Gauntlet - over or under compression arm sleeve

Options
agerber
agerber Member Posts: 3
edited February 2015 in Lymphedema

this may sound like a silly question but am i supposed to wear a compression gauntlet under the arm sleeve at the wrist or over. all the images I have seen show it over. My therapist (and common sense) tell me it should be under. TIA.

Comments

  • sandcastle
    sandcastle Member Posts: 587
    edited February 2015

    Over......But listen to your Therapist.......I have always worn mine over......Liz

  • amygil81
    amygil81 Member Posts: 165
    edited February 2015

    I find it really hard to put on my sleeve if I am already wearing my glove. So I always put my sleeve on first. Then it's easier to roll the glove cuff over the wrist end of my sleeve than to roll the sleeve back, slide the glove cuff under, and roll the sleeve forward again. So I almost always find myself wearing my glove cuff on top of the sleeve, for the inch or so that they overlap. Your mileage may vary. Amy

  • agerber
    agerber Member Posts: 3
    edited February 2015

    thanks so much for your responses. the reason for the question is that my hand and wrist sometimes become swollen when wearing the sleeve. if the gauntlet is over it seems like it would be stopped from doing its job. the only reason for gauntlet is to stop this otherwise (without the sleeve) my had is fine. My "bottleneck" seems to be my lower arm and wrist. wish I had never bowled that great game :)

  • Binney4
    Binney4 Member Posts: 8,609
    edited February 2015

    agerber, welcome!

    There are some women here who wear their gauntlet or glove under their sleeve, for the reasons you mention. The drawback is that it's hard to get the glove off when you want to (toilet, eating, whatever), and you might end up having to take off the sleeve as well in order to get it all back together comfortably. Since my lymphedema is bilateral, that's not an option--way too much chaos trying to remove the glove and replace it. I wear custom sleeves and my fitter orders them so they come down further over the base of my hand. The glove is also an inch or two longer than most, so that coverage in that area is controlled and complete.

    Again, welcome--really sorry for the reason you've joined us, but glad you found us! Gentle hugs,
    Binney

  • amygil81
    amygil81 Member Posts: 165
    edited February 2015

    It's common for a LE patient's hand to swell when wearing a sleeve. My LE PT always says that every patient with a sleeve also needs a gauntlet or glove, for exactly the reason you say. My LE is mostly in the lower arm, wrist, hand and fingers. That's probably because I walk with crutches (disability from teenage). So I've had a glove since my initial LE dx.

    LE's a tough thing to have, agerber. I'd say it bothers me more than losing my breast. Best to you,

     

  • agerber
    agerber Member Posts: 3
    edited February 2015

    Thanks. All these responses have been so helpful I think i can just flip the gauntlet off the finger part (where it comes to the the knuckles to wash my hands. Will try it. I was glad to hear that about under. I was beginning to think that my PT was the only one to advocate it.

  • Kicks
    Kicks Member Posts: 4,131
    edited February 2015

    To me, it is logical to wear/have glove/gauntlet UNDER sleeve. I have discussed this with my LET guy and he agrees with me. When the end of the sleeve is under the glove/gauntlet, it effectively creates a 'dam' (albeit small) obstructing flow. When the glove/gauntlet is under that 'dam' is not there to obstruct flow. For some this may not be an issue but even small increases in pressure are a big issue for some of us who are pressure sensitive. I have to use low level compression as higher causes a lot more LE. That's not true for all though.

    As far as having glove/gauntlet under sleeve - not hard to handle at all but does take a second or 2 longer when putting on/ taking glove/gauntlet off for 'what ever reason'. Once sleeve is on, fold the wrist area back over it and put glove/gauntlet on. Fold the sleeve back over the upper part of glove/gauntlet. To take off glove/gauntlet just the reverse - food up, take off, fold back down. Yes, it takes a second or 2 more but guite easy to do.

    For some, gauntlet do not work or make things worse. I do not have hand issues with my gloves (once finally got my 'stupid webbed finger issue addressed) but gauntlet is an issue. I do have a gauntlet that I use for a certain 'sport activity' where I need a bit more 'feel' than glove allows but only use it while actively doing it. I only switch to gauntlet shortly before and remove shortly after the activity.

