HOW DO YOU FEEL ABOUT COMPRESSION?
On another thread, BeckySharp and Leah_S brought up the subject of how they tolerate wrapping and compression garments. It's a subject I've never seen discussed by professionals, and I wonder if it might be something worth looking into. I'll repost Becky's and Leah's comments below for those who missed them. Please, all, add your own experiences and let's see if there's some information here that could help our therapists better serve their patients.
BeckySharp:
I had a thought. I had no problem keeping my wraps on 24/7 or with my sleeve, glove and jovipak. But I was always one who loves to be wrapped up tightly in blankets at night. I was probably a baby that liked to be swaddled. I was baffled by people who say they cannot stand the wraps except for few hours. But my sister suffers from claustrophobia and was saying she did not think she could stand to be wrapped or wear a sleeve. She never wants covers on. So it may be our temperaments that determine how well we tolerate them.
Leah_S:
Becky, there could be something in what you say. I'm also someone who always liked being wrapped in blankets etc. and don't find the garments or wrapping onerous. I thought that since my LE is fairly mild and only in my upper arm that I didn't mind it as much as it does others but it just might be a temperament thing.
For me it's mostly knowing that I need it that bothers me. I can't get away from BC/LE.
My own experience is very different from theirs:
I'm not claustrophobic, but I've never liked clothes that are tight anywhere, even just at the wrists. Can't stand jewelry either, because of that same sense of something binding. And I've never found wrapping anything but frustrating and difficult. Same with garments. Night garments are better than either wrapping or day garments, but they still make me very sad. So I've never been able to grasp how some gals can say they like the feeling of support or whatever that their garments or wraps give them.
Please add your comments! We'd like to pass these thoughts along to some patient-friendly researchers and clinicians, in the hope it will help them find ways to make this easier for their patients. Thanks!
Binney
Comments
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Uh, yeah, I pretty much hate it. And I am currently in the phase of having to wear bandages every other day or so.
It just stinks. Yes, there are times when my arm is achey and the compression makes it feel better, but I resent like HECK having to wear it in the first place. It gets in my way of what I like/want to do/wear, and I hate having to roll/unroll the bandages, wash them, etc., and the night garments aren't just a whole lot better. They are HOT, uncomfortable at times, and definitely not sexy.
Compression makes me want to stick a pen in someone's eyeball.
I'm not sure this is what you were looking for, Binney...
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How about I hate all of it! The garments, the wrapping, the night garments... Just copy and past the whole second paragraph from Suzy and that pretty much sums up how I feel as well.
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Yeah, I get it about hating all of it!
But that's not quite what I meant. I'm wondering if differences in our previous feelings about "swaddling" and/or tight clothes or jewelry, or claustrophobia might have some bearing on how relatively difficult it is for us to tolerate bandaging and compression and to be compliant with using them as needed.
This is even separate from the question of how willing we are to appear in public with these bizarre accessories. I'm just wondering how predisposed we might be to handling the need for compression.
Just for comparison, people who develop diabetes hate everything about it, but those who have a phobia about needles have an additional hurdle to overcome in order to handle their disease. That's the kind of background issues I'm thinking about here.
Thanks!
Binney -
I get it, and I'm with you, Binney. I don't like clothing tight anywhere. The first thing I do when I get home is take off my bra and my shoes. And there were times when I was doing wrapping regularly when I just had to tear it all off. It was more an emotional thing than a physical thing. I do tolerate the night sleeve better than wrapping, and I've thought that was because I knew I could get it off easier if I wanted too! I tolerate the regular sleeve/glove ok, but then my LE is mild and I only wear it for physical activity or long periods of inactivity. (I know that sounds wierd, but like for a day long drive or a day full of long meetings I need it as well as when I am going to be using it a lot). Still, there are times when I just have to. tear. it. off. I can't wear turtlenecks either, I get that same feeling. I'm mildly claustrophobic in general.
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Revkat, I can't wear turtlenecks either, and while I miss that I haven't worn my wedding ring since my surgery--I tried to wear a ring on my right hand, and it made me nuts. I don't wear a watch anymore.
I like my clothes loose (my daughter says "Um, you look a bit dowdy...)
So, there's the emotional dislike of wrapping and compression, but I don't like constriction.
That said, I don't find the wraps physically unpleasant. Nor the gloves, but emotionally, YUCK!
Kira
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I have no clausterphobic/tight clothing issues. That's not where my mental instability comes from.
Back in the day, I could wear jeans so tight that if you fell, it would take a crane to get you back upright.
And I don't physically 'mind' the bandages...I just hate the rigamarole of getting them on, then getting them off, then rolling them up....I'm such a whiner.
