FOUR PART SERIES OF ARTICLES ON FIBROSIS BY Karen Ashforth, OT MS CLT-LANA.
What a great series of articles by Karen Ashforth, OT MS CLT-LANA.
It really helps you understand all forms of fibrosis
This statement below from article 3 really describes
"Compression bandaging and garments:
Fibrosis is remodeled by pressure, and the highest comfortable compression gives the best results.
Textured, irregular surfaces are especially helpful for softening fibrosis. Examples of this are channeled foam, chipped form pieces that are quilted into pads or garments, and elastic garments with a textured weave. The negative spaces in the surface of the garment are created by the quilting or fabric texture, which directs fluid out of swollen areas. Wearing an elastic sleeve, Velcro wraps, or bandages over chip foam garments or pads provides extra pressure and increases their effectiveness.
As a rule, thicker compression is more effective for both swelling and fibrosis, but it is bulkier, which makes it more awkward to walk. For this reason, bandages over foam are usually only worn day and night during the initial reduction phase of treatment. Some patients continue to use bandages and foam for maintenance use at night, or transition to a chip foam garment. I often recommend knee-high chip foam boots with a zipper or Velcro closure for my phlebolymphedema patients, especially those with paralyzed legs (who sit during the day in wheelchairs) to help stimulate leg circulation and treat swelling and fibrosis."
Please enjoy the below series of articles
Part 4 To be published soon
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