beginning at the base of the fingers. Then wrap it around the hand between the thumb and index finger. Circle the wrist several times, ending about 10 centimetres above the wrist. Secure the end with clip fasteners or tape.
The bandage should be snug, but it should not cut off circulation. Check your toes (if the bandage is wrapped around your foot or ankle) or fingers (if it's around your wrist). If they become purplish or blue, cool to the touch, or numb or tingly, the wrap is too tight and should be loosened.
Loosen the wrap at night before bedtime.
Compression bandages do not offer protection. For example, if your ankle is wrapped, you also need a brace to protect your ankle if you try to put weight on it.
Keep the bandage clean between uses. Wash it by hand in warm soapy water. Then rinse it, and let it air dry.
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Current as of: November 29, 2017
Adam Husney, MD - Family Medicine
& Donald Sproule, MDCM, CCFP - Family Medicine & Kathleen Romito, MD - Family Medicine & Martin J. Gabica, MD - Family Medicine & Joan Rigg, PT, OCS - Physical Therapy
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