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I do not like tight clothing and I HATE, HATE, HATE the compression garments. I can tolerate the Jovi "ovenmitt" until about 2 am then I rip it off. There are nights I just want to scream...I'm wearing the "ovenmitt", ear plugs and an eye mask then combine that with a sheet drenching hot flash and it makes for a crazy person.
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I don't feel claustrophobic in any of my garments at all. I've never really been a claustrophobic person, although my mother is and I think sometimes when I was a kid I absorbed some of her fear about tight places. But mostly I'm fine in them. Used to like to go caving. But I've never liked tight clothing, although I think that is largely a body image thing.
The most difficult thing about the LE stuff for me is not physical, it's dealing the comments, keeping it clean. And the loss of the way my arm used to look.
Am editing this post to include that there's a huge difference if the garment doesn't fit right! I thought my struggles getting a sleeve (and glove, I only wear as-needed) were a lot, but compared to many women on this board they weren't too bad. My stuff that didn't fit well did definitely annoy me - all the tugging - and irritated my upper arm where I have some neuropathic pain.
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Okay, I think I've been lying. The thought of caving makes me want to die.
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I hate confined places and think less is more in the clothing department (if I did not have a teenage son in the home I would probably run around the house naked). I cannot sleep with the sheets tucked in at the foot of the bed (I always have one foot/leg peeking out from the covers). That being said, I do struggle with compression and want to take it off at the first possible moment, unfortunately I 'feel' better with proper compression then I do without and since I have an abhorrence to pain...I wear my garments.
ps I could never wear a turtle neck...It makes me feel like I am choking!
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Thanks for asking the question Binney. Hope these comments help someone to dream up some solutions for making compression more tolerable.
I get claustrophobic if I am confined and hot. Like being on a plane when they shut down the air system before moving away from the gate. I tolerate wearing a compression sleeve about 10 hrs per day because it helps reduce my pain. Be evening though I am glad to take it off. As for camis, It would be nice if the fabric was much more breathable and cooler than nylon. It would also be nice if they had adjustable shoulder straps or if they were made for women over 40 (okay, over 50!) whose breasts have drifted south. Gloves make me cranky. I can tolerate my class 1 gloves for a limited period of time, but I just don't use my class 2s. I am an arm and breast sweller so I only wear gloves when I garden or fly. But when I wear them, they are uncomfortable on the spaces between my fingers.
I test drove a Flexitouch for about 8 weeks. Despite trying various measures, the jacket didn't fit properly around my left shoulder and it made my pain worse, not better. But what really drove me nuts was my hand being encased in the arm piece. It was hot and I felt very claustrophobic. I eventually opened up the arm piece a bit which offered some relief. I wrap about once a week and as long as I don't bandage too tightly, I do okay because the tips of my fingers are open to the air.
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I don't really have much to add other than like many here, I like everything loose. Watch, rings, clothing. Turtlenecks.......FORGET IT. If I ever had one I made it into a cowl neck with all my stretching. My first time wrapped, with each layer I'm sure my eyes just got bigger and bigger as did the circumference of my arm. I went home thinking OMG, how can I STAND this? So they got ripped off in the middle of the night. As the years have passed I now still hate the wrapping but also know how good it makes my arm feel. But some days I unwrap in more of a fury than others. It's like ok, I have to wear this but then when it's time to take them off I can't get out of them fast enough. So I guess for me I've just gotten used to it as much as one can. But it seems now I'm wearing even looser clothes.
As for the compression sleeves.......well, my arm never goes down so it normally does feel better to wear one. Plus it buffers the numbness. When I wear nothing I usually have my arm well away from my body. Five years later, the numb feeling still freaks me out a bit.
Binney, I'm not sure any of this is helpful to answering your question but geez, it feels good to type it out.
Thanks.
S.
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Okay, okay... I get it - I didn't answer your question! I am not claustrophobic, although I also can't stand to have my arms held down. But other than that - no issues. I love form fitting shirts and pants (which is probably why I hate my LE even more!), MRI's, CT scans, etc don't bother me. I can sleep with the covers over my head, and I have a very nice form fitting turtle neck on as we speak! I don't mind the feel of the compression, so much as the look of it. Hope I answered that now!
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I am not claustrophobic - no problems with MRI's and I really like turtle necks.
I actually like the way my arm feels when it is wrapped. I usually only wrap at night and my biggest gripe is that I get hot...but that may still be hot flashes. I'm not sure.
However, I hate wearing my glove. I feel overconstricted and can't tolerate it for more then a few hours. I prefer the feel of the wrap even over my most comfortable sleeves too. I don't think that any of this fits with Binney's claustrophobia theory. Although from the other posts, there does seem to be a trend.
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I thought I would hate my sleeve but it feels good so I wear it a lot (though I dropped my "good" sleeve last week somewhere and now I just have a stretched out one that doesn't work very well -- must make time to replace it!).
