Comments for Ask Vanda Weblog

Comment on Lymphedema – Control and Management Intro by Lymphedema – Avoidance and Bandaging « Ask Vanda Weblog

Lymphedema – Avoidance and Bandaging « Ask Vanda Weblog — Tue, 07 Jul 2009 20:57:58 +0000

[...] lymphedema. We discussed the lymphatic system, and the factors that contribute to lymphedema. (Please click here to go to the prior Leg Health News).This issue we would like to discuss avoiding lymphedema and keeping it in check should you have [...]

Comment on Chronic Venous Insufficiency by Vanda Lancour

Vanda Lancour — Tue, 30 Jun 2009 03:18:04 +0000

Hello Herschel,

High blood pressure and venous insufficiency may be found in people as they age, but the venous insufficiency does not necessarily lead to the high blood pressure. If you have questions about the symptoms you are experiencing, we suggest you consult your physician.

Thanks,
Vanda

Comment on Chronic Venous Insufficiency by Herschel Ryales

Herschel Ryales — Sun, 28 Jun 2009 18:16:45 +0000

Is there a case for highblood pressure secondary to venous insufficiency

Comment on Brent’s Corner – Lemon Thyme Chicken by Vanda Lancour

Vanda Lancour — Sun, 28 Jun 2009 02:15:54 +0000

As I am sure you know Lipodermatosclerosis is a condition that affects the skin just above the ankles. It is a inflammation of subcutaneous fat. In Lipodermatosclerosis the skin above the ankle is smooth and turns brown in color, becomes very tight, and is quite painful. Lipodermatosclerosis is seen in people with venous insufficiency or venous stasis. It can lead to venous ulcers which are very time consuming to heal.

Gravity is always the enemy of those with venous insufficiency, but you are doing the right thing in trying to build up the muscles of the leg. The muscles of the leg work with the compression stockings to form a secondary pump much as the heart to return the blood to the heart.

What compression has your doctor and or therapist recommend you wear?

Thanks, Vanda

Comment on Brent’s Corner – Lemon Thyme Chicken by Roseann

Roseann — Sat, 27 Jun 2009 18:57:49 +0000

I have just been diagnosed with Lipodermatosclerosis by biopsy. I am very confused. They say gravity is my worst enemy and that I should stay off by feet as much as possible. I have been religious with wearing the support stockings but really I don’t even know if I am ordering the correct stockings needed. I have been trying to find exercises to strengthen my calf muscle but even there, I’m not sure if I am helping or harming. Do you know anything about this disease/condition or how I can find out more information? Thank you

Comment on Brent’s Corner by Vanda Lancour

Vanda Lancour — Fri, 26 Jun 2009 21:04:57 +0000

Hello Mindee,
We can sure start here. Juzo is know for containment in severe edema and lymphedema and they do make a garment with continued compression in the thigh and abdomen. Because of its specialized nature, we do not have it on the website, but we do fit many customers in this garment. Please call Support Hose Store at 1-800-515-4271 and ask for Nancy. If she is busy, she will return the call as soon as possible. She will be able to fit her in the garment. Thanks, Vanda

Comment on About Vanda Lancour CLA(ASCP) CMF by Vanda Lancour

Vanda Lancour — Fri, 26 Jun 2009 20:34:08 +0000

Hello Jeanne,
Please take measurements on your father in the morning and call one of our fitters at 1-800-515-4271 so that we can help you choose a garment appropriate for him. If he is wearing a 15-20 compresssion or higher, here is how http://www.supporthosestore.com/jobstmeasure.html If he is wearing the 8-15, then we may have some other alternatives. Thanks Vanda

Comment on Lymphedema – Control and Management Intro by Vanda Lancour

Vanda Lancour — Thu, 25 Jun 2009 19:49:44 +0000

Hello Jerry,

We would suggest you call and return to the dealer you purchased the socks from to be re-evaluated for the garment you need. A garment fit by shoe size may not be enough compression to control the edema. Thanks, Vanda

Comment on Brent’s Corner by Mindee Duerksen

Mindee Duerksen — Thu, 25 Jun 2009 04:10:20 +0000

I’m not sure this is where I can ask questions regarding DVT, but I figured it’s a start.

I have had DVT problems since my 2nd total hip replacement in Feb of 1984. My first replacemet was in Sept 1972–5 days before my 22nd birthday. I had broken my hip in a car accident, however, because I was “too young” for a total hip replacement I went 22 months with a fused ball/socket.

Everything went great with my surgery and I was back riding horses and all the other activities I had done before I broke my hip. (Because the joint was fused and I am very fine boned they had to split the trocanter.)

I broke out all the glue after 12 years so we had to do a replacement. This time they had to dig out all the glue and use bone grafting (from the bone bank). Well, they didn’t go deep enough so had to take everything out make it deeper and put it all back together. Thus, 7 hours on the operating table.

Six weeks PO my leg was 26″ around my knee and I had a total occulsion of the illiac vein from the groin to my foot. My left leg was “black” and I was in big trouble.

They were saying that my leg was going to be amputated because all the little gates in the veins were ruined. Thankfully after 16 months of being down (couldn’t sit only to eat and potty) I found a vascular Dr. at University Hospital and they got me started in water therapy and Jobst waist high socks things did real good–until I broke it out and had #3 done in 2001.

In Oct 2005 my femur broke in half at the end of the stem of my prothesis. After a 10″ plate, screws, etc. I was back on the mend–Oct 2006 after blowing all the screws and plate they put in #4.

My problem now is the veins down in my lower leg and foot have re-routed pretty good, but the veins in the top of my leg and groin have not done so good. My question (sorry it took so long to get to it) is–I need more pressure at the top than at the ankle. So far,
I have not been able to find any socks that have the support up at the top. If I wear my regular Jobst etc they all loose pressure as they go up the leg.

Is there any way I can get a pantyhose type sock that will have basically the same gradation from the foot to the waist?

Any help you can give me will be greatly appreciated.
It is summer and between the heat and wanting to do alot more walking my legs are not happy.

Your articles are so informative I decided to see if you had any ideas — thanks for your time.

Mindee

Comment on About Vanda Lancour CLA(ASCP) CMF by Jeanne Hobson

Jeanne Hobson — Wed, 24 Jun 2009 00:58:24 +0000

I need help finding compression hose for my dad. We are looking for knee high length. I have purchased the men’s Jobst in medium compression in a size small, and they fit snug on the foot, however, they are not snug in the calf. He does have very skinny legs, so I was wondering if there is a brand that comes in extra small. Thanks.