Material
- Pressure distributing layer (padding): 1-2 rolls of non-absorbent wadding or 1-2 rolls of synthetic wadding, 6-10 cm wide.
- Fixing layer: 2 cambric cotton bandage rolls, 6-8 cm wide.
Procedure
- Position the ankle at a 90° angle.
- Apply the padding using spiral turns from the toes up to about 10 cm above the malleolus.
- Cover the foot and the ankle with at least one layer.
- Place some additional padding between the malleolus and the Achilles tendon.
- Fix the padding tightly, ensuring even pressure across the foot and the ankle.
- Use a combination of the bandaging techniques for the mid-foot/ankle and the heel.
- Start applying the roller bandage using the mid-foot/ankle technique.
- Apply two circular turns around the forefoot.
- Leave 1 cm of the padding uncovered along the toes.
- Apply a few spiral turns around the forefoot and the mid-foot.
- Now use the heel bandaging technique.
- Apply the bandage from the dorsum of the foot across the middle of the heel, making two circular turns [Figure 89].
Figure 89
- Continue with figures-of-eight according to the heel bandaging technique, until the area between the heel and mid-foot is fully covered.
- Continue using the mid-foot/heel bandaging technique.
- Apply a number of figure-of-eight turns between the mid-foot and the ankle according to the mid-foot/ankle bandaging technique [Figure 90].
Figure 90
- Cover the padding around the lower leg using spiral turns.
- Finish the bandaging with two circular turns around the lower leg.
- Leave 1 cm of the padding layer uncovered all round.
- After a few minutes, check the peripheral blood flow for signs of vascular congestion, particularly in the toes [Figure 91].
Figure 91