I hate being wrapped in covers. Lots of fabrics make me itch, my skin is really sensitive.
But the sleeve feels good!
Hate the glove, I never wear it except on airplane rides.
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Just reading some of these posts made me squirm. I hate tight anything, also have trouble just getting into a small car, a crowded subway - caving? are you kidding? I can tolerate compression shirts when I have to, but avoid them if at all possible and they come off as soon as possible. I feel throttled the entire time. I have had to pull them off in a panic a few times. I would prefer to go naked, too - which considering my body shape is saying a lot. Just don't like to be confined at all. I know it's crazy, but I would rather plan on being cremated than contemplate the thought of my body (I said I know it's crazy) being in a coffin. Also have skin sensitivity and allergies. So, to sum up, I haven't had to do any wrapping, as my LE is confined to the trunk, but it's a hurdle every time I have to get into compression. I'm a big girl, so I do what I have to, but it is an extra effort. Hope this helps.
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Wow! What did I start? Fewer of us that like restriction than not. I do NOT love all of this stuff. Just when it is on it is comfortable for me. I forget that I have a sleeve on. Interesting that some of you do not like your glove. I prefer my glove over my gauntlet. It is the routine that is annoying--get up jovipak off, MLD, sleeve on, MLD exercises, then aerobic/cardio exercise. I sweat so much I then have to shower and put on a new sleeve. Then evening sleeve off, MLD and jovipak on. No spontaneous days anymore. By the way, I really like turtlenecks. Wish my neck was longer. Becky
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Becky, it is the lack of spontaneity that is so annoying: the waking up and knowing it will take 10 or more minutes to take off the wrap .Always having my gear around. Looking like a freak on a plane flight. Feeling so exposed--like somehow all eyes are on me....
Hard to separate how I feel about compression vs. how I feel about compression emotionally.
I don't mind how I feel in the nighttime wrap, but here's my current challenge--my parents are arriving from California in a few days, and last visit, my mother called my estranged younger sister (who thinks bc is catching, like cooties) and told her "how distressed" she was to see me in my wrap. I did ask my mother to talk directly to me--and got this hysterical, tearful reply. Of course my family is like a bunch of middle school girls, and my older sister is the one who ratted her out....
Kira
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I am also VERY claustrophobic. Hate small spaces. Need to be near exits, aisle seat on planes, close to aisle in theaters. Managed through the breast MRI very heavily medicated and because I was on my stomach and looking into light on the floor. I don't think I could do any other kind of closed MRI. Even had trouble with CT and had to be very heavily medicated and only made it through because it didn't take too long. I also hate very tight clothing or accessories. I like turtlenecks if they are not too tight and my daytime sleeve and glove feel comforting even though I don't have any pain with my lymphedema. I also don't mind bandaging as long as it isn't pressing on a bone and causing pain (which happened once when it was too tight and I had to rip it off at 2 in the morning). It doesn't feel as comforting as the sleeve and glove but doesn't bother me physically. But like others I HATE it. Especially the bandaging... the comments, the struggle to find something to wear when it is cool, the rash I often get that goes away as soon as we stop the bandaging. The ever increasing routine that sometimes makes me feel my life revolves around my lymphedema.
Don't know if that helps, but thanks for starting the thread. Interesting responses.
Cori
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Interesting thread. I am quite claustrophobic and avoid crowds and closed in spaces if at all possible. I have never liked wearing turtleneck tops or jewelry on my hands or arms or any kind of restrictive clothing. However, I now like wearing my compression bra even though when I first got one I thought I could never wear that kind of Victorian torture garment. I also like the snug feeling that wrapping gives me and am glad when I put the sleeve on in the morning. All of these give me comfort even if they are inconvenient. What I do not like is all of the time that is required to get these things on and off and the time for wrapping and having to roll the bandages. (Finally after all of these years I have learned what rolling bandages meant for Clara Barton and other female role models that I was told to read about as a child. I could never understand why bandage rolling was a big deal but now I know.)
My conclusion is that in spite of all of the irritations, and there are many, the comfort that compression provides is evidence that I need it. When I face those who don't quite believe that lymphdema is real I remind myself that it must be real if I am happy to wrap and squeeze parts of myself into tight garments.
Small comfort but I will take what I can get.
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I think Otter made a huge point that I missed the first time I read this thread.
A well fitted garment is fine. A poor fit means I feel totally miserable. And will claw it off as soon as possible. A poor fit = clausterphobic need to get it off asap, whether it's bandages, compression sleeve, or night garment.
