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Topic: PICTORAL FOR KINESIO TAPING A LE HAND

Forum: Lymphedema — Risks, tips for prevention, and info about products that can address the symptoms of lymphedema.

Posted on: Jan 17, 2009 02:41AM - edited Jan 17, 2009 02:52AM by LindaLou53

LindaLou53 wrote:

I promised Binney I would try to post a pictoral/tutorial on how I use Kinesio Tape (KT) for my Stage 2 fibrotic LE hand.  I want to preface this tutorial with a couple of caveats.

1.   Do not attempt to self-apply KT if you have not yet been evaluated by a certified lymphedema  therapist as to the appropriateness of KT for your type LE and skin condition.

2.   Do not attempt to self-apply KT until you have been professionally taped by a certified lymphedema therapist to determine its effectiveness in your type of LE and you have received proper training and supervision in the application of KT.

I have been self-applying KT for over 2 years now, but I was previously taped and instructed by my CLT therapist for many months in addition to attending KT lectures by Ruth Coopee and have assisted my therapist in KT instructional presentations to other LE therapists.  I am not going to go into great depth here on how KT works to reduce LE swelling or all the application details because you can read the excellent article by Ruth Coopee on the Stepup-Speakout website here:

www.stepup-speakout.org/kinsio... 

KINESIO TAPING A LE HAND

Supplies Needed:

You will need a roll of KT and a pair of scissors for cutting the tape. Kinesio Tape currently comes in 4 colors - Black, Blue, Pink and Beige.  It is available in standard and water resistant.  It is also available in 2inch or 3inch widths.

The roll on the far left in the picture above is the original KT packaging that was used up til Spring 2008. New packaging was introduced in early 2008 with the name Kinesio Tex GOLD which has the same adhesive wave pattern as the original KT and is the KT that should be used for LE taping. (see the 3 rolls of KT GOLD in the picture above) If you see KT sold as Kinesio Tex PLATINUM you should avoid using that tape for LE because the straight line wave pattern of the adhesive is not as effective and may cause more skin damage.

In addition to the tape you will need a good pair of scissors.  Try to find a pair of teflon coated scissors which will cut the KT without the tape sticking to and gumming up the scissor blades.  You can find teflon coated scissors at most craft stores.

The KT has a paper backing which is marked by lines to help you determine the lengths you need to cut.  See picture below for an example of the standard paper backing:

The length of each section between the vertical lines is 2 inches.  You will learn with practice how many sections of tape you need to cover different body parts.

The picture below shows the classic wave pattern of the adhesive of KT GOLD.  Make sure the tape you use has this type of pattern and not the straight line pattern of the Platinum version of KT.

Cutting the Tape:

When I tape my LE hand I cut 2 different shapes in the tape.  The first shape is called a "Buttonhole Cut".  The purpose of the buttonholes is to have holes you can insert your fingers into and then apply the tape to both the dorsal and palmar sides of your hand.

To make a buttonhole cut I start out by cutting a length of KT about 5 sections long.  I then fold the tape in half.

I then use the scissors to round the cut ends of the tape. (Rounded edges are less likely than a square cut edge to pull loose when pulling sleeves and gloves over top the tape)  After rounding the cut ends, I cut diagonal cuts in the folded end as shown in the picture below.

 When you open out the tape after cutting it should look similar to the picture below.

 

 I generally cut 2 identical buttonhole strips since I prefer to fully cover the dorsum and palmar surfaces of my hand with KT.  If you choose to use just one strip of KT on your hand you should insert the 2 side by side  fingers that most need reduction of swelling into the buttonholes.

Applying the Kinesio Tape:

I insert my little finger and ring finger into the first strip holes.  I work the tape down both fingers until I can apply the body of the tape to my palm and back of my hand.  When applying the tape I hyperextend or flex my wrist so that the tape is applied over my stretched hand. Again please refer to Ruth Coopee's instructions on the amount of stretch to apply to the tape and how to leave no stretch on the ends of the tape.

 www.stepup-speakout.org/kinsio...

