Upper Extremity - Stage 2 - Non Anatomical/Severe
Definition: Severe Amorphic shape with significant fibrosis, does not fully reduce with treatment within 4+ weeks with CDT
- Day Compression:
- Compression choice:
Class 2:- 23-32mmHg Flat Knit / seamed (made to measure)
- Indicated due to the volume of limb swelling & reduced fibrosis in the skin
Juzo Expert:- Flat knit / seamed product options: Expert CG (sleeve), Expert AC (gauntlet), Expert ACFS (glove w/finger stubs)
- Indicated for a low stretch with a high containment garment to break down and reduce fibrosis, high BMI & ADLS
- Flat knit / seamed product options: Strong CG (sleeve), Strong AC (gauntlet), Strong ACFS (glove w/finger stubs)
- Indicated for a low stretch & highest containment garment to break down fibrosis, high BMI & ALDS
- Night Compression:
- Mandatory:
- Optimize treatment outcomes by using a night compression garment.
- Product options: Reversa Compression Wrap CG (sleeve), Reversa Compression Wrap AC (gauntlet), Soft Compress CG (sleeve)
- Indicated when firmer fibrosis is slow to change
- Product options: Night AC (sleeve)
- Indicated for mild fibrosis
- Tips:
-
- The day garment should fit and maintain a decongestive size; if it doesn't, choose a material with a higher containment.
- Juzo Expert Cotton
- Seamed product options: Expert Cotton CG (sleeve), Expert Cotton AC (gauntlet), Expert Cotton ACFS (glove w/finger stubs)
- Indicated for sensitive skin
- Juzo Expert Silver
- Seamed product options: Expert Silver CG (sleeve), Expert Silver AC (gauntlet), Expert Silver ACFS (glove w/finger stubs)
- Indicated for anti-odor and antimicrobial garments
- Juzo Strong Silver
- Seamed product options: Strong Silver CG (sleeve), Strong Silver AC (gauntlet), Strong Silver ACFS (glove w/finger stubs)
- Indicated for anti-odor and antimicrobial garments
- Apply compression to one joint below the visible swelling; for example, use a glove if the wrist is swelling.
- Optimize treatment outcomes by implementing night garment.
- Flat knit: choose comfort patch, elbow dart, slant top with silicone border
- Reduction options:
- Reversa Compression Wraps: Reversa Compression Wrap CG (sleeve), Reversa Compression Wrap AC (gauntlet), Soft Compress CG (sleeve)
- Worn with SoftCompres
- Reversa is indicated for difficulty to reach or inability to manage knit garments or bandaging
- USA Only: Use of a pressure monitor can accurately give pressure objectives
- Watch a video demonstration on how to measure upper extremities.
- Access educational resources via Juzo Academy.
- Compression 101