Search Results

Rethinking decongestive lymphoedema treatment during the pandemic
Author(s) Jeanne Everett, Sue Lawrance, Natalie Phillips
Publication Date 2021-04-01

During the course of the COVID-19 pandemic, lymphoedema and community clinicians have had to modify how they implement intensive treatments for patients with lymphoedema and chronic oedema. Using novel approaches to treat and move patients towards self-management regimes has enabled patients to be in control of their condition, particularly if they are unable to attend normal clinic appointments. Easywrap. LymphFlow. Read More
Haddenham Comfiwave: a unique compression device for lymphoedema treatment
Author(s) Natalie Lee, Sue Lawrence
Publication Date 2020-04-01

Compression therapy is the mainstay of treatment in venous and lymphatic diseases. Optimisation of compression therapy is not a new concept, but, in the UK, the use of 24-hour compression therapy as part of the maintenance phase of treatment has not been standard practice and, until recently, has only been adopted by certain specialist centres. One such modality in the process of optimisation is the use of products that are classed as ‘reduced compression’ or ‘night-time garments’. These are not traditional flat- or circular-knit garments but are made of various components to include foam and, more recently, knitted cotton fabrics. Haddenham Comfiwave is a new product that has recently been brought to market and does not feature in the literature reviewed. Although a new unique product in its own right, it has been demonstrated to fit within the common groups of products discussed. Read More
Empowering patient selfmanagement through tailored compression garment regimens
Author(s) Jeanne Everett, Sue Lawrance, Natalie Phillips
Publication Date 2020-04-01

As with any long-term condition, self-care is key to a successful outcome in the management of lymphoedema. Wraps have become an important addition to the available treatment options for this group of patients, their main advantages being improved self-management, due to self-application and self-re-adjustability. Easywrap. Read More
Haddenham Easywrap: an alternative to compression bandaging in chronic oedema and wound care
Author(s) Natalie Lee, Sue Lawrance
Publication Date 2019-04-01

Haddenham Easywrap has been available since 2016 and since then case studies have been presented to demonstrate the efficacy of the product in clinical practice. The aim of the article is to demonstrate how its use in chronic oedema, and wound care is beneficial and cost effective and how versatile one product can be in treating both of these conditions. Read More
An evaluation on the use of adjustable compression wrapping devices as an alternative to compression bandaging in lower leg wounds
Author(s) Natalie Lee
Publication Date 2019-04-01

An evaluation of the use of an adjustable compression wrap (easywrap®, Haddenham Healthcare) was conducted within a UK-based wound healing clinic. The aim was to investigate if this adjustable compression wrapping device (ACWD) was a cost-effective alternative to short-stretch, combination short-stretch and long-stretch compression bandage kits for patients with chronic oedema and lower leg wounds. Read More
Haddenham Star Cotton: improving treatment outcomes in maintaining chronic oedema
Author(s) Natalie Lee, Sue Lawrence
Publication Date 2018-10-01

The slightly stiffer knit used in Star Cotton provides greater resistance than the stretchier Veni fabric. It is a good midpoint fabric, in cases where it is a borderline decision of whether circular or flat knit garments would be the best course of treatment. Read More
The use of Velcro wrapping devices to improve outcomes on quality of life of lymphoedema patients
Author(s) Patryk Gawrysiak MSc
Publication Date 2018-06-01

Intensive therapy is necessary for many patients, however it requires visiting hospitals/lymphoedema practitioners on a daily basis or at least 2-3 times a week, which creates issues regarding the cost of travelling, time off work and mobility. Wrapping devices could be considered as an alternative to the traditional bandaging approach as they promote self-management with very good, comparable outcomes. Read More
A Clinical audit of the Lymphflow Advance, Intermittent Pneumatic Compression Pump in the treatment of venous and lymphatic disease.
Author(s) Stacy Pugh, Charlotte Stubbs et al
Publication Date 2017-10-23

