Compression Therapy

WoundSource Editors's picture
Edema

By the WoundSource Editors

Edema is the abnormalaccumulation of excess fluid within tissue. The swelling associated with edema can be localized to a small area following an acute injury, it can affect an entire limb or a specific organ, or it can be generalized throughout the entire body. Edema is not a disease, but rather a symptom that can indicate general health status, side effects of medications, or serious underlying medical conditions.

Janet Wolfson's picture
Frequently Asked Questions

By Janet Wolfson, PT, CLWT, CWS, CLT-LANA

Reflecting back on "In the Trenches With Lymphedema," WoundSource's June Practice Accelerator webinar, many people sent in questions. I have addressed some regarding compression use here.

Alton R. Johnson Jr.'s picture
Compression therapy for wound management

By Alton R. Johnson Jr, DPM

Four weeks ago, I was granted the privilege to treat a patient with type 2 diabetes with neuropathy who presented to the wound care center after developing a full-thickness pressure ulceration on the lateral aspect of her right leg as a result of an ill-fitted brace used four weeks earlier. The first clinical feature I noticed about the patient's lower extremity compared with the previous encounter was marked increased pitting edema. As a sequela of the lack of compression, the patient's lower extremity edema had increased, causing the wound to break down further in comparison with our last encounter with her. I first asked the patient why she discontinued the multipurpose tubular bandage that was dispensed and applied to her right extremity during the last visit. Her immediate response was that the home health aide had disposed of it by mistake; however, the patient stated that the aide used an available non-compressive stockinette instead.

Temple University School of Podiatric Medicine's picture
Velcro devices for Venous Ulcers

Temple University School of Podiatric Medicine Journal Review Club
Editor's note: This post is part of the Temple University School of Podiatric Medicine (TUSPM) journal review club blog series. In each blog post, a TUSPM student will review a journal article relevant to wound management and related topics and provide their evaluation of the clinical research therein.

Article Title: Review of Adjustable Velcro Wrap Devices for Venous Ulceration
Authors: Stather PW, Petty C, Howar AQ
Journal: Int Wound J. 2019 Mar 21 [Epub ahead of print].
Reviewed by: Olivia Hammond, class of 2020, Temple University School of Podiatric Medicine

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Janet Wolfson's picture
compression therapy for lymphedema

By Janet Wolfson PT, CLWT, CWS, CLT-LANA

The intersection of wounds and lymphedema has been on my mind this week as challenging patients and a new reduction garment cross my dual specialty life. One patient with chronic swelling with weeping for more than a decade, another referred a few days before discharge who will need a few weeks Complex Lymphatic Therapy and a reduction garment that he and his spouse can manage for showering. Still another experiencing light weeping, chronic edema and is post-heart failure. They are all inpatient rehab clients attempting to improve their mobility and self care enough to go home. So, the wish list for reduction compression and absorbent wound care products needs to fit some special needs.

Industry News's picture

By the WoundSource Editors

Clearwater, FL – July 13, 2017 – The new EXTREMIT-EASE™ Compression Garment by AMERX Health Care has been named one of this year's Top 10 Innovations by Podiatry Today – a leading industry publication.

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Janet Wolfson's picture
kidney failure-related edema

By Janet Wolfson PT, CLWT, CWS, CLT-LANA

Acute care wound or edema professionals are bombarded with multiple kinds of edema that can be treated in many ways—and with many choices of compression garments. What to choose?

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Industry News's picture

By the WoundSource Editors

Clearwater, FL – May 3, 2017 – Attendees of the Symposium on Advanced Wound Care (SAWC) Spring Conference received a first look at the new EXTREMIT-EASE™ Compression Garment - an innovative, easy-to-use approach to compression. Developed by AMERX Health Care, EXTREMIT-EASE™ offers 30-50mmHg of compression with the combined benefits of short- and long-stretch compression

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Janet Wolfson's picture
patient treatment

By Janet Wolfson, PT, CLWT, CWS, CLT-LANA

Long ago, in a Physical Therapy Department far away, I met my first lymphedema patient, but did not know that was the cause of her recurring wounds. Into the next decade, I treated more patients with chronic swelling in their legs and we put something called Unna boots on them. But the boots did not work for everybody. By the end of the decade, there were layered compression wraps and I had started to see courses for therapists in manual lymphatic drainage. Hmmm, curious…

Temple University School of Podiatric Medicine's picture

By Bradley W. Lind and James McGuire DPM, PT, CPed, FAPWHc

Venous leg ulcers are a type of lower extremity wound complicated by excess fluid production, periwound edema, and high bioload produced by venous insufficiency often leading to secondary lymphedema. The Coban™ 2 Layer Compression Therapy System, created by 3M Health Care, was designed to achieve sustained therapeutic compression, while improving the ease of application, and reducing slippage of the dressing during wear. The reduction in layers of the dressing also allows the patient to wear their own footwear and avoid the purchase of a surgical shoe.

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