question about hand swelling

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dreidteacher
dreidteacher Member Posts: 53
edited June 2014 in Lymphedema

I have been following this forum with  interest as I was diagnosed with lymphedema in December. Merry Christmas to me. Started therapy in January going twice a week. Massage with wrapping fingers, hand. arm to get swelling down before they could measure for the sleeve. Finally got the sleeve and glove last week. Started wearing it and now my hand is worse than ever. Still wrapping at night, but should I stop the sleeve and glove and do wrapping during day again too? My therapist is out of town this week and as a teacher we are in middle of testing so I really do need my hand for writing this week and next.  Wrapping is not good for writing and has been difficult with what I do in the classroom, but I want to do the best for my arm. I must say all of you are an inspiration to me as lymphedema is the worst thing about cancer.

Any thoughts will be appreciated. Thanks,

Cathy

Comments

  • kira66715
    kira66715 Member Posts: 4,681
    edited March 2012

    Cathy, hands are HARD--and if the compression garment isn't just right--the sleeve can push more swelling up into the hand. And, some people do worse with more compression, and a good glove requires an experienced fitter.

    If you just wear the glove for a bit, how is your hand?

    My swelling is mostly in my hand, and it took awhile before I got the right custom glove to really help. At first I had to put pads in either the palm or the top.

    I don't tend to wear sleeves, but when I do, I sometimes get swelling up by the knuckles.

    I do wrap at night, and typing right now with a wrap isn't easy--writing would be even harder.

    Can you make it through tomorrow wrapped and then reach your therapist for next week.

    Have you seen the SUSO page on well fitting garments?

    http://www.stepup-speakout.org/proper_fitting_of_lymphedema_garments.htm

    It will get better once you tweak the garments. Please let us know how you're doing.

    It does sound like you're doing a great job getting this under control. 

    Kira

  • dreidteacher
    dreidteacher Member Posts: 53
    edited March 2012

    Kira, thank you for responding. My sleeve is custom, but the glove is not. The link gives great info and I think I have the right fit. Especially for the sleeve. The glove seems tight, but doesn't hurt. The swelling is bad above fingers in the palm of my hand. The wrapping last night brought it down but not what it had been. I will see my therapist Monday after school and until then keep it wrapped. It may be the glove but not sure as I'm new to this. I have an hours drive to were my therapist is located, but thankful I have one.

    Odd thing about this is in early December I took my wedding rings in to be sized as they were so loose they would come off. They sized me as a 51/2, but by the time they were ready I was swelling with the lymphedema. Now a 7 would be tight on a good day. Scared I will never be able to wear them again. Does it get better? I am sorry to whine as all of you have had to put up with this much longer. Again thank you as all of you are so knowledgeable. You are an awesome group and I'm thankful for your help.

    cathy

  • GottaloveNED
    GottaloveNED Member Posts: 211
    edited March 2012

    I agree.. Hands are hard. That's my biggest challenge too. I wouldn't recommend it long term, but in a pinch I have gone without through the school day and wrapped as soon as I could after school to try and move the fluid out before I go with nothing again the next day. I have also done a mini-wrap on just my hand at lunch & recess then unwrapped for whatever I needed to. My issue is typing. The bandages hit the keys.

  • dreidteacher
    dreidteacher Member Posts: 53
    edited March 2012

    GottaloveNED that's a good idea about the wrapping but I'm wrapping challenged. It is my left hand and arm and of course I'm left handed. When I've tried wrapping it is a mess. Thank goodness my husband is a great wrapper. This is why I was so excited to finally get the sleeve and glove...something I could put on. Well I really have to have help with it too. Am I doing something wrong? Not being able to do this all my self makes me think I am not trying hard enough.

     Thanks all for your help. I look forward to the weekend and staying wrapped.

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2012

    Teacher, wrapping is a very steep learning curve, for sure.Tongue out In fact, there are some of us here (ahem!Embarassed) who have been known to fling bandages across the room (and end up picking pet fur off of them when they unfurled themselves all over the carpet--so while you're learning remember to vacuum before each attempt!)

