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Oedema & Lymphoedema Treatment
Help your patients stay fully engaged in daily activities and enjoy their quality of life with science-based compression therapy and skin integrity solutions.
Help your patients improve their mobility with oedema and lymphoedema treatment
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Lymphoedema and chronic oedema are conditions characterised by swelling due to the build-up of lymph fluid in the tissues just under the skin. The swelling is most often seen in arms or legs, but not exclusively. It often causes pain and discomfort, affecting mobility and appearance, and can negatively impact a patient’s mental health, further affecting their quality of life.
Our goal is to apply science to help alleviate problems associated with abnormal swelling and enable patients to lead more active lives. Compression therapy is widely accepted as an effective component of lymphoedema and chronic oedema treatment.
Managing oedema and lymphoedema: The four components of Complex Decongestive Therapy
Complex decongestive therapy (CDT) involves a combination of treatment approaches for managing oedema and lymphoedema, including skin care, manual lymphatic drainage, compression therapy and exercise. The main goals of the therapy are listed below.
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Skin careSkin care is essential to patient vitality and critical for good health. Good skin care can help prevent deterioration and ulceration, which is why it’s important to encourage patients to take an active role in their own care.
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Manual lymphatic drainageAs part of a lymphoedema treatment regimen to reduce swelling, this gentle, non-invasive manual massaging technique encourages the natural drainage of the lymph.1,2
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Compression therapyCompression bandaging is a cornerstone of CDT. It is essential to reduce volume to enable the patient to move into compression hosiery. Ideal compression incorporates inelastic and elastic components, allows for full functionality and movement, is easy to apply and adapt to a range of limb sizes and shapes, is durable and non-allergenic, and is comfortable for the patient.
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ExerciseExercise is vital for overall and lymphatic health as well as mental well-being. The type of exercises you encourage your patients to perform depends on their current physical activity level, age, personality, and their oedema.
3M solutions for managing oedema and lymphoedema
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Provide therapeutic compression
The 3M™ Coban™ 2 Two-Layer Compression System incorporates innovative methods and patented materials to provide comfortable, sustained compression that improves lymphatic flow to reduce lymphoedema. Results of a multi-centre, prospective, open label, randomised controlled study showed that Coban 2 Compression System renewed twice weekly is effective to reduce lymphoedema.8
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For lower extremities3M™ Coban™ 2 Two-Layer Compression System
3M™ Coban™ 2 Two-Layer Compression Systems (identified by bright purple package colour) are engineered to create a conformable, inelastic sleeve that stays in place, is comfortable to wear and proven to support the patient’s functional activities to reduce lymphoedema. -
For upper extremities and toes3M™ Coban™ 2 Lite Two-Layer Compression System
3M™ Coban™ 2 Lite Two-Layer Compression System materials (identified by bright green package colour) are designed to provide short stretch inelasticity with reduced sub-bandage resting pressures. They are recommended for upper extremities, fingers and toes – all with smaller diameters.
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Protect the skin
For patients with lymphoedema, maintenance of skin integrity with careful management of skin problems is important to minimise the risk of infection.11
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For the prevention of skin breakdown and for moisturising intact skin.3M™ Cavilon™ Durable Barrier Cream
This unique, concentrated moisturising barrier cream formulated with 3M polymers provides durable, long-lasting moisture barrier protection while moisturising the skin. -
For routine protection in low risk patients.3M™ Cavilon™ No Sting Barrier Film
Cavilon No Sting Barrier Film provides a gentle way to protect skin from body fluids, adhesives and friction. The alcohol-free barrier film applies without stinging, and forms a breathable, transparent film for long-lasting protection. -
For managing moderate to severe skin damage or protecting intact skin in higher risk patients.3M™ Cavilon™ Advanced Skin Protectant
Cavilon Advanced Skin Protectant is a highly durable, ultra-thin barrier that attaches to wet, weepy skin6 and lasts up to seven days,6 creating a protective environment that repels irritants and supports healing.
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Lowering the total cost of care for oedema and lymphoedema treatment
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In a randomised controlled trial, the total cost of care per patient of Coban 2 Compression System’s twice-weekly application was shown to be significantly less than that of the competing brand studied.9 In fact, for both arm lymphoedema and leg lymphoedema, the Coban 2 Compression system was shown to require less than half the nursing time and materials.3
Helping you develop your skills
Discover online learning that's right for you and deepen your clinical expertise with training opportunities and educational resources available on 3M℠ Health Care Academy.
3M webinars and archived events can help keep you up to date with the latest product guidelines and scientifically supported standards of care
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Application and removal guides for 3M™ Coban™ 2 Two-Layer Compression System
View or download the following resource guides to get step-by-step instructions on how to apply compression therapy for a variety of patients using the Coban 2 Compression System.
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Explore this hand and arm application guide for the Coban 2 Lite Compression System including fingers.
