How to Do the Night Wrap

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1. Massage in a First Layer

Massage a small amount of both Diclofenac gel and Hirudoid cream into the irritated area for 2–3 minutes until fully absorbed.

2. Apply a Thicker Second Layer

Add a more generous amount of both creams over the same area. Lightly blend them together on the skin, but do not rub them in. Leave a visible layer on the surface.

3. Wrap the Area

Use Glad wrap or a light bandage to hold the creams in place overnight. The wrap should be snug but not tight. If wrapping over a bony prominence, place a small piece of gauze over the cream before wrapping.

4. Sleep

Leave the wrap on overnight (usually 6–8 hours).

How the Night Wrap Helps

✔ Sustained Local Anti-Inflammatory Effect

Diclofenac reduces superficial soft-tissue irritation when used short-term. Keeping it occluded overnight maintains contact and reduces evaporation. (See Reference 1)

✔ Supports Circulation and Fluid Movement

Hirudoid cream can help reduce puffiness, mild swelling, bruising, and peritendinous crepitus by improving microcirculation. (Reference 2)

✔ Helpful for Reactive or Superficial Flare-Ups

This method is most effective when there is:

• Swelling

• Crepitus

• Tendon irritation

• Superficial bursitis

• Post-sprain

  
  

When the Night Wrap Helps Most

The Night Wrap is particularly beneficial for:

• Achilles, peroneal, tibialis posterior tendon sheath irritation

• FHL tenosynovitis

• Mild ankle sprains

• ITB-related outer knee irritation

• Mild bursitis

• Reactive tendon flare-ups with visible irritation

  
  

When It Is NOT Likely to Help

The Night Wrap may not be effective for:

• Long-standing degenerative tendinopathy

• Deep joint pathology

• Bone stress injuries

• Neurological symptoms (numbness, tingling, giving way)

• Red, hot, or feverish joints

• Worsening swelling

  
  

These situations require professional assessment.

Safety & Important Considerations

• Patch Test First: Apply for 1 hour during the day.

• Avoid If Allergic: Do not use if you’re allergic to NSAIDs or taking anticoagulants (unless advised).

• Do Not Apply to Broken Skin: Avoid using on broken or irritated skin.

• Stop Immediately: If redness or burning develops, discontinue use.

• Follow Product Instructions: Always adhere to the guidelines provided with the products.

• Consult a Professional: If unsure, consult a GP, pharmacist, or physiotherapist.

  
  

Where Night Wraps Fit In

Night wraps offer short-term symptom relief, but they do not replace:

• Progressive strengthening

• Load management

• Running or technique adjustments

• Proper rehabilitation planning

  
  

Use night wraps to settle symptoms, then use rehab to fix the cause.

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Conclusion

Incorporating the Night Wrap into our routine can provide relief from soft-tissue irritation. By following the steps outlined above, we can enhance our recovery and get back to our active lifestyles. Remember, this method is a supportive tool, not a substitute for comprehensive rehabilitation.

Australian Medical Disclaimer

This information is general and does not replace personalised medical advice. Use Voltaren Gel and Hirudoid cream according to TGA-approved guidelines. If pain persists, worsens, or is associated with swelling, redness, heat, fever, or neurological symptoms, seek professional medical assessment.

References

1. Derry S et al. Topical NSAIDs for acute musculoskeletal pain. Cochrane Review, 2015.

2. Rasaratnam I et al. Mucopolysaccharide polysulfate in soft-tissue injuries. Clinical review data.

3. Cook JL, Purdam CR. Tendon pathology continuum model. Br J Sports Med, 2016.

4. Rio E et al. Isometric exercise and analgesia in tendinopathy. Br J Sports Med, 2014.