26 October 2015

Mobiderm bandaging

A couple weeks ago I had some training on how to use the Mobiderm bandaging system and I ordered a set for me to use in the clinic as well as some stock on consignment.  I don't do a lot of bandaging but I was so impressed with how much thought had gone into this system that I decided I'd get a set to use on my existing clients to see if it improved the treatment.

One of my clients has been very indulgent of me and allowed me to film her while I applied the bandaging on her arm - watch the video below:

.

Another of my regular clients has given me permission to share her experience with the bandaging.  She has lipo/lymphoedema and has areas of fibrosis, particularly on her left leg.  She comes weekly for 1.5 hour treatments but we haven't been able to get her into compression.  She had tried conventional compression a few years before but found it very difficult to get on because of her size.

I took some measurements as soon as she came in then applied bandages to her left leg.  I then did MLD to her upper body and right leg before removing the bandaging (she probably had the bandages on for about 35-40 minutes)  and clearing her left leg with MLD as normal.  I then remeasured her at the end of the treatment.

I need to point out here that I have used a modified measuring system for this purpose - I took readings at 10 cm intervals above the ankle and 4cm below the ankle.

.                     before    after

70cm              85          83
60cm              75          74
50cm              65.6       65
40cm              53          52.5
30cm              54          54
20cm              43.5       43
10cm              35          33
ankle               37.5      35
-4cm               28         28
-8cm               26         26

As you can see, there was a reduction in most of the measurements (except the feet which stayed exactly the same).

She said at the end of the treatment that her leg felt a little tender and that continued for a couple days but she was impressed enough that we are going to organise a custom made garment for her that has zippers to make it easier for her to put on.

The Mobiderm bandaging is much lighter than conventional bandages and is very easy to apply.  Have a look at the youtube video above to see just how easy it is.  For more information on Mobiderm please click here.

Here's a photo of what the custom-made zipper garment will look like:

IMG_1661

0 comments on “Mobiderm bandaging”

  1. Hello Lisa, thank you SO much for your amazing website, which i just came across yesterday (while checking up on how to Mobiderm my lymphoedema arm). You have put together so much help and information, I am so grateful to you!

    I do have a question about your video clip here, in relation to the gauntlet you put on first. So...is this an actual Mobiderm gauntlet? Or were you saying you put Mobiderm underneath a "normal" gauntlet. I wasn't sure if perhaps you had cut up a few pieces of Mobiderm and taped them on to the hand and then put the gauntlet over the top somehow! :))

    The reason I am asking is because I think I might need to buy a Mobiderm gauntlet to use as part of Mobiderm bandaging my arm.

    This is my "story" for now: my lymphoedema therapist, the wonderful Carolyn Rowe in Adelaide, has lent me her Mobiderm system to try out, to see if I would like to purchase a kit myself. She doesn't have a gauntlet of Mobiderm (although she also lent me a Caresia glove to try out too). I love this Mobiderm!! I'm very excited about it. I am however, wanting to include my hand in the Mobiderm bandage, but doing that means I cannot "do" anything while the bandaging is on, and I want to wear the Mobiderm during the day while I work (at home) on the computer, typing.

    I cannot afford the Mobiderm whole arm sleeve they make, only the bandaging system (plus I like the idea of bandages I can adjust as necessary, depending on how my arm is going (with the hot weather arriving here, in South Australia, of course I have seen it swell a bit more).

    Apologies for my long post! My questions are only three: is this a Mobiderm gauntlet you put on your friend? And, if so, how much is this to buy? And, can this gauntlet be worn overnight (as part of a full Mobiderm arm bandaging, minus the Biflex 16+ of course). I appreciate any advise of info you can give me, and thank you in advance for your time and energy! Sincerely, Fiona Dyson

    1. Thanks Fiona, I've replied on FB to your questions but for other's benefit I'll answer again here. Yes, you can wear the gauntlet at night, it is a specially made garment with smaller Mobiderm bumps than the main bandaging. They cost $65 plus postage and the glove costs $115 plus postage. Let me know if there's anything else you would like to know.

  2. Hi Lisa, yes I read your reply on your Facebook, thank you so much! I have been doing loads more research today actually, because i am trying to figure out exactly what I need to purchase (which would be the most cost effective and efficient way to go).

    And, actually, I do have a few more questions! I am considering buying the ready made Mobiderm sleeve and gauntlet - but how can i bandage (biflex 16+) over the hand as the biflex is so wide, that it goes all over my fingers too (making typing - my job! - nearly impossible), and also, how do I bandage my thumb? Should I buy a medium stretch generic bandage that is less wide to bandage my hand over the MD gauntlet, then continue up the arm with the biflex 16+. Keeping in mind that the Mobiderm ready-made sleeves and gloves effect 10mmHg compression without bandaging.

    Also, I'm considering whether I should (instead of the gauntlet), buy the Mobiderm glove to protect my fingers (I don't actually have any lymphoedema in my hands, but want to do all I can to prevent that from happening). Only, I'm worried the glove will be bulky and constrictive over my fingers, making typing difficult (not to mention, I dread the thought of having to bandage my fingers).

    Well....you may be wondering: why do I want to wear Mobiderm during the day while typing (instead of my Medivec 15mmHg compression glove and sleeve). Well, my problem with the sleeve and glove, is that they wrinkle at my wrist when I work, and make big indentations in my skin that looks to me to be constricting/hindering the flow of lymph up and out of my hand.

    It seems to me, that during the hours i am sitting stationary, that Mobiderm (with bandage to create more pressure), will mobilise my lymph far better. I will use my sleeve and glove at other times, more when I'm moving around, driving etc. Also, I may sometimes wear the Mobiderm to sleep (without bandaging) if i feel that I'm getting swollen.

    Another long letter! Apologies....so many questions swirling around my head - and the thought of the cost of it all hanging over me too...! I don't have any health insurance, and my new glasses (my first pair of bifocals...getting old!!) were over $500...dentist last month was $300...and I've been buying up sleeves and gloves too. I know everyone with lymphoedema goes through this, but blimey...it's putting a dent in my credit card! But I am totally won on Mobiderm, and determined to buy it, in some way, shape or form.

    Well...thanks heaps Lisa, you are so knowledgeable and your website is absolutely fantastic, we all appreciate you!

  3. Hello again, I just watched your video above again Lisa, and realised that you didn't bandage over the gauntlet. So you feel that the gauntlet gives enough compression I guess. I suppose I must only make sure not to create more than 10mmHg or so compression when I bandage over the mobiderm arm, to prevent any migration of lymph back down into the hand. Is this right? I hope that you can figure out what I'm getting at with my first message. Anyhow, bye for now, Fiona

    1. Hi Fiona, questions are always good. Both the gauntlet and glove are very light but I'd say if you want to type in it then the gauntlet might be a better option. The mobiderm inside them both is smaller (more the size of a pill) than the bandaging you will be using and seems to be very effective and I wouldn't bandage over it. Nor would I bandage over the sleeve. The whole idea is that the mobiderm needs to be able to move slightly, which is how it breaks up the fibrosis, if it's compressed too much it won't be as effective. The bandages are well designed with the rectangles so it helps you get the right compression and yes, you have to be careful to avoid sending lymph down into the hands so the compression needs to be graded. Are you looking to bandage long term? I think the sleeve and gauntlet are a very good option for long term use and not that expensive in the scheme of things. You can give me a call if you like and I can talk you through it.
      Lisa

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