Ongoing evaluation continues to demonstrate that the LymphFlow Advance is comparable or better than previous devices in maintaining and reducing oedema and that having cycles which focus on specific areas are beneficial. In future a larger study in the form of a randomised controlled trial should be completed to enable statistically significant data analysis. Read More
Haddenham easywrap as part of self-management in lymphoedema and lipoedema: The patient perspective
Author(s) Natalie Lee, Stacy Pugh, Robin Cooper
Publication Date 2017-10-01

The aim of this article is to identify some aspects that contribute to effective self-management and how the use of easywrap adjustable velcro compression wraps have improved quality of life for those with lymphoedema, chronic oedema and lipoedema. Case studies are given from patients to demonstrate the individual experience of living with lymphoedema or lipoedema, how this has impacted on daily life, and how using easywrap has helped as part of self-management. Read More
A Comparative Evaluation to Determine the Compression Levels and Static Stiffness Index Achieved in Four Velcro Wrapping Compression Devices
Author(s) Natalie Lee
Publication Date 2017-08-23

The purpose of this comparative evaluation was to demonstrateand compare the levels of compression and static stiffness indexes achieved by four Velcro wrap systems, on healthy subjects. Read More
Haddenham easywrap: the latest innovation in the management of lymphoedema
Author(s) Natalie Lee, Sue Lawrance
Publication Date 2017-03-23

The use of velcro compression wrapping devices in the management of lymphoedema and chronic oedema is not a new concept. Wraps have been available for many years and are being used widely in clinic and community settings where bandaging or traditional compression garments are not suitable. Furthermore, they are becoming more common when treating venous disease, patients with wounds and lipoedema. The aim of this article is to introduce the reader and clinician to the new Haddenham easywrap and to demonstrate why it is different to any other velcro wrapping device available. Case studies will be utilised from clinicians currently using easywrap in clinical practice, with both therapist and patient feedback given to demonstrate the efficacy of this new velcro compression wrapping device. Read More
Lymphoedema management with the LymphFlow Advance pneumatic compression pump
Author(s) Natalie Lee, Jane Wigg, Stacy Pugh, Janet Barclay,
Publication Date 2016-10-03

There are many intermittent pneumatic compression devices available for use in the management and adjunct treatment of lymphatic, venous and arterial disease. This article discusses the development of a new advanced pneumatic compression device, the LymphFlow Advance, which can perform focussed treatment on the lymphoedematous area using a variety of different cycles. Case studies with therapist and patient feedback are used to demonstrate the use of the LymphFlow Advance in the lymphoedema clinic, with a discussion of the evidence to underpin recommended treatment regimes. Read More
Managing chronic oedema and venous disease with made-to-order garments
Author(s) Marie Todd
Publication Date 2016-04-12

Selecting the most appropriate compression garments is vital in the longterm management of venous disease and chronic oedema. The range of styles has improved greatly over the years and many garments are available on the UK Drug Tariff. Practitioners now have a wide range of options to choose from including the type of fabric, colour, compression class, and style of garment. These options increase the pratitioner’s ability to select the most suitable garments and combine clinical and aesthetic needs, with the ultimate aim of improving compliance. The focus of this article is to highlight the aims and qualities of the various types of compression garments available, discuss the rationale for prescribing choice, and describe the benefits of Haddenham’s Veni made-to-order compression leg garments in the management of chronic oedema and venous disease. Three case studies will demonstrate the effectiveness of the Veni made-to-order range of compression garments. Read More
Experimental and Analytical Comparisons of Tissue Dielectric Constant (TDC) and Bioimpedance Spectroscopy (BIS) in Assessment of Early Arm Lymphedema in Breast Cancer Patients after Axillary Surgery and Radiotherapy
Author(s) Tapani Lahtinen, Tuomas Viren, Karin Johansson
Publication Date 2015-11-30

Early diagnosis of breast cancer treatment-related lymphedema (BCRL) is of great importance for longstanding treatment results. Tissue dielectric constant (TDC) and bioimpedance spectroscopy (BIS) both have a potential for early diagnosis, but have not been compared. Read More
Using compression hosiery to prevent rebound swelling
Author(s) Marie Todd
Publication Date 2015-10-01