Picture of first strip of tape on the dorsum surface of hand:

 Picture of first strip of tape on the palmar surface of hand:

I then apply the second strip of tape to my middle and index fingers in the same manner:

 

After applying the buttonhole strips I then cut a "Fan Cut" strip which I use to apply to my fingers.  I usually cut a length of tape about 3-4 sections long, but this should be adjusted for individual hand length and how much of your fingers you want to cover. I round the corners on one edge of the tape and then I cut the other end of the tape into 4 equal sections about 2 thirds of the way down to the rounded end. I shorten the one section that will cover my little finger and I then round each of the ends of the 4 sections.  This is what the fan cut would look like:

 I apply the fan cut strip of KT by placing the lower rounded edge near my wrist on top of the KT already applied to the back of my hand. I then slightly stretch each of the cut sections to apply to each of my fingers again with a slight stretch while I flex my fingers. The finished KT application which covers the dorsum, palmar surfaces and all 4 fingers should look something like this:

 The KT should never be worn as a substitute for your compression glove and sleeve, but rather is worn underneath your glove and sleeve.  The tape can remain in place for 4-5 days before it should be removed.  I prefer to use the water resistant KT because it withstands showering and getting wet better than the standard KT.

The next picture shows me wearing the KT underneath a Juzo Dream Sleeve and Gauntlet in navy color.  I do not generally wear a gauntlet because I need the full compression of a fingered glove, but I wanted to show the KT underneath the garments.

 I have found that KT on my hand along with my compression glove helps to reduce swelling and fibrosis even more than just wearing my glove alone.

Life is not measured by how many breaths we take...but by the moments that take our breath away! ...I am a 14/9 yr survivor of 2 Primary BCs, 23/23 Positive Nodes (Zometa x 5 years) Started Paloma-3 Clinical Trial 4-14-14 Dx 7/14/2000, IDC, 1cm, Stage IIA, Grade 1, 2/7 nodes, ER+/PR+, HER2- Surgery 8/11/2000 Lumpectomy: Right; Lymph node removal: Right, Sentinel Chemotherapy 8/30/2000 AC + T (Taxol) Radiation Therapy 2/26/2001 Breast, Lymph nodes Hormonal Therapy 5/10/2001 Dx 11/21/2005, ILC, 5cm, Stage IIIC, Grade 1, 23/23 nodes, ER+/PR-, HER2- Surgery 12/5/2005 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left, Right Chemotherapy 12/23/2005 Taxotere (docetaxel), Xeloda (capecitabine) Hormonal Therapy 4/7/2006 Aromasin (exemestane) Radiation Therapy 4/7/2006 Breast, Lymph nodes Dx 3/21/2014, ILC, Stage IV, mets, ER+/PR-, HER2- Hormonal Therapy 4/14/2014 Faslodex (fulvestrant)
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Jan 18, 2009 02:55PM OneBadBoob wrote:

Thanks Linda!

I also put it up on the Su-So site.

Jane - Dance as if no one is watching!! Dx 7/7/2007, IDC, <1cm, Stage I, Grade 1, 0/2 nodes, ER+/PR+, HER2-
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Jan 18, 2009 03:27PM notme wrote:

You really did an excellent job with your pictures and instructions!  Thanks so much for doing this for us.

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Jan 18, 2009 07:25PM Binney4 wrote:

LindaLou, thank you so much!

That is sooooo helpful. It's hard to visualize what taping involves, but this makes it clear. And wow! You really do some fancy taping! Just for reference, how long does take you to do the whole thing?

Thanks for this!

Be well,
Binney

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Jan 18, 2009 07:40PM LindaLou53 wrote:

As with all things it gets easier with practice.  To just tape my hand in the manner described above takes me about 15 minutes.  When I do a full taping which includes my forearm, upper arm, shoulder and left side down to the groin I plan on it taking about 45 minutes. 

The forearm is easy to do, but the upper arm, shoulder and side require a large mirror to stand in front of so you can see to properly place the tape.  The good thing is that once applied the tape stays on for several days.

I generally give my skin a break of a day or two after removing the tape.  I also tend to tape as little or as much as I feel is needed at the time.  During hot summer months I have more problems with fluid collection under the arm and down my side so I tend to tape more in warmer months.

