Solaris Tribute in separate glove and arm

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Sher
Sher Member Posts: 540
edited June 2014 in Lymphedema

I vaguely seem to remember reading about someone using a Solaris Tribute in 2 separate pieces rather that the full fingertips to axilla Tribute, but can't seem to locate this by searching.  Maybe it was Jovi and not Solaris?  Anyway, if the glove and arm are separate, I'm trying to picture how they join together while avoiding either gaps or double compression?

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  • kira66715
    kira66715 Member Posts: 4,681
    edited March 2011

    Sher, my first Solaris was a glove and sleeve, and it didn't really work for me--I actually had ordered it without the help of a fitter, and had them modify the glove, and it just didn't work, and the sleeve overlapped the glove, so my second one was ordered by a fitter and did need a re-do, but it's a one piece and works well for me.

    Nordy had a two piece Jovipak that caused fibrosis in the area of the zipper.

    Binney wears two piece Solaris or Jovi so she can take off the glove, and I'm not sure which one she prefers.

    The jovi has a cuff that has no pressure to prevent overlap. Again, my Solaris two piece was based on my misguided impressions, so I wouldn't go by my experience.

    Kira

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2011

    Sher, I only have Solaris in a one-piece, with a full zipper so I can get my hand out easily as needed. I do have a Jovi two-piece. The glove is made to fit tight right up to the end of the sleeve, and then it flares a bit so it doesn't exert added pressure but stays in place over the last few inches of the sleeve. I prefer the one-piece for the simple (and sorta embarrassing) reason that if I take off my glove at night I tend to forget where I put it.

    Actually I have the same problem during the day when I take off a glove to eat, but then I don't have to turn on all the lights to find it and wake up the whole house.Embarassed

    I bet the people who make these things have no idea what we actually deal with!Laughing Maybe they should make night gloves with beepers in 'em...

    <sigh!>
    Binney

  • Sher
    Sher Member Posts: 540
    edited March 2011

    Yep, beepers would work, or those string/strap things like they use on kids mittens.  Laughing

    I have considered the zipper mostly to make it easier to get the sleeve on, but never thought about using it just to get my hand out.  According to the MO-ZP specification on the Measuring Guidelines sheet, the zipper is placed from the thenar eminence (base of thumb, right?) to mid-bicep.  I can't picture getting my hand out with that kind of zipper..........Binney, is yours something different?  

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2011

    Nope, that's what it's like, and as soon as it's unzipped the wrist is loose enough to release the hand, and because it goes up past the elbow it's then easy enough to wiggle my lower arm out of it. As Kira notes, Nordy had a problem with a zipper on a Jovi (which I haven't tried, because they won't make a full-length zipper), but I've never had any issues with the Solaris zipper arrangement -- and being bilateral, with sleeves that snap to the vest, I'd be trapped without it.

    To get back into it I just have to slip my hand back into the glove part and zip. I find the whole arrangement truly handy for trips to the bathroom and and other, uh, nighttime activities.Laughing

    I'm not sure if I'd bother with a zipper if it weren't for being bilateral. And I find therapist-types don't care for zippers in compression garments, though I've never discovered why not. Maybe because of the risk of zipping your skin into it. I've never done that, but I can see where it could be a possibility, and that would sure not be a good thing.

    Don't know if any of that helps much -- sorry!
    Binney

  • KittyDog
    KittyDog Member Posts: 1,079
    edited March 2011

    I had mine altered.  My glove does come right up to the sleeve.  I just wish they would have altered my over sleeve because I rarely wear the glove thanks to the neuropathy.  I just need to move to the north pole so I can wear it.  lol  My LE is not bad at this time below the elbow.  I do have a place that will swell around my thumb but since I started back wearing a too big sleeve and my glove during the day, that has come back down.  I can't wait to get my custom sleeve.

  • Sher
    Sher Member Posts: 540
    edited March 2011

    KittyDog, when you say you had yours altered, did you mean it was made in one piece and separated later? The woman I spoke with at Solaris said the pieces could be made to snap together.

    Binney, I think my main reason for separate pieces would be ease of getting it on and off.  All the time I was in bandages I managed one-handed night bathroom trips, so probably can still do that while wearing the fingertip to axilla Tribute.  But I guess I'm just a little worried about getting the full Tribute on without the aid of my easy slide.  Just how hard is it to get into a night sleeve anyway?  