    We are each so unique - there is no 'One Size Fits All'. It does take time to learn what 'works' for us and not just follow what some say 'is the way to go' because of individual experiences. Ask everything 'you' have question about for input/info as that is the way to knowledge and learning what is right/works for you. I am one who does not fall into what 'works' for many - but it does for me so I do what does for me.

  • Bcky
    Bcky Member Posts: 167
    edited February 2015

    I just received my gloves a few days ago. I had been wearing a compression sleeve a few months now. I like the glove and sleeve. The pressure feels good. But it is an inconveinance when out having to use the ladies room etc.

  • amygil81
    amygil81 Member Posts: 165
    edited February 2015

    Bcky, I know what you mean. I wrote in another posting in this forum that, "you know you're an LE patient when you learn how to change a tampon one-handed so you don't have to take off your glove."

    When I first started my LE journey, I asked a member of my support group who is an arm amputee how she had learned to live one-handed. She recommended the book "One Handed in a Two-Handed World," by Tommye-Karen Mayer. She also had liked "The One Hander's Book" by Veronica Washam. The first is in print today, and the second available used, from the usual places online. I got some tips from each of them. Hope this helps.

  • ciaogina
    ciaogina Member Posts: 43
    edited February 2015

    Hi everyone! Just received my glove on Tuesday. Was wearing a gauntlet but my PT said the glove would be better. LE is mostly in wrist and thumb. She ordered me a black glove (gauntlet was beige and much more comfortable) I started bawling right there on the table. It's so tight and it looks ridiculous. I'm 43, have two young daughters who are tired of all that we've been put through this past year. I'm very active (exercise, run, daily chores/shopping) and am always in the kitchen cooking or cleaning. It's so difficult to do anything with this tight glove on. I can't stand it. Sorry for jumping on here and ranting.

    Also, I'm getting so many mixed messages. The PT is saying wear glove and sleeve ALL day, my onc and BS say only wear it if you feel you need it. My swelling isn't that bad but I do notice my thumb get swollen if I don't wear it and am busy doing something. Any advice would help. I just don't want to wear this one. My fingers are fine, but my PT said she wants to prevent it from going to them. Is it really necessary to wear the glove? B/c I made such a fuss I think she said to just try it and if I want the gauntlet I could switch back and forth. I hate the colors too--I have a cool lymphedivas sleeve. Wish the gloves came in better patterns/colors too. Again, sorry for my negative post.

    Some info: dx- 4/2014, chemo, TCH perjeta, herceptin, Er+/Pr+ Her2+, Mastectomy- 10/2014, TE, Surgery 4/5/2015, No rads,


    Thanks, Gina

  • Binney4
    Binney4 Member Posts: 8,609
    edited February 2015

    ciaogina, I hear you on the frustration and rage over this. Please don't even think of apologizing for any of it. A couple of thoughts: first, though compression gloves are not wonderfully comfortable, they shouldn't hurt or turn your fingertips strange shades of red, blue or white. And second, you REALLY don't want the swelling to get into your fingers, because it's especially hard to manage.

    Juzo and Gottfried both offer a range of colors, some of which should go well with your LympheDivas sleeves (and LympheDivas is rumored to be offering gloves patterned gloves soon, too--nice!)

    Kitchen work is difficult with compression gloves, no question about it. But rubber gloves work, or sometimes I take them off entirely for short periods. After a while you'll have some old gloves you can wear when you're working in the kitchen (or the garden!)

    More coping hints here:

    http://www.stepup-speakout.org/How_You_Can_Cope_wi...

    Tell us how we can help!
    Binney

  • sandcastle
    sandcastle Member Posts: 587
    edited February 2015

    Ciaogina.....It really is Trial and Error in this.....I wear a Sleeve and Gauntlet....but I really do not make it ALL day.....EVER!  My PT said if it gets to a point that I cannot stand it....just take it off.  At night I wear Compression ......and sometimes I make it to 5:00 AM......but not all the time.....I am doing the best I can......take your time at this....it is so very hard....Liz

Categories