The management of chronic oedema often consists of a programme of compression bandaging to reduce swelling and improve skin changes and limb shape, followed by patient self-care management in compression hosiery. Occasionally, patients experience rebound swelling and require further episodes of bandaging. In such cases, a thorough assessment of the causes of the rebound swelling should be carried out so that they can be eliminated. By evidencing three case studies, this article demonstrates that Haddenham Custom Goldpunkt garments can be useful in preventing rebound swelling, making it a cost- and resource-effective method of managing stubborn chronic oedema and lymphoedema. Read More
Microfine Toecaps: An Innovative and Cost-Saving Solution
Author(s) Jane Wigg, Rebecca Elwell
Publication Date 2015-05-01

This article discusses the use of Microfine toe caps (Haddenham, UK) for the treatment of digit swelling. It will discuss the indications and contraindications of the device and offers some case studies where toe caps have been used in clinical practice. The use of the Microfine toe cap offers an alternative to toe bandaging, has many different applications and can be safe and time-saving to apply when used appropriately following a full and holistic assessment. Read More
Use of compression shorts in the management of lymphoedema and lipoedema
Author(s) Jane Wigg, Natalie Lee
Publication Date 2014-11-17

Compression therapy is the mainstay of treatment in the management of lymphoedema and lipoedema. However, due to variance in the location, severity and type of the condition, patients often have to compromise on garments to ensure that the affected area of oedema is controlled. This article discusses the use of Veni compression shorts (Haddenham Healthcare) and Capri garments as an alternative treatment option to full-leg compression garments. The article explains treatment areas and conditions where the application of these garments will enhance care—for example, for trunkal swelling—and where compression may not generally be required—for example, in the feet Read More
Reference Publications for the Moisture Meter
Author(s) Delfin Technologies Ltd
Publication Date 2014-09-04

A list of recerences for the Moisture MeterD Compact including it's use in the assessment of Lymphoedema. Read More
Oedema Management in Spinal Cord Injuries
Author(s) Sue Lawrence, Ruth Peachment
Publication Date 2013-11-13

Spinal cord injury (SCI) patients are prone to the development of chronic oedema due to gravitational influences on dependent limbs, reduced mobility and therefore reduced muscle pump action. In 2010, a collaborative Clinic commenced between the Occupational Therapy department at the National Spinal Injuries Centre and Lymphoedema Service at Florence Nightingale Hospice, to address this problem and challenge entrenched views of this being an acceptable and inevitable consequence of SCI. Read More
The use of low level light therapy in the treatment of head and neck oedema
Author(s) Natalie Lee, Jane Wigg, James D Carroll
Publication Date 2013-11-01

The focus of this article is to present evidence supporting the use of low level laser therapy (LLLT) as a specialist treatment for patients with head and neck oedema. Information obtained from a critique of relevant literature will be utilised to discuss the treatments available for those with head and neck oedema, highlighting how outcomes may be improved and quality of life enhanced, when LLLT is offered as part of a holistic treatment plan. A case study using LLLT is also presented. Read More
Redefining essential care in lymphoedema
Author(s) Jane Wigg, Natalie Lee
Publication Date 2013-10-24

The awareness, diagnosis and management of chronic oedema and lymphoedema is improving. The enduring treatment format for the condition has always been regarded as the ‘four cornerstones’ of care for maintenance therapy in the UK. However, with changes in technology, availability of additional treatments and increased research and studies, this baseline is changing. This article outlines some of the recent changes and advancement in diagnostic tools and new technologies used in diagnosing and managing lymphoedema and chronic oedema. Emerging therapies will be introduced, as will other aspects of care that may now be considered ‘essential care’ in the management of lymphoedema and chronic oedema. Read More
Case Study to highlight the use of Haddenham ETO 11P in an extraordinary way.
Author(s) Rebecca Elwell
Publication Date 2013-10-11