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I am slightly claustrophobic, do not like rings, bracelets, turtlenecks, can't stand any binding clothing. As soon as I get in the house, the bra, foobs and shoes come off. I dislike winter because I can't stand to be bundled up in heavy coats, gloves, boots and never wore a hat even when young. I used to always kid with my sister and ask how she could possibly do all her housework while wearing a long sleeve sweater or button cuff blouse or both.....me I'm always in short sleeve shirts except when I have to go out.
After my initial breast cancer, I started sleeping with pj bottoms only - couldn't stand even a sleeveless tank, although I like sleeping all snuggled and tucked in with covers up over my ears - go figure? I'm quite happy sleeping with my night garment and have considered a Jovi Pak Combi for daytime wear.
Daytime compression is another matter - very hard for me to tolerate, especially the glove unless it's a softer one like KT. I feel so constricted - like I'm tied up and bound and can't move freely, so usually hold my hand and arm awkwardly and stiffly, not relaxed or normal. Wrapping was pretty much the same - either very tight and constricting or looser and then holding my arm stiffly so that the bandages wouldn't fall down.
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Sher, I'm thinking about the Jovi Combi too. Not exactly discreet, but that kind of compression is just so much more comfortable. Anybody tried it?
Thanks,
Binney -
JoAmn has and she'd love to talk to you about it....Seriously, the photo is of her playing the piano, and she does wear it, and I'm sure she'd talk to you about it.
Kira
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I'm really dying to try a jovi combo, but only if insurance will count it as a day garment. I sent email to jovi asking what the garment is considered a day or night garment for insurance purposes. Jovi responded by saying it can be worn for either, but didn't answer my question about how they bill it. They also didn't tell me how much it costs.
On the solaris thread, someone said that jovi charges for alterations. Does that include when one first gets it? More often than not it seems like my therapist and I don't like the initial fit of my custom gloves.
My therapist hasn't ever had anyone use the jovi combi, and said she's reluctant to use it until she saw how the glove and sleeve fit together. Anyone seen it up close? Ks1 -
KS1--I've seen a sample at the NLN, and the "box glove" is kind of hard to figure out--created by their new OT employee.
My understanding is that no matter whose fault it is, Jovi charges 60$/hour for alterations on the garment--it's why my fitter won't use them.
I just went on their nearly impossible to navigate site, and on alterations, a pdf popped up and now they DON"T charge for alterations--I think--I'd still call them and clarify, because if they don't charge for alterations, why should you buy a warranty to cover them?
NEW!
In an effort to keep costs as low as possible, JoViPak
does not add an additional alteration charge to the price of
their products. If you feel your patient will be reducing in size
within a year following receipt of their garment, you may want
to consider adding JoViPak's PREPAID ALTERATION OPTION to
your initial order. This covers 1 reduction alteration and return
shipping charges for one year.also
Custom Garments are now Guaranteed to Fit - provided accurate
measurements and all required patient information have been submitted with
initial order.
NEW!
Maybe they realized they were loosing market share to Solaris with their alteration policy
Kira
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I do find it strange that a company would charge for alterations on a product called "custom". "Custom" means made to measure, made to fit one person. Quite frankly, what is the incentive for a company to very carefully make a custom-fit garment if they have already stated that they will charge for any alterations?
When I got my sleeve & gauntlet my LE PT stressed that if there was any problem with the fit we would send it back and it would be corrected. She likened it to getting a dress made by a seamstress - until it fits it's not finished.
Anything else, IMO, is not custom-made.
Leah
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I have never had a problem with claustrophobia, but have found that compression often makes my arm/boob/back feel worse. Tried a compression bra -- couldn't stand to have it on for more than a few minutes. Started this journey with mild arm symptoms (primarily truncal), but therapist was able to get the arm symptoms to go away (yea!!) with MLD, Flexitouch, and nighttime compression sleeve.
Unfortunately, everything has flared back up (incl. arm) since I flew last weekend without any compression (d'oh!!), and since then I can't tolerate the night sleeve at all or the Underarmour/Spanx that I previously had used in place of a bra.
Interestingly, my LE therapist just told me last week that she has 3 patients that can't tolerate any type of compression -- she is planning to raise this issue at an upcoming conference that she's going to.
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Kira, thanks for the info, but even knowing that, I'm going with Solaris. They could not possibly be better on customer service. If they ever need someone to stump for them, I'm there. I had such a great experience with them!
I talked to my LE therapist and I'm probably going to go with the other product...I already have the tribute. I can't remember what it's called. -
I am not claustrophobic but can't stand too tight clothes. I find sleeves, gauntlets almost unbearable after a couple of hours. Forget about a glove! I am trying so hard to wear compression tanks (over the counter) but struggle with those. Today I wore a bra to work and took if off before lunch. I am so screwed! Thankfully my LE is considered very mild. I just really hope I can keep it that way or they may have to shoot me.
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