Sleeves and Bandages

Compression sleeves

Compression sleeves have long been used to treat lymphedema. They are elasticized sleeves, customized to your arm that can be used on their own or with manual lymphatic drainage or mechanical drainage.

There are many types and brands of compression sleeves. With the help of a physical or occupational therapist, find one that fits comfortably and appropriately. Here are some tips for good results:

• Don't use a sleeve that doesn't fit well, irritates your skin, or causes additional swelling.
• To prevent the sleeve from rolling down—which makes it less effective—apply a water-soluble adhesive lotion under the top of the sleeve. The adhesive comes off with soap and water.
• Buy two sleeves and alternate their use, washing them in lukewarm water every two to three days. (Dry flat; don't wring.) They'll last much longer if you have two sleeves and treat them with care.
• Since the sleeves stretch over time, replace them about every six months.
• Get a prescription from your doctor to help cover the cost through your insurance plan.

Wrapped bandages

Rolls of specialized bandages (NOT Ace-type bandages), along with padding materials, can be used as an alternative to the sleeve. Bandages should be applied first by a trained therapist, who can then train you to apply them yourself.

Sleeves and bandages each have pros and cons. The sleeves are easier to apply, and you can use them comfortably during your daily activities. But they can be expensive, and they generally provide only enough support to keep swelling from getting worse, not enough to reduce it. The bandages are more bulky and cumbersome, and they take longer to apply, but they may be more effective.