There is some dissenting commentary on the use of a compression sleeve in preventing lymphedema. The main issue is the possibility of helping cause hand lymphedema when it is worn without a gauntlet.
The solution, however, is simple enough: Just remember to use a lymphedema gauntlet as well when wearing a sleeve.
In Maryland, sleeves are used by most women who are at risk for lymphedema, but have yet to note any increase in arm volume or any other indicators of the early stages of the condition.
They are usually worn during activities that encourage lymph production, such as traveling by plane, vigorous resistive and aerobic exercise, and repetitive movements done with a high level of intensity.
Including a lymphedema gauntlet is necessary when wearing compression sleeves during these activities, but keep in mind to pay attention to the constriction present along the wrist crease, elbow, and shoulder band to prevent excessive pressure.
Many women with lymphedema who have habitually only worn a sleeve without the gauntlet claim that they have never noted hand involvement, but it’s still important to keep on watching out for hand swelling since lymphedema is unpredictable. It’s dynamic so there’s always the possibility that it would change over time.
It’s prudent to at least do a quick check on your hand after engaging in an activity such as the ones mentioned above. Common symptoms of hand edema include differences in skin texture or in the visibility of bones, tendons, and veins.
These may indicate lymphedema, in which case hand compression with the use of a glove or a gauntlet is recommended.
If you have lymphedema and are planning to start exercising or engaging in some other vigorous activity, you should definitely use hand compression. It’s crucial that you do this during exertion at least until a stable level has been accomplished.
At this point, you can try wearing just a sleeve, but stay observant so you can be immediately aware in case your hand seems to be developing some swelling.
The best option really is to just always use hand compression anytime you’re also wearing arm compression. Hand lymphedema is actually harder to manage than arm lymphedema due to the hand’s irregular shape, the role it plays in daily activities, as well as the difficulty in slipping it in a glove or gauntlet.
If you suspect the beginnings of hand lymphedema, be sure to take it seriously so you can make the appropriate modifications to your maintenance program.
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