The Night Wrap

  • September 5, 2022
  • Complete.

No, it’s not a cool Melbourne bar! “The Night Wrap” is in fact a proposed treatment for inflamed tendons (paratenonitis or tenosynovitis), bursae or joints. If you have issues taking anti-inflammatories, this could very well be worth a try!

Although evidence is mostly anecdotal, it is something sports trainers in a variety of sports have been using and talking about for years! It is easy, quick and works while you sleep; the night wrap can be done simply with things purchased from the pharmacy.

The method is simple. You’ll need:
  • Voltaren/Diclofenac Gel
  • Hirudoid Cream
  • Glad wrap/Film dressing (without the absorbent pad)
  1. Apply equal amounts of the gel and cream to your painful area
  2. Mix into a thick paste but don’t rub it in
  3. Cover with glad wrap/plastic dressing and leave it on overnight while you sleep (must be plastic to ensure the creams don’t evaporate while you sleep)
  4. Remove the wrap in the morning and wash away the cream residue
Does it work?

It is important to note that there is no research investigating whether The Night Wrap specifically is effective at reducing pain or improving function. However, topical anti-inflammatories like diclofenac are listed as a recommended treatment for conditions such as knee osteoarthritis in several high-quality guidelines.

Experience would suggest that this technique works best for inflammation that is superficial or close to the skin.

One of the other benefits of this method is that the topical delivery (through the skin) of the anti-inflammatories can reduce some of the side effects (gastrointestinal and kidney issues). However, if you have issues with anti-inflammatories, please consult your pharmacist of GP about whether this treatment may be right for you. If the answer is yes, give it a go!

  • Written by David Thwaites

    David is an experienced physiotherapist who enjoys developing strong therapeutic relationships. With a diverse background encompassing various conditions, David has developed a particular interest in exercise rehabilitation of the knee, including osteoarthritis, patellofemoral pain, ACL injury rehab, and running injuries. As a keen runner, David enjoys hitting the pavement in his hometown of Geelong, and along the trails around the surf coast.

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