How to tape feet for neuropathy

How is the tape applied in case of neuropathy?

Starting position patient: supine, feet over the treatment table. Taping direction: from calcaneum to distal end of metatarsals.

Execution:

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1. 1. Measure the tape with the sole stretched from the calcaneus to the distal end of the metatarsals. The 2 strips are different lengths
   2. Apply the base of the first tape to the lateral underside of the calcaneus
   3. Stretch the sole by active or passive dorsiflexion of the foot and extension of the toes
   4. Apply the first tape along the lateral edge of the foot to the distal end of the metatarsals, with no additional stretch to the tape but maintaining preload
   5. Apply the base of the second tape to the medial underside of the calcaneus
   6. Bring the sole of the foot back to a stretch
   7. Place the second tape along the medial edge of the foot to the distal end of the metatarsals, without additional stretch on the tape but maintaining preload. With these 2 tapes, the entire sole of the foot is covered
   8. When the tape is applied, rub lightly for optimal adhesion2

Repeat this procedure for the other foot

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Duration: The tape is worn for 4 weeks and changed every 3 to 4 days by the physiotherapist.

(Possible) complications

• Itching
• Skin irritation or blisters if the tape is removed carelessly or applied incorrectly2

Points of attention

• The skin should be clean, dry and grease-free2
• Base and anchors of the tape are applied without stretching and cut around2
• Avoid folds in the tape or in the skin under the tape2
• If the patient contacts you because the tape has come loose, reapply the tape as soon as possible
• Resume taping as soon as possible at interim interruption (e.g. due to illness / holidays) to a total duration of 4 weeks

Instruction to patients with CIPN

• Patients should remove the tape 24 hours prior to re-tape
• The tape should be removed carefully, preferably with an unrolling motion. The tape can also be rubbed with massage oil, baby oil or sterillium first and is then easier to remove
• If itching or irritation lasts longer than 30 minutes, the tape should be removed
• If the tape comes off in the meantime, the patient should contact the treating physiotherapist to have the tape reapplied as soon as possible

1 CIPN: Peripheral neuropathy caused by chemotherapy. This causes symptoms such as tingling, numbness, cramps, pain but also balance or gait problems and an increased risk of falling. 2 Sijmonsma J. Kinesiology taping Concept Manual. 1st ed. Fysionair; 2016.

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