Stage 3 Lymphedema

Definition: Advanced elephantiasis, fibrosis, chronic skin changes (including wounds, etc), requires extensive CDT & plateau of volume before fitting garments.

Day Compression:

Compression choice:

Class 3:

• (34-46 mmHg) flat knit / seamed (made to measure)
• Indicated moderate fibrosis present, pitting & restricted ROM due to volume, high BMI

Class 4:

• (50+ mmHg) flat knit / seamed (made to measure)
• Indicated significant fibrosis present, pitting & restricted ROM due to volume, high BMI

Containment choice:

Juzo Expert

• Flat knit / seamed product options: Expert AD (knee),  Expert AG (thigh), Expert BG (capri) Expert AT (pantyhose)
• Indicated for low stretch with higher containment to break down fibrosis and odd shape limb, cotton for sensitive skin, or silver for antimicrobial protection of the garment.

Juzo Expert Cotton

• Flat knit/ seamed  product options: Expert AD (knee),  Expert AG (thigh), Expert BG (capri), Expert AT (pantyhose)
• Indicated for sensitive skin

Juzo Expert Silver

• Flat knit / seamed  product options: Expert Silver AD (knee), Expert Silver AG (thigh), Expert Silver BG (capri), Expert Silver AT (pantyhose
• Indicated the need for anti-odor and antimicrobial protection of the garment

Juzo Strong

• Flat knit / seamed product options: Strong AD (knee),  Strong AG (thigh),  Strong BG (capri), Strong AT (pantyhose)
• Indicated for the lowest stretch material with the highest containment to help break down fibrosis

Night Compression:

Mandatory:
Optimize treatment outcomes by implementing night garment use

 

Juzo Reversa Compression Wrap & SoftCompress

• Adjustable wrap product options: Reservsa AB (foot) Reversa BD (calf), Reversa DF (knee), Reversa FG (thigh), SoftCompress AD (Calf Liner) , SoftCompress (Roll), SoftCompress (Liner)
• Indicated to be worn with SoftCompress,the Reversa is a short stretch wrap with high working and low resting pressure. The compression wrap is also for patients experiencing difficulty reaching or inability to manage knit garments.

Juzo SoftCompress Bandaging

• Product options: Softcompress Bandges
• Indicated for the reduction of volume and fibrosis

Tips:

• Reduction of volume before fitting with knit garments
• Expert/Strong Can be paired with various styles : BG, CT, CG, FT, BT, (see Expert & Strong Product Guide).
• These patients have difficulty/inability to manage consistent compression for the fluid and have significant fluctuations in size not appropriate for knit garments at this time: compliance issues, active disease (cancer, tumor, etc), limited mobility, limited assistance, medication interactions, post-operative swelling.
• Daytime compression should maintain decongested size, if not increase containment material.
• Flat knit: choose comfort patch, knee dart & slant top, 5cm top band silicone border.
• Reduction of volume before fitting with knit garments or reversa velcro wraps. 
• Reversa wrap extension straps to adapt the Reversa garment
• Expert can be produced with cotton or silver, protecting the garment from microbial growth. Note: Juzo Silver garments should be removed prior to MRI Scans and cardiac defibrillations.
• Watch a video demonstration on how to measure lower extremities.
• Access educational resources via Juzo Academy.\
• Compression 101