Various types of ready-made nighttime compression solutions are now available for those patients who are physically unable or unwilling to apply compression bandages for nighttime use. In cases when nighttime compression is indicated, the patient and/or caregiver are instructed in the application of mild and padded compression bandages on the affected extremity for the night. Recent observational studies suggest that the addition of nighttime compression results in more favorable long-term control of lymphedema and a significantly reduced risk of lymphedema volume in the affected extremity1.
In advanced lymphedema, and/or in cases with relapsing symptoms and lymphedema volume, nighttime compression is an additional option for lymphedema patients to prevent re-accumulation of lymphatic fluid during nighttime rest in the second phase of treatment. The primary goal of compression therapy is to maintain and improve the reduction of the swelling achieved during lymphedema treatments it is important to understand that compression garments worn in the maintenance phase of CDT are not designed to be worn at nighttime or to further reduce lymphedema, and should only be worn on a decongested extremity.
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While compression in the first, or intensive phase, of CDT is applied by padded short-stretch bandages, patients graduate to compression garments once the extremity is decongested to a normal or near-normal size in the second phase of treatment (also known as the self-management or maintenance phase of lymphedema care).
External support of the affected body part using compression therapy is an essential and integral component of effective lymphedema care-providing the necessary support for those tissues that lost elasticity and compensating for the elastic insufficiency by increasing the tissue pressure.Ĭompression therapy in the treatment of lymphedema is applied by padded short-stretch bandages, compression garments or alternative materials, such as adjustable compression devices. As a result, the affected extremity is always at risk for re-accumulation of lymph fluid.
#Compression garments for lymphedema skin
In these cases, normal skin elasticity may never be completely regained. These fibers lose their elasticity and have a tendency to harden-especially in long-standing and untreated lymphedema, present over a long time period. Lymphedema is a progressive and chronic condition caused by the disruption or obstruction of normally functioning lymph vessels and/or nodes secondary to surgery involving the lymphatic system or developmental abnormalities of the lymphatic system itself.Īlthough the swelling associated with lymphedema can be reduced to a normal or near-normal size by Complete Decongestive Therapy (CDT), the elastic fibers in the skin affected by lymphedema are damaged. Zuther, Lymphedema Specialist, Founder of the Academy of Lymphatic Studies and CEO of Prolymph Consultants, explains more. There are benefits, but you need to make sure the garment you wear at night is designed specifically for that purpose, like the new Juzo Night garment. Many of you have asked about the effectiveness of a nighttime compression garment. March 2023 Why Nighttime Compression is Important
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