- 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.
On Wednesday, April 16, 2008, our Ask-the-Expert Online Conference was called Preventing and Treating Arm Lymphedema. 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. answered your questions about ways to prevent and manage lymphedema.
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