Edema: a silent but important factor.
Edema is a normal response to injury. Even the smallest injury is associated with some inflammation, and initial edema is part of the normal inflammatory process. However, edema becomes a concern when it persists beyond the inflammatory phase. Once we have progressed into the rebuilding, or fibroplastic phase of healing, edema will delay healing and contribute to complications such as pain and stiffness. Early prevention and management to prevent this progression are therefore critical. This article discusses edema in relation to stages of healing and presents the research behind techniques available to the clinician to manage localized extracellular upper extremity edema in the patient with an intact lymphatic system.
Outpatient Hand Therapy Department, Montgomery Hospital, Norristown, Pennsylvania 19422, USA. jvilleco@comcast.net
June P
JP
Villeco
D055052:Athletic Tape; D058128:Compression Bandages; D017679:Cryotherapy; D004322:Drainage; D004487:Edema / Q000209:etiology / Q000628:therapy*; D004599:Electric Stimulation Therapy / Q000379:methods; D005081:Exercise Therapy; D006801:Humans; D007249:Inflammation / Q000150:complications; D048228:Intermittent Pneumatic Compression Devices; D008208:Lymphatic System / Q000503:physiopathology; D008405:Massage; D011187:Posture / Q000502:physiology; D014945:Wound Healing / Q000502:physiology