- Question from PS: Do you have any suggestion for treating hand lymphedema when bandaging and sleeve/glove seem to make it swell more?
- Answers - Nicole Stout That is a complicated situation, as there are so many issues that surround a complicated hand. It can range from the quality of the bandaging that's done, the size of the hand, and the compression class of the garment being used. Many times bandaging and garments become an exercise in strategy and what works for one patient isn't going to work for another. I think just sampling different garments, different bandage strategies, or different alternatives in mechanisms of compression may help. I have thousands of strategies in mind, but I think it's impossible in a conference situation like this to give very specific strategies. There are some good resources for follow-up with bandage strategies or garment strategies. Many of the custom garment companies have advice on constructing garments that could be helpful. Or collaborating with other therapists, if you have a network with other therapists you work with, passing ideas back and forth of what's been helpful, innovative strategies that you can share with one another.
The Ask-the-Expert Online Conference called Preventing and Treating Arm Lymphedema featured Kathryn Schmitz, Ph.D., M.P.H., F.A.C.S.M.,Nicole Stout, M.P.T. C.L.T.-L.A.N.A., and moderator Jennifer Sabol, M.D., F.A.S.C. answering your questions about ways to prevent and manage lymphedema.
Editor's Note: This conference took place in April 2008.
The materials presented in these conferences do not necessarily reflect the views of Breastcancer.org. A qualified healthcare professional should be consulted before using any therapeutic product or regimen discussed. All readers should verify all information and data before employing any therapies described here.
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