Using compression hosiery
to prevent rebound swelling Author(s): Marie Todd Date: 1 October 2015
The management of chronic oedema often consists of a programme of
compression bandaging to reduce swelling and improve skin changes and
limb shape, followed by patient self-care management in compression
hosiery. Occasionally, patients experience rebound swelling and require
further episodes of bandaging. In such cases, a thorough assessment of
the causes of the rebound swelling should be carried out so that they can
be eliminated. By evidencing three case studies, this article demonstrates
that Haddenham Custom Goldpunkt garments can be useful in preventing
rebound swelling, making it a cost- and resource-effective method of
managing stubborn chronic oedema and lymphoedema.
Microfine Toecaps: An Innovative and Cost-Saving Solution Author(s): Jane Wigg, Rebecca Elwell Date: 1 May 2015
This article discusses the use of Microfine toe caps (Haddenham, UK)
for the treatment of digit swelling. It will discuss the indications and
contraindications of the device and offers some case studies where toe
caps have been used in clinical practice. The use of the Microfine toe cap
offers an alternative to toe bandaging, has many different applications and
can be safe and time-saving to apply when used appropriately following a
full and holistic assessment.
Use of compression shorts
in the management of
lymphoedema and lipoedema Author(s): Jane Wigg, Natalie Lee Date: 17 November 2014
Compression therapy is the mainstay of treatment in the management of
lymphoedema and lipoedema. However, due to variance in the location,
severity and type of the condition, patients often have to compromise
on garments to ensure that the affected area of oedema is controlled.
This article discusses the use of Veni compression shorts (Haddenham
Healthcare) and Capri garments as an alternative treatment option to
full-leg compression garments. The article explains treatment areas and
conditions where the application of these garments will enhance care—for
example, for trunkal swelling—and where compression may not generally
be required—for example, in the feet
Prospective multicentre observational
study of lymphedema therapy (Mobiderm) Author(s): I. Quéréa E. Preslesb et al Date: 1 November 2014
Prospective multicentre observational study of patients with unilateral lymphedema.
The primary objective was to assess lymphedema volume variation between baseline,
the end of intensive phase and 6 months later. Secondary objectives were to assess the frequency
of heaviness limiting limb function and treatments safety predictors for volume reduction.
Reference Publications for the Moisture Meter Author(s): Delfin Technologies Ltd Date: 4 September 2014
A list of recerences for the Moisture MeterD Compact including it's use in the assessment of Lymphoedema.
Oedema Management in Spinal Cord Injuries Author(s): Sue Lawrence, Ruth Peachment Date: 13 November 2013
Spinal cord injury (SCI) patients are prone to the development of chronic oedema due to gravitational influences
on dependent limbs, reduced mobility and therefore reduced muscle pump action.
In 2010, a collaborative Clinic commenced between the Occupational Therapy department at the National
Spinal Injuries Centre and Lymphoedema Service at Florence Nightingale Hospice, to address this problem
and challenge entrenched views of this being an acceptable and inevitable consequence of SCI.
The use of low level light therapy in the
treatment of head and neck oedema Author(s): Natalie Lee, Jane Wigg, James D Carroll Date: 1 November 2013
The focus of this article is to present evidence supporting the use of low level laser therapy (LLLT) as
a specialist treatment for patients with head and neck oedema. Information obtained from a critique
of relevant literature will be utilised to discuss the treatments available for those with head and neck
oedema, highlighting how outcomes may be improved and quality of life enhanced, when LLLT is
offered as part of a holistic treatment plan. A case study using LLLT is also presented.
Redefining essential care
in lymphoedema Author(s): Jane Wigg, Natalie Lee Date: 24 October 2013
The awareness, diagnosis and management of chronic oedema and
lymphoedema is improving. The enduring treatment format for the
condition has always been regarded as the ‘four cornerstones’ of care
for maintenance therapy in the UK. However, with changes in technology,
availability of additional treatments and increased research and studies,
this baseline is changing. This article outlines some of the recent changes
and advancement in diagnostic tools and new technologies used in
diagnosing and managing lymphoedema and chronic oedema. Emerging
therapies will be introduced, as will other aspects of care that may now
be considered ‘essential care’ in the management of lymphoedema and
Case Study to highlight the use of
Haddenham ETO 11P in an extraordinary way. Author(s): Rebecca Elwell Date: 11 October 2013
The increasing numbers of bariatric patients seen in Lymphoedema clinics in the U.K. pose a number of management challenges but one such difficulty is the management of the often seen, lymphoedematous abdomen or apron with associated skin changes and lymphorrhoea.