    I doubt it's a problem of not trying hard enoughWink, but it sure is something that takes time and a lot of effort to learn. On the other hand, once learned it gives you a tremendous sense of freedom to live your own life again. Actually kinda makes you proud!Smile So it's well worth the trial to learn it. I hear you on having to do it with your non-dominant hand, and that does make it even more of a challenge. But it CAN be done. Eventually even I learned to do both arms (though I still get confused having to do first one arm then the other -- mirror-image processes!Undecided)

    This is no small thing. But you can do it! Onward!
    Binney

  • dreidteacher
    dreidteacher Member Posts: 53
    edited March 2012

    Binney you are right I need to keep practicing. The tricky things like to get out nd unroll while I'm wrapping. You wrap the other arm with your wrapped harn? You are gifted. I wish no one had to do this.

    My arm and hand looked better this morning, but by the time I got home from school and took off the sleeve and glove to massage and wrap it looked the worse it ever has. I will be not using the sleeve and glove this weekend. It will be a wrapped weekend for sure.

    Have a great weekend all.

    Cathy

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2012

    Cathy, I sit in the middle of my bed when I wrap so the stupid things don't get away. Some of the women kneel beside their bed or sit at the kitchen table and lay their arm flat on it as a way of corralling the bandages.

    I'm so sorry about the swelling today!Frown Very crummy, but TGIF! 

    Nope, NOT gifted!Surprised More like desperate.Laughing
    Happy weekend anyway!
    Binney

  • Kodapants
    Kodapants Member Posts: 139
    edited March 2012

    My hand started to swell for the first time on Monday. right before I had exchange surgery and I didn't have my sleeve with me. Got home Weds and put on sleeve,  hand swelling worse. So, I went to get hand/finger compression garment and am using that only. Elevation of right hand arm on 5 pillows and keeping the room cold. Swelling has gone down to almost none and it was 3+. Hope this helps.

    Kodapants

  • hugz4u
    hugz4u Member Posts: 2,781
    edited March 2012

    Teacher:  Off topic a bit. As  teacher you probably write/mark alot. I only wear a sleeve/ glove and know the awkwardness of trying write/print tidy.  This is what gives me better pen/pencil control. I hold the pen/pencil between 2nd/3rd finger and pinch the other side of the pen with my thumb.  Get comfy with it. practice, try titling your paper around a bit if you can't see your writing.  I read about it on the "handwriting for heros website". It has improved my horifying lettering.

    Teacher: We all get frusterated with this LE stuff,  Try and not to  be so hard on yourself. Remember those training wheels you had when you where 5. Guess what!  Eventually you took them off and darn it anyway you COULD ride that bike.

  • GottaloveNED
    GottaloveNED Member Posts: 211
    edited March 2012

    It took me 6 months before I could wrap using rolled bandages. My therapist was glad I was wrapping, but frustrated she couldn't bring me around to her point of view. My thought is what I was losing in constant pressure, at least I would/could wrap. I would stand next to my bed so the unrolled bandages wouldn't fall on the floor and I tugged them snugly as I wrapped. It takes time and practice to get the pressure and layering right. Once your therapist is back, work on getting a glove and sleeve that work well and hopefully you can cut down on the time in bandages. Hang in there. It gets easier to manage with practice.

  • Nitocris
    Nitocris Member Posts: 187
    edited March 2012

    Hi, about wrapping, here is a 17mn video in which JoAnn Rovig demonstrates how to self-bandage an arm for lymphedema.

    http://www.youtube.com/watch?v=OWq1kP4fvtY

     My first lymphedema therapist was also certified for therapeutic horseback riding for handicaped children and she explained that you hold your rolled bandage and wrap your arm the same way you do for a horse leg. (I was wrapping the wrong way)

     Here is a video;  "How to put on a polo wrap"

    http://www.youtube.com/watch?v=FXsnjlC7B8Y&feature=related

    Keep up practicing, it will get better.Wink

  • kira66715
    kira66715 Member Posts: 4,681
    edited March 2012

    Nitocris, I did have a horse--and still have some his old "vet wrap"--so maybe that's why the concept of rolling on the bandages always made sense to me. He was supposedly my daughter's horse, but somehow I ended up doing all of the maintenance....He died a few months before my diagnosis.

