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 (custom MTM)
• Indicated due to the volume of limb swelling & reduced fibrosis in the skin

Containment choice:   

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

Juzo Strong:

• 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.

Juzo Reversa Compression Wrap & SoftCompress

• Product options: Reversa Compression Wrap CG (sleeve), Reversa Compression Wrap AC (gauntlet), Soft Compress CG (sleeve)
• Indicated when firmer fibrosis is slow to change

Juzo Night

• Product options: Night AC (sleeve)
• Indicated for mild fibrosis

Bandaging

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