When I get a chance I may try to add a pictoral for taping the arm which might be of more interest to others.  Not everyone has problems with LE in their hand like I do, so certainly they should only be taping the symptomatic areas.

Life is not measured by how many breaths we take...but by the moments that take our breath away! ...I am a 14/9 yr survivor of 2 Primary BCs, 23/23 Positive Nodes (Zometa x 5 years) Started Paloma-3 Clinical Trial 4-14-14 Dx 7/14/2000, IDC, 1cm, Stage IIA, Grade 1, 2/7 nodes, ER+/PR+, HER2- Surgery 8/11/2000 Lumpectomy: Right; Lymph node removal: Right, Sentinel Chemotherapy 8/30/2000 AC + T (Taxol) Radiation Therapy 2/26/2001 Breast, Lymph nodes Hormonal Therapy 5/10/2001 Dx 11/21/2005, ILC, 5cm, Stage IIIC, Grade 1, 23/23 nodes, ER+/PR-, HER2- Surgery 12/5/2005 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left, Right Chemotherapy 12/23/2005 Taxotere (docetaxel), Xeloda (capecitabine) Hormonal Therapy 4/7/2006 Aromasin (exemestane) Radiation Therapy 4/7/2006 Breast, Lymph nodes Dx 3/21/2014, ILC, Stage IV, mets, ER+/PR-, HER2- Hormonal Therapy 4/14/2014 Faslodex (fulvestrant)
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Feb 19, 2009 05:17AM LindaLou53 wrote:

Bump

Life is not measured by how many breaths we take...but by the moments that take our breath away! ...I am a 14/9 yr survivor of 2 Primary BCs, 23/23 Positive Nodes (Zometa x 5 years) Started Paloma-3 Clinical Trial 4-14-14 Dx 7/14/2000, IDC, 1cm, Stage IIA, Grade 1, 2/7 nodes, ER+/PR+, HER2- Surgery 8/11/2000 Lumpectomy: Right; Lymph node removal: Right, Sentinel Chemotherapy 8/30/2000 AC + T (Taxol) Radiation Therapy 2/26/2001 Breast, Lymph nodes Hormonal Therapy 5/10/2001 Dx 11/21/2005, ILC, 5cm, Stage IIIC, Grade 1, 23/23 nodes, ER+/PR-, HER2- Surgery 12/5/2005 Lymph node removal: Left, Underarm/Axillary; Mastectomy: Left, Right Chemotherapy 12/23/2005 Taxotere (docetaxel), Xeloda (capecitabine) Hormonal Therapy 4/7/2006 Aromasin (exemestane) Radiation Therapy 4/7/2006 Breast, Lymph nodes Dx 3/21/2014, ILC, Stage IV, mets, ER+/PR-, HER2- Hormonal Therapy 4/14/2014 Faslodex (fulvestrant)
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Feb 19, 2009 01:16PM - edited Feb 19, 2009 01:19PM by mason204

Thanks for bumping this up. :)

I have allergies to adhesives (some band-aids, that clear tape they use over IVs (tegaderm, I think it's called), etc.) especially if I leave some thing on for more than a few minutes.  I wonder if the glue is allergy safe?

Cheryl - Mets dx Aug/06 (lungs, liver, bones, abdomen) Dx 12/23/2003, IDC, 5cm, Stage IV, Grade 2, 4/10 nodes, ER-/PR-, HER2+
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Mar 15, 2018 12:32AM hugz4u wrote:

bumping for interest

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May 20, 2018 02:54AM Lilo wrote:

I’ve been looking for this exact thing. Thank you

Dx 10/19/2016, IDC, Right, 1cm, Stage IIA, Grade 2, 1/15 nodes, ER+/PR+, HER2- Surgery 12/8/2016 Lymph node removal: Sentinel, Underarm/Axillary; Mastectomy: Right; Prophylactic mastectomy: Left; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 1/17/2017 AC + T (Taxol) Surgery 7/1/2017 Reconstruction (left); Reconstruction (right) Surgery 11/16/2017 Prophylactic ovary removal
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May 21, 2018 12:04PM hugz4u wrote:

Thanks for bumping thread.

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