Tubigrip Application Instructions
Apply Tubigrip by cutting a length twice the area to be covered, then fold it in half to create a double layer over the affected limb, ensuring proper compression without compromising circulation.
Application Technique
The standard method for Tubigrip application involves:
- Cut the tubular bandage to twice the length of the area requiring compression 1
- Fold the material back on itself to create a double-layer application, which provides the appropriate compression gradient 1
- Ensure the compression does not compromise circulation by checking that the wrap is not overtightened 2, 3
- Apply from distal to proximal (bottom to top of limb) to promote proper venous drainage, though this is more critical for graduated compression stockings 4
Pressure Considerations
When applying any compression device including Tubigrip:
- Target pressure at the ankle should be 18-23 mm Hg for prophylaxis, which is lower than therapeutic compression (30-40 mm Hg) used for post-thrombotic syndrome 5
- Avoid excessive tightness that could cause pain, swelling, or neurovascular compromise 4
- Monitor for proper fit as compression effectiveness depends on appropriate pressure application 5
Important Caveats
Tubigrip has limited evidence for ankle sprains specifically - multiple studies concluded that Tubigrip provides no positive effect on functional recovery after ankle injuries and may actually increase analgesic requirements compared to no intervention 6. For ankle sprains, semi-rigid ankle braces or lace-up supports are superior to simple elastic bandages like Tubigrip, helping patients return to activity 4.2 days sooner 2, 3.
Contraindications
Do not apply Tubigrip or any compression device when: