The tips of my fingers are purple

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mason204
mason204 Member Posts: 570
edited June 2014 in Lymphedema

Hi everyone:

I just got back from MLD and having my arm wrapped for the first time.

How do you keep the tips of your fingers from turning purple?  I called the therapist who seemed surprised and asked that I remove a layer, then wait 15 minutes and remove the next layer until my circulation returns.

I'm finding it impossible to type.  I can't lift a fork to my mouth to eat. I don't even have a shirt that fits over the wrapping.  Never mind I can't move my arm enough to take off or put on clothing.  This is no way to live.  And I've got to be like this for days.....

How does one manage?  I'm just about in tears right now.

Comments

  • mason204
    mason204 Member Posts: 570
    edited December 2008

    To heck with it.

    I've just loosened the bandages and I'm feeling relief.  I figure since I'd been wrapping it myself for the past few days before visiting the therapist and the swelling had all but gone away, I must have been doing something right.  I compromised and now it's tighter than I'd been doing it but not as tight as the therapist.  Life's too short to be that miserable.

  • OLBinNJ
    OLBinNJ Member Posts: 236
    edited December 2008

         The therapist wrapped you too tight!!!  I had that happen a few times.  The PT told me as she was wrapping that each time I brought the bandage around my arm, I should give it a little pull.  Well, by the time I got home, my fingers were purple and cold!  I wrapped myself and it was much better.  You have to be the judge of how tight to wrap.  Listen to what the PT says, but it's your arm, you know when it's too tight.  I'm sure Binney can give you more (and better) instruction on what to do.  Glad you re wrapped yourself before you lost all feeling in your hand!

  • Marple
    Marple Member Posts: 19,143
    edited December 2008

    Get those wraps off ASAP.   They are way too tight.  You seemed to be on the right track before the therapist.  There is a little trial and error I find.  My therapist would wrap my hand and wrist tighter than I can stand........and he listens to me.   You will find your way.........but get 'em off mason.

  • Binney4
    Binney4 Member Posts: 8,609
    edited December 2008

    Funny you should mention purple fingers! Undecided Mine were purple yesterday too, when I went to the fitter to try on my new gloves. Happened in about 15 seconds. The fitter, who'd be a great stand-up comic, just straight-faced it with: "I don't think I like that color." Sure enough, there's something a bit unhealthy about it! Good for you for fixing it! Smile Even the best of therapists will sometimes wrap too tight. Especially at first. We're all different in the amount of compression we can tolerate without turning all shades of oxygen-starved. She'll get the hang of it, and so will you. Honest!

    As for cooking, eating, combing your hair, driving, putting on clothes -- all those things you've always taken for granted -- what can I say?! Tongue out It's bizarre, but it gets lots easier. I can do just about everything wrapped now (except for the dishes -- heh, heh!Laughing) The more you move while you're wrapped the more lymph fluid you'll move, because the wrapping helps put pressure against the lymph vessels to pump the lymph along. To loosen up, start with some simple exercises, done slowly so as not to rush the leisurely pace of lymph. Both arms straight up, stretch up with one, then the other, as though you were trying to touch the stars, several times. Arms straight out in front of you, bend your elbow and touch your fingers to your nose a few times. Both arms out to your sides, palms facing the floor, turn your arms over until the palm is facing the ceiling, then back again as far as you can turn it in the opposite direction -- do that a few times. Arms out in front, bend your wrists up and down, up and down - or turn them in circles first one way and then the other. Arms out to the side, elbows bent so your hands are near your ears, curls your fingers and thumb, one by one, into a fist, then out again, several times. Then finally, arms hanging loose at your sides, raise your shoulders up toward your ears and down.

    Then go find somebody to give you a very gentle shoulder rub while you sip a cup of something yummy -- we deserve the pampering!Kiss

    There's a page about "coping" on the StepUp-SpeakOut site here:
    http://www.stepup-speakout.org/How_You_Can_Cope_with_Lymphedema.htm
    It has a section on dealing with wrapping, and one on dealing with the feelings that go with this diagnosis. (There's a link near the top of that page to more information about the emotional side of all this.)

     Hang in there, Cheryl! You're doing a terrific job with all this. Cool 

    Big hugs!
    Binney

  • sushanna1
    sushanna1 Member Posts: 764
    edited December 2008

    Oh Cheryl--I am so sorry that you had to join us.  Things will improve when you have a glove and sleeve.  Personally I really resented the time spent washing and folding bandages.  Things will get better and as Binney says you will learn how to cope.  However, people really underestimate the emotions involved.  Hang in there.

