To add to my last email, those ankle length socks were Elvarex or Medi 550 with
attached toe caps.
Sent from Yahoo Mail on Android
On Wed, Mar 16, 2022 at 12:18 PM, Amy Flinn<amyflinnpt@xxxxxxxxx> wrote: I
have treated several kids from 1 or 2 years old through their teens and into
their adult years. I have stayed with Elvarex for them and it has been a great
garment for managing their seelling. As they get older sometimes I incorporate
Medi 550 for some style options. They tend to struggle with toe swelling, so
around age 10 or 11 I incorporate attached toe caps to the day garments. Both
Elvarex and Medi 550 offer that option. I also refer them for a Flexitouch pump
around 10 or 11 which helps them catch up for less compliant days. These
garments generally allow them to stay in usual closed toe shoes. If they remain
uncomfortable showing their garments, I have sometime added ankle length
garments so they can wear ankle socks and their garments don't show. Not ideal,
but since their foot and toe swelling is the most problematic, it is better
than them going without compression for style reasons. Thankfully in our area
Converse are popular even for prom. And yes, they are all in a Jovi or Tribute
night garment which really helps them catch up overnight. I always start with
night garments too long on the foot to allow them to last longer as they grow
(only for the night garments, day garments are measured to their size).Fun
group to treatAmy Flinn, PT, CLT-LANA
Sent from Yahoo Mail on Android
On Wed, Mar 16, 2022 at 12:02 PM, Cohn, Joy<Joy.Cohn@xxxxxxxxxxxxxxxxxxxxxx>
wrote: Sara- I will let the expert pediatric people respond, but have you
considered a Solaris garment for her for night? They have always made kid size
garments- cute colors, sewn on logos, etc. I don’t think they manage toes well
so a loosely measured coarse weave toecap like elvarex could be worn in
conjunction- I have found that a simple light compression bandage layer added
for sleeping is helpful.
Solaris was bought by Lohmann and Rauscher….
I have found the Juzo petite works well with preadolescents as well, but would
a coarser weave custom garment give you better compression in the foot? OTS
garments really don’t provide much foot compression in any iteration- a sneaker
or tie shoe is usually needed over the top.
My peds experience is exhausted- I’ll look for lots of our colleagues to
educate all of us!!
Get Outlook for iOSFrom: aptaoncology-bounce@xxxxxxxxxxxxx
<aptaoncology-bounce@xxxxxxxxxxxxx> on behalf of Yoder, Sara M *HS
<SMY6G@xxxxxxxxxxxxxxxxxxxxxxxx>
Sent: Wednesday, March 16, 2022 2:00:06 PM
To: 'aptaoncology@xxxxxxxxxxxxx' <aptaoncology@xxxxxxxxxxxxx>
Subject: [External] [aptaoncology] Pediatric compression garments
<!--#yiv4443990704 .yiv4443990704x_EmailQuote
{margin-left:1pt;padding-left:4pt;border-left:#800000 2px solid;}-->Hello all,
I have recently consulted on a pediatric patient who is 11 years old
with bilateral below knee primary lymphedema. The lymphedema in the dorsum of
feet and toes is limiting shoe options. I have not seen a lot of
pediatric/primary lymphedema cases. I wanted to reach out to see if anyone has
suggestions or best practices when it comes to compression garments for growing
children, make sure I am not missing something. The patient was seeing a CLT
more local to where she lives, but that CLT is no longer able to see her. The
patient has had a growth spurt in the last year and grew out of her Juzo day
time compression garments. Mom tried wrapping while they work on getting new
garments but is having difficulty with learning/implementing compression
wrapping and the patient is self-conscious with wearing wrapping at school.
She also needing a night time compression garment, so I am thinking a reduction
kit/trim to fit type garment with a toe cap. And since the patient still has a
smaller kid-size feet length, focusing education on how to wrap the foot. Does
anyone has a preference for the reduction kit over trim to fit for peds or vice
versa or other suggestion? I am leaning toward the reduction kit and leave it
a little longer to allow for another potential growth spurt in the next year
before she is able to order another garment. I’m thinking this could be a
backup as well if the patient grows out of her day time garments again. For day
time she fits into Juzo’s day time ready to wear garments petite length. I’m
also going to talk with mom about Active massage ankle socks from Solidea to
consider for use intermittently during the warmer months here in Virginia. Is
there a shoe brand that is better fit for pediatric lymphedema? We’ve talked
about elastic shoe laces for now and I am hoping to get the volume of her feet
down with consistent wrapping of the feet/toes. Thank you for any/all
suggestions!Best,Sara Yoder, PT, DPT, CLTUVA Health