The increasing numbers of bariatric patients seen in Lymphoedema clinics in the U.K. pose a number of management challenges but one such difficulty is the management of the often seen, lymphoedematous abdomen or apron with associated skin changes and lymphorrhoea. Read More
Getting the right fit: made-to-measure garments for lymphoedema management
Author(s) Natalie Lee, Jane Wigg
Publication Date 2013-04-05

The purpose of this article is to discuss the use of custom made compression garments in the management of lymphoedema and chronic oedema. Patients often present to therapists with inappropriate, ill-fitting garments that can contribute to an increase in oedema and poor limb shape. Patients frequently report garments as being uncomfortable and therefore intolerable leading to a lack of concordance with wearing garments. The selection and fitting of the correct garment can affect outcomes and the patients’ quality of life. The focus of this article is to increase the health professionals’ knowledge and skills in the selection, measurement and fitting of custom made garments to ensure correct fit and increased concordance when compression garments are prescribed. Read More
Selecting Compression Garments For Treating Chronic Oedema
Author(s) Natalie Lee and Jane Wigg
Publication Date 2012-10-01

The article focuses on the use of compression for chronic oedema and lymphoedema. It will provide information and advice to community nurses to aid the decision making process when selecting compression garments. It will discuss the extensive options available from the Veni range of compression garments for lower limb swelling from Haddenham Healthcare and through case studies demonstrate its versatility in practice. Read More
Microfine glove and toe caps and their use in lymphoedema management
Author(s) Gail Close
Publication Date 2010-10-01

Lymphoedema garments have progressed in the last 10 years, so gone are the days when only one colour is available (that lovely beige!). How many patients would have to be persuaded to wear their compression hosiery in that desirable colour? Not just have the colours become more acceptable, so have the fabrics. There are a wide range of compression gloves available to the lymphoedema specialist to fit on the patient but that cannot be said of toe caps. The Microfine toe cap is the only one available as an off-the-shelf garment, and when the lymphoedema is deemed to be manageable in these garments, it offers an alternative to flat knit. The Microfine glove and Microfine toe cap are adaptable and can offer colour options and a fabric that is less bulky and fine. It also allows therapists to trim the length of each digit for a better fit without reducing compression. The author will present three case studies of patients that are using. Read More
Case study of scrotal oedema in a 75 year old patient with metastatic cancer of the prostate
Author(s) A. Author
Publication Date 2009-10-05

There has recently been a lot published about the use of the Whitaker pouch available from Medi UK in the management of scrotal oedema but in clinical practice at the Lymphoedema clinic, University Hospital of North Staffordshire, the ETO 11P scrotal garment available from Haddenham Healthcare has proved to be a suitable alternative. Read More
An evaluation of the use and response of low level laser therapy
Author(s) Jane Wigg, Samantha Hammond and Cheryl White
Publication Date 2009-10-05

Laser has been used in the management of lymphoedema and other problems for many years. Reported therapeutic effects are softening of tissues, reducing pain and heaviness and improving the immune system (Carati et al 2003, Tadakuma 1993). Thelander and Piller (2000) report improvements in scar tissue and softening as main changes in their initial trials. The UK has been slow to adopt this technology but since gaining its CE registration WLS has commenced this treatment. Read More
Use and response to treatment using low level thor laser therapy
Author(s) Jane Wigg
Publication Date 2009-10-01

Laser therapy for lymphoedema treatment has been used internationally for many years but has been slow to be accepted in the UK. The science behind the technique and its effectiveness in reducing fluid viscosity and encouraging motoricity of the lymphatics has been reported (Lievens, 1987; Eliska and Eliskova, 1997). The evaluation reported in this paper observed the response of 12 patients to laser treatment for lymphoedema. All the patients reported a reduction in tissue thickening and 83% of patients noted improvements in range of movement. In addition, 43% of patients saw an improvement in scar appearance. Read More
Gross lymphoedema: A creative approach to successful care
Author(s) Jane Wigg
Publication Date 2009-08-25

This case report shows the treatment and support needed to assist a patient with gross lymphoedema. The combined treatment approach proved successful with limb volume reduction and an increase in the patient’s mobility and confidence Read More