Getting the right fit: made-to-measure garments for lymphoedema management Author(s): Natalie Lee, Jane Wigg Date: 5 April 2013
The purpose of this article is to discuss the use of custom made compression garments in the management of lymphoedema and chronic oedema. Patients often present to therapists with inappropriate, ill-fitting garments that can contribute to an increase in oedema and poor limb shape. Patients frequently report garments as being uncomfortable and therefore intolerable leading to a lack of concordance with wearing garments. The selection and fitting of the correct garment can affect outcomes and the patients’ quality of life. The focus of this article is to increase the health professionals’ knowledge and skills in the selection, measurement and fitting of custom made garments to ensure correct fit and increased concordance when compression garments are prescribed.
Selecting Compression Garments For Treating Chronic Oedema Author(s): Natalie Lee and Jane Wigg Date: 1 October 2012
The article focuses on the use of compression for chronic oedema and
lymphoedema. It will provide information and advice to community nurses to
aid the decision making process when selecting compression garments.
It will discuss the extensive options available from the Veni range of
compression garments for lower limb swelling from Haddenham Healthcare
and through case studies demonstrate its versatility in practice.
Microfine glove and toe caps and their
use in lymphoedema management Author(s): Gail Close Date: 1 October 2010
Lymphoedema garments have progressed in the last 10 years, so gone
are the days when only one colour is available (that lovely beige!). How
many patients would have to be persuaded to wear their compression
hosiery in that desirable colour? Not just have the colours become more
acceptable, so have the fabrics. There are a wide range of compression
gloves available to the lymphoedema specialist to fit on the patient but that
cannot be said of toe caps. The Microfine toe cap is the only one available
as an off-the-shelf garment, and when the lymphoedema is deemed to
be manageable in these garments, it offers an alternative to flat knit. The
Microfine glove and Microfine toe cap are adaptable and can offer colour
options and a fabric that is less bulky and fine. It also allows therapists to
trim the length of each digit for a better fit without reducing compression.
The author will present three case studies of patients that are using.
Case study of scrotal oedema in a 75 year old patient with metastatic cancer of the prostate Author(s): Date: 5 October 2009
There has recently been a lot published about the use of the Whitaker pouch available from Medi UK in the management of scrotal oedema but in clinical practice at the Lymphoedema clinic, University Hospital of North Staffordshire, the ETO 11P scrotal garment available from Haddenham Healthcare has proved to be a suitable alternative.
An evaluation of the use and response of low level laser therapy Author(s): Jane Wigg, Samantha Hammond and Cheryl White Date: 5 October 2009
Laser has been used in the management of lymphoedema and other problems for many years. Reported therapeutic effects are softening of tissues, reducing pain and heaviness and improving the immune system (Carati et al 2003, Tadakuma 1993).
Thelander and Piller (2000) report improvements in scar tissue and softening as main changes in their initial trials. The UK has been slow to adopt this technology but since gaining its CE registration WLS has commenced this treatment.
Use and response to treatment using low level laser therapy Author(s): Jane Wigg Date: 1 October 2009
Laser therapy for lymphoedema treatment has been used internationally for many years but has been slow to be accepted in the UK. The science behind the technique and its effectiveness in reducing fluid viscosity and encouraging motoricity of the lymphatics has been reported (Lievens, 1987; Eliska and Eliskova, 1997). The evaluation reported in this paper observed the response of 12 patients to laser treatment for lymphoedema. All the patients reported a reduction in tissue thickening and 83% of patients noted improvements in range of movement. In addition, 43% of patients saw an improvement in scar appearance.
Gross lymphoedema: A creative approach to successful care Author(s): Jane Wigg Date: 25 August 2009
This case report shows the treatment and support needed to assist a
patient with gross lymphoedema. The combined treatment approach
proved successful with limb volume reduction and an increase in the
patient’s mobility and confidence
Measuring sub-bandage static and dynamic compression pressures Author(s): Suzanne Humen Davey Date: 1 July 2006
Many compression bandages and devices are available for treating limb
edema, lymphedema and ulcers. Since the pressures achieved by these play a
role in their therapeutic usefulness it is instructive to examine some of these
pressure features under different conditions. Of particular interest is the
pressure measured between the bandage and the limb variously called
interface, surface or sub-bandage pressure. When a compression bandage or
device is applied to a limb and the limb is at rest, the pressure is called the
resting or static pressure. When the limb is moving and its muscles are
contracting, then the pressure change is called the dynamic or working
pressure. Each pressure has its own specific role in therapeutic processes .
The main purpose of this presentation is to provide initial examples and
illustrations of some of the clinically relevant features of various bandages and
devices under different conditions. The main goal of this work is educational
and is not intended as a comparative study of different features among
different products. This would require a much larger undertaking for such
comparisons to be scientifically meaningful.