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Padding plays a key role in complete decongestive therapy. Padding is placed on top of the stockinette, under the compression bandages. The goal of the various padding applications depends on the type of padding used. Soft, low density padding (cotton and foam rolls or sheets) is used to apply constant, gentle pressure to any pockets of obvious swelling and to distribute the pressure evenly on the tissues. This assists in restoring the limb or body part to its normal shape. 

In cases of hardened tissue areas (fibrosis), treatment may require the use of higher density, or specialty foam (foam pads, channeled foam, swell spots) to help break up the fibrotic tissue and return the skin to its normal softness. Foam pads come in many different shapes and sizes.