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Four-layer bandaging for venous leg ulcers

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    By Ahmad Prasad, MD, Contributor to Vein News and www.VeinsVeinsVeins.com 

    What is Four-layer bandaging for venous leg ulcers ? 

    Layer 1:  A wool bandage is applied from the base of the toes to just below the knee.

    Layer 2: A crepe bandage.

    Layer 3:  An elastic compression bandage in a figure of eight fashion.

    Layer 4:  A cohesive layer.

    Watch the video on youtube;  

    Reference:  De Carvalho MR, peixoto BU, Silveira IA, Baptista de Oliveria BGR.  A Meta Analysis to compare four-layer to short-stretch compression bandaging for venous leg ulcer heazling. Ostomy Wound Manage 2018; 64: 30-37. 

    Site Editor's note:  We treat venous leg uclers at the Vein Treatment Center using UNNA boots AND by treating and addressing venous insufficiency.  If you have a venous leg ulcer that is not healing, contact us for care by calling 716-839-3638.