    Sue

  • mason204
    mason204 Member Posts: 570
    edited December 2008

    Thanks everyone.

    The therapist thinks that because my swelling decreased dramatically after only being wrapped for a few hours, that it was triggered by some event (illness, overexertion, etc.) and I was susceptible because of the lymph node removal (which I knew).  She said to wait and see but my lymphedema may simply "flare up" every now and again.  After the MLD, the swelling under my armpit seems to have cleared up considerably.  It was always swollen but had been since my mastectomy in June so I didn't think too much about it.

    I do have tender areas on my arm (not too sore, but to the touch only).  As soon as I wrapped the area, I felt immediate relief.  Now that I've rebandaged again today, my arm feels like it has some support and is wrapped in a cocoon.  I'm snowed in today (we've had about 1.5 feet since Friday) so I'm just sitting back and taking it easy. 

    You guys are so supportive.  I visited the website you mentioned and saw that I'm not alone.  The wrapping video is a life saver!!  I also learned that the wrapping helps to reduce my arm back to normal size so I can wear the compression glove and sleeve.  I had thought that wrapping and the glove/sleeve accomplished the same purpose.  I didn't know that you couldn't wear the glove/sleeve if your arm was very swollen.  I now understand why the fitter at the drug store refused to "fit me" while I was still swollen.  My one forearm is just 1/2 cm larger than the other and the upper arm was 2cm larger before MLD.  Strange, the 2cm was hardly noticeable to me.

    My therapist called today (on a Sunday, no less) to see how I'm doing.  She thinks that because I'm on chemo, that my circulation may be affected.  I have another therapist appointment on Jan 3rd, a few days before my next chemo treatment.

    I've been told that the government pays for most of the wrapping supplies and compression gloves/sleeves through their Assistive Devices Program (ADP) with a note from the doctor/therapist and that insurance typically covers the rest.  I'll be looking into that more tomorrow.

    Sorry for the lengthy post - it's Sunday and I have tons of time on my hands today.   You guys are the best!

  • Marple
    Marple Member Posts: 19,143
    edited December 2008

    Hey Mason,

    So glad to read things are going well.  Good for you girl. 

    I am wondering.........where is the wrapping video.

    Also, I live in Ontario and have had to pay for my own bandages and my first sleeve which by the way doesn't fit and I'm on try number 3 for that little number!!!!!  ARRRRRRRRRG.

  • Binney4
    Binney4 Member Posts: 8,609
    edited December 2008

    Sharon and Cheryl, hello!

    Cheryl, you're sounding so GOOD! Yes! Brava!

    Are you in touch with the Lymphovenous Association of Ontario? It's here:

    http://www.lymphontario.org/

    Ontario has better benefits than other provinces (as Jinky will tell you!), so do be sure you're taking advantage of everything that's available.

    Be well!
    Binney

  • Marple
    Marple Member Posts: 19,143
    edited December 2008

    You have to be dealing with someone who is with the ADP to qualify.  I am not.  I think he's working on it though.

  • kira66715
    kira66715 Member Posts: 4,681
    edited December 2008

    Mason, there are many references that clearly state that over-compressing with wrapping, to the point of cutting off circulation is counterproductive, if not dangerous. I've been over-wrapped by therapists who thought they were helping, but have since learned that the "ideal" wrap is comfortable, a gradient compression--more at the hand and lower going up the arm, and there should never be purple fingers and an inability to brush your hair, etc.

    From Lymphnotes:

    Never use bandaging to “squeeze” the limb in an effort to remove more fluid.Bandaging that is too tight causes a tourniquet effect that can further damage already compromised lymph vessels.http://www.lymphnotes.com/article.php/id/229/Here's the link to wrapping at Step up Speak Out: just know that ideally all of the palm should be covered in short stretch bandages:http://www.stepup-speakout.org/wrapping_bandaging_for_lymphedema.htm  

    Kira 

  • otter
    otter Member Posts: 6,099
    edited December 2008

    When my therapist was first teaching me how to wrap my arm, she would wrap it and then immediately have me doing upper-body exercises in the rehab room.  For some of the exercises, I was using 1-pound weights and doing all sorts of arm stretches and curls.  At another visit, she had me using the "machines" to do simple, lightweight arm, back, and chest exercises.

    If I hadn't been able to bend my wrist or elbow a little bit, those maneuvers would have been impossible.  I think the message was that the wraps should be snug, but comfortable.  No purple fingers!

    otter 

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