    Joe Zuther also has a video of wrapping on his blog--I don't think she does the finger wrap:

    http://www.youtube.com/watch?v=tDCwTodmGqE&NR=1

    For me, I kneel next to the bed, and roll on the wrap like a "snail" and use the roll to control the pressure and stretch. I sit on the bed for the hand wrap, but kneel for the arm, as those buggers always want to fall and unroll.

    Kodapants--glad you got that swelling out of your hand. Hope you're feeling better.

    Teacher--the great fitter checked out the custom Juzo gloves that were too short in the fingers, and I was almost ready to accept them, and she sent them back. She knows just who to call at Juzo to get results. Waiting on the next set...

    Kira

  • dreidteacher
    dreidteacher Member Posts: 53
    edited March 2012

    Thank you Nitocris as both videos were helpful. I need to see about ordering some mollast (sp) my therapist usuall sees about it, but she is an hours drive and insurance is only giving me another month. I wish we had a doctor in the upstate that know more about treatment.

    I hope all are safe from the storms. Take care.

  • kira66715
    kira66715 Member Posts: 4,681
    edited March 2012

    Teacher, recently a number of women have been switching to KT fingerband as it's made of cotton, one roll does the whole hand, and it's washable and reusable.

    http://www.lymphedemaproducts.com/products/fingerband.html

    Recently lymphademaproducts had a free shipping with no minimum order special, so it's worth signing up for their specials and bandagesplus as well.

    Kira

  • Nitocris
    Nitocris Member Posts: 187
    edited March 2012

    Hi,

    I realized that I put the wrong link for the JoAnn Rovig video.  I corrected my previous post, so now the link is the correct one.  SorryFrown

     Here is another short video: "How to bandage wrap the lymphedema arm". About 9mn long with a 2mn sequence showing Hand/fingers wrapping.

    http://www.youtube.com/watch?v=uSBwkGWUcHA&feature=related

     Kira, thanks for the J.Zuther link. My daughter used to ride too, but we made a deal that I would take care of the dogs and she would take care of the horse.  So, I never got into the bandaging thing.  For my hand, I use the glove when exercising and flying and I do fingers/hand exercises throughout the day.  I keep small balls of various sizes and textures by my computer and do some exercises while working.  For the moment, that seems enough to keep the swelling down.

    Take care

  • dreidteacher
    dreidteacher Member Posts: 53
    edited March 2012

    I saw my therapist Monday and she didn't like the swelling in the hand. Wantn't happy with the glove that the other therapist put me in. Something about the weave going the wrong way. She ordered a different one to replace it. Also setting me up with the Flexitouch people for a demo and trial as my insurance(s) will cover the cost. Boy, breast cancer sure puts a lot of extra stuff in your house.

    Just wanted to share what is going on now since all of you were so helpful. Wish I could go hear Dr. Massey speak in Washington on the 17th but I've taken too much time off this year.

    Hope no one is swelling.
    Cathy

  • Binney4
    Binney4 Member Posts: 8,609
    edited March 2012

    Cathy, just a thought, but I sure wouldn't rush into a Flexitouch if I were you -- it's a good tool for some things, but not especially helpful for hand swelling, IMO.

    Forgive for not knowing this if you've already mentioned it, but have you learned to wrap yourself? Important tool to have in your own control.

    Was your therapist able to get the swelling out of your hand? Usually that would happen before ordering another glove. Just a thought.

    Hugs,
    Binney

  • bourscheid
    bourscheid Member Posts: 718
    edited March 2012

    I'm a teacher, too and have lymphedema in the hand and arm.  I find using a "fat" pencil or pen works better for me as well as the larger white board markers and pens.  Also, make it a point to put your hand up a lot during the day.  I find I swell some with my glove, too but once my hand got used to it the swelling was reduced significantly.

  • jinky
    jinky Member Posts: 746
    edited March 2012

    When my hand bothers me and swells too much I go to wrapping 23 hours a day. If the wrapping doesn't take it down the first 23 hours I add a something to put more pressure on it and it always works. Usually for a week but sometimes 2 weeks. le hugs jinky

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