    Another question.........my LE is pretty stable now and I can go most days without any swelling and  I don't swell at night.  Only my hand and fingers had measureable swelling - never my arm, but I do notice that my arm and hand get achy if I go too long without compression.  I'm also affected with osteoarthritis in neck, shoulders, etc which might make my arm ache, but LE likely playing a part in that too since compression makes it feel better.  LE is always a sort of guessing, trial and error game and knowing that I'd probably never be able to go back to full arm bandaging (can do up to the elbow okay), a Tribute would be good to have even if not worn every night.  And I'm thinking possibly wearing a Tribute at night that I may be able to get away without normal daytime compression unless doing heavier activity.  Is that right thinking or not would you say?  My therapist says I think too much!

    Kira, we're similar with LE swelling in the hand and you (before your break) were able to go daytime without compression and wrapping every night, right?  Hopefully this might work for me with the Tribute...............if I ever make up my mind which one I want and actually get it ordered!

  • kira66715
    kira66715 Member Posts: 4,681
    edited March 2011

    Sher, we are similar in the pattern of our swelling--mine showed up, and stayed, in the top of my hand and has acted up in my forearm. Unfortunately, when I just bandaged to the elbow--I got a little pocket of fluid above the elbow.

    Before the break, I was just getting to the point where I was backing off of day time compression, even for walks. Now, I need the gloves more often, but still don't wear them at work (hygiene issues). When I first went back to work, I wore gloves at all times if I wasn't involved in direct patient care. Now I can get away without them at work, most of the time. And at home, it varies.

    Everyone is different. For me, the nighttime wrapping is essential--I think, because I've done it for almost 3 years now, and don't dare to stop, but my LE therapist says I'd know right away if I skipped it, how I'd react.

    I tend not to wear my Solaris more than occasionally, as I find the wrapping is more specific for my hand. But it sure is convenient and comfortable.

    Kira

  • KittyDog
    KittyDog Member Posts: 1,079
    edited March 2011

    Mine was original a one piece and I had the fitter to send it back.  It came back as two separate piece.  No snaps or any way to keep it together.  It may have been because it was one piece and they were not able to make it like they told you.  Nice to know that it can be made that way if my neuropathy should be a miracle case and get better.

    Anybody know how often they are suppose to be replaced?

     I have no problems getting the Tribute on or off normally.   

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2011

    Sher, I've had the one-piece without zippers (before I became bilateral) and never had any trouble getting them on. You fold the top down almost halfway and it's easy enough to tug on and then roll the top up. But I have to say that if my major problem area was my hand (which it's not), I'd wrap nightly like Kira instead of using either Solaris or Jovi, because I don't find either of them very specific for hands. Hands are hard to fit no matter what kind of compression garment, but if the fit isn't just right with a night garment you can get pockets of fluid here or there.

    But maybe that's just me.Undecided I do have them build-in extra palm compression, at any rate, and that really helps.

    Kitty, my night gear lasts about two years before it's too stretched out to recover even with a good wash-and-dry. But that too may be individual. At least, they last way longer than the day garments do (thank goodness!Surprised)

    Be well!
    Binney

  • Sher
    Sher Member Posts: 540
    edited March 2011

    Decisions, decisions..............have I mentioned before that I have trouble making decisions?   Undecided

    My Caresia glove seems to work great,even without adding bandages, course I don't get a lot of swelling these days and maybe that's why?  Summer weather might make my LE act much differently.  And another point, that when wearing just the glove, there is nothing on my arm.  I keep going back to the idea that while I'm doing well with LE right now, should I have a Tribute ready to go if it starts acting up?  If there is unmeasurable fluid in my arm, (possibly the reason for the aching?) would wearing the Tribute nightly help keep that at bay?  Or maybe I should just always wear compression garments every day and go free at night? 

    Dang, why can't this be a cut and dried, black and white kind of condition.........I don't do well with gray!  Thanks everyone for your help!

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2011

    Sher, you don't mention it in your post, but one of the problems with making these kinds of decisions is they're so pricey.Undecided If the Caresia glove is working for you it might be fairly easy to get Solaris to make your garment and have be effective.

    There can be as much as 30% more fluid in your arm than is normal before any swelling is measurable, and a night garment would most likely help that a lot.

    So my vote is: worth a try, even if it's a pricey "accessory". But maybe skip the zipper, because it's easy enough to get on and any additions like that add fitting complications.

    Do let us know what you decide!
    Binney

  • Sher
    Sher Member Posts: 540
    edited March 2011

    Binney, your message was the EXACT encouragement I needed to hear!  Worrying about any unseen, unmeasurable fluid is the main thing that's kept me looking into the Solaris Tribute and yes, it is true, that the cost has also been a huge concern.  I have made the decision (finally) to go with their fingertips to axilla version, no zipper.  Appointment with my therapist is not until next week and then it will likely take 2 weeks or so after that to get the Tribute.  I'll let you know how it works for me!  Thank You!!!

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