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Wet Wrap Therapy: An Effective Treatment for Eczema and Severe Skin Conditions

Two rolls of bandages on a plain white surface

Wet wrap therapy is a specialized treatment used to manage moderate to severe cases of eczema (atopic dermatitis) and other skin conditions that cause significant inflammation, dryness, and itching. This technique involves applying wet bandages or garments over-medicated or moisturized skin to enhance the effectiveness of topical treatments, reduce itching, and promote healing. Wet wraps are particularly beneficial for children and individuals who struggle to control their symptoms with standard therapies.


This article explores what wet wraps are, how they work, and their benefits and application methods.


What Are Wet Wraps?

Wet wraps are a treatment method where moist, occlusive bandages or garments are applied to the skin after the application of emollients (moisturizers) or topical medications, such as corticosteroids. The wraps can cover large areas of the body, such as the arms, legs, or torso, or be used on specific areas that are particularly affected by eczema or other inflammatory skin conditions.


How Do Wet Wraps Work?

Wet wrap therapy works by providing a moist environment that helps to:

  • Hydrate the Skin: The moisture from the wet wraps increases the absorption of the topical treatments and helps to restore the skin’s natural barrier function.

  • Reduce Itching: By cooling the skin and reducing inflammation, wet wraps can significantly decrease itching, which is a primary concern for individuals with eczema.

  • Enhance Medication Absorption: The occlusive nature of the wraps enhances the penetration and effectiveness of topical medications like corticosteroids.

  • Promote Healing: The wraps create a protective barrier that helps to prevent scratching and infection, allowing the skin to heal more effectively.


Benefits of Wet Wrap Therapy

Wet wraps offer several key benefits, particularly for those with severe or resistant eczema:

  • Rapid Symptom Relief: Wet wraps can provide quick relief from intense itching and inflammation, making them a valuable option during flare-ups.

  • Reduced Need for Medication: By enhancing the effectiveness of topical treatments, wet wraps may reduce the need for stronger medications or systemic treatments.

  • Safe for All Ages: Wet wrap therapy is safe and effective for both children and adults, making it a versatile treatment option.

  • Prevention of Scratching: The wraps act as a physical barrier, preventing the skin from being scratched, which can exacerbate symptoms and lead to infection.


How to Apply Wet Wraps

  1. Prepare the Skin - Cleanse the Area: Gently cleanse the affected skin with lukewarm water to remove any dirt or irritants. Pat the skin dry with a soft towel.


  2. Apply Topical Treatments: Apply any prescribed topical medications, such as corticosteroids, directly to the affected areas. Follow this with a generous application of an emollient or moisturizer to lock in moisture.


  3. Prepare the Wraps - Soak the Wraps: Wet the bandages or specialized wet wrap garments (such as sleeves or pajamas) in warm water. The wraps should be damp, not soaking wet, to avoid chilling the skin.


  4. Wring Out Excess Water: Gently wring out any excess water from the wraps, ensuring they are moist but not dripping.


  5. Apply the Wet Wraps - Wrap the Affected Areas: Carefully wrap the damp bandages or garments around the affected areas of the skin




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