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1) The heel is bandaged with the
which does not disappear on walking, the bandage must
ankle joint in mid position at 90°.
be removed immediately. Every bandaging technique can
2) To increase the local pressure,
recesses and hollows should be
be taught and learned.
filled with firm padding elements.
Each practitioner will gather their own experience and
introduce modifications into their individual bandaging
technique.
1 2
at the sides to compensate the greater prominence at this
site and reduce the local compression. Conversely, the
local compression can be intensified if the curvature is
increased by incorporating rigid padding. Hollow areas
like Bisgaard's region should not merely be loosely filled,
but padded out with firm support elements so that the
bandage can be applied over them with a slight promi-
nence. The effect of the compression bandage should be
increased over the ulcer itself by using pads which
markedly overlap the ulcer margins.
To prevent the bandage chafing in the hollow of the
knee, it should end about two finger breadths below the
hollow of the knee. For this reason, the lower leg should
also be flexed at a right angle when applying the band-
age. It may be useful additionally to protect the hollow of
the knee with soft, air-permeable padding material.
Bandages generally hold better if a second bandage is
applied in the opposite direction and crossing over the
first one, resembling the Pütter crossover bandaging tech-
nique.
A properly applied bandage gives the patient the feeling
of having a firm support and is perceived as agreeable.
Pain subsides. If pain worsens or if new pain develops
Compression therapy [72.73]
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