View Coban 2 Lite Compression System Hand and Arm Application Guide (PDF, 1077 KB)
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This Coban 2 Compression System application guide is for the toe boot.
View Coban 2 Compression System Toe Boot Application (PDF, 212 KB)
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This application guide illustrates the Coban 2 Compression System application for a hip spica with abdominal apron.
View the Coban 2 Compression System Application for a Hip Spica (PDF, 156 KB)
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Explore the Lymphoedema intensive therapy training manual including treatment guidance and advanced application techniques.
View Coban 2 Compression System Lymphoedema Training Manual (PDF, 7.6 MB)
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Studies show that less than half of patients wear their compression bandages.1,2 Most often, patients remove their bandages due to pain and/or slippage, which interferes with their daily activities. Patients need to understand the importance of remaining concordant with their compression therapy.
If a patient experiences any of the following signs and symptoms while wearing compression, they should contact their healthcare provider right away:
- Pain or excessive tightness
- Tingling or numbness
- Blue or white fingers or toes
- Excessive itching or rashes
Once the patient has gone through a reduction phase to reduce swelling, they can move into compression hosiery, including arm sleeves, gloves, trunk compression, stockings, socks, tights or other options depending on the patient’s condition and tolerance.
Ready to try 3M solutions for Oedema and Lymphoedema management?
See how our combination of products and technology helps you manage wound care the smart way.
Connect with one of our 3M account representatives providing support for OR, hospital, patient transitions and post-acute care settings.
Explore solutions for different conditions
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Your patients count on you to help them stay out of the hospital and reduce the pain and discomfort caused by DFUs. We offer negative pressure wound therapy (NPWT), advanced wound dressings, and skin integrity solutions to help your patients on their journey to healing.
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When pressure ulcers/injuries can’t be avoided, establish a standard of care that treats the whole patient. 3M can help with solutions to support therapy goals established between you and your patients.
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Optimal outcomes start with early treatment and consistent management of traumatic wounds. Together, we can strive to reduce preventable complications, drive toward better outcomes and, ultimately, aspire to restore patients’ lives.
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People living with chronic oedema and VLUs want to engage fully in everyday activities - without feeling uncomfortable or self-conscious about what’s on their legs and feet. 3M can help manage challenges related to VLUs.
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Looking for more information?
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We are here to help! Get in touch with our customer support team for advice about our products and how to use them.
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View our advanced wound care and Negative Pressure Wound Therapy and I.V. dressings portfolios and browse our product catalogue.
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Find Instructions for Use (IFU) to easily access documents for specific 3M Health Care products.
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Find answers to the most frequently asked questions regarding 3M Health Care.
Note: Specific indications, contraindications, warnings, precautions and safety information exist for these products and therapies. Please consult a physician and product instructions for use prior to application. This material is intended for healthcare professionals.
References
- Moffatt C. International consensus: best practice for the management of lymphoedema. International Consensus: Best Practice for the Management of Lymphoedema. 2006.
- Glover D. Best Practice for the Management of Lymphoedema - 2nd edition: Compression Therapy: A position document on compression bandaging. International Lymphoedema Framework. 2012
- Moffatt C, Edwards L, Collier M, et al. A randomized controlled 8-week crossover clinical evaluation of the 3M™ Coban™ 2 Layer Compression System versus Profore™ to evaluate product performance in patients with venous leg ulcers. Int Wound J. 2008; 5(2); 267–279
- Bianchi, J. A. N. I. C. E. (2012). Protecting the integrity of the periwound skin. Wound Essentials, 7(1), 58–64.
- Brennan, Mary R.; Milne, Catherine T.; Agrell-Kann, Marie; Ekholm, Bruce P. Clinical Evaluation of a Skin Protectant for the Management of Incontinence Associated Dermatitis: An Open-Label, Nonrandomized, Prospective Study. J of Wound, Ostomy & Continence Nursing. 2017. 44(2):172-180.
- 3M Data on File. EM-05-013924, EM-05-305812.
- Moffatt C.J., Franks P.J., Hardy D., Lewis M., Feldman J.L. A preliminary randomized controlled study to determine the application frequency of a new lymphoedema bandaging system. British Journal of Dermatology. 2012; 166. 624-632.
- Moffatt C.J., Franks P.J., Hardy D., Lewis M., Feldman J.L. A preliminary randomized controlled study to determine the application frequency of a new lymphoedema bandaging system. British Journal of Dermatology. 2012 Mar; 166(3):624-632. doi: 10.1111/j.1365-2133.2011.10731.x. Epub 2012 Jan 17. PMID: 22059933.
- Schuren J, Mohr K. Pascal’s law and the dynamics of compression therapy: a study on healthy volunteers. Int Angiol 2010; 29(5): 431–435.
- Lymphoedema Framework. Best Practice for the Management of Lymphoedema. International Consensus. London: MEP Ltd. 2006.
