Sequential foot compression reduces lower limb swelling and pain after total knee arthroplasty

L, Tamir; Hendel, David; Neyman, C.; Eshkenazi, AZ; Ben-Zvi, Yehonatan; Zomer, R.

doi:10.1016/s0883-5403(99)90060-8

Cited by 29 publications

(21 citation statements)

References 14 publications

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“…Tamir et al [30] used a foot compression device on total knee arthroplasty patients and showed an average VAS score of 3.3. Another study by Anand and Asumu [31] showed an average VAS score of 6.7 when a pneumatic foot pump was applied to hip and knee surgery patients.…”

Section: Discussionmentioning

confidence: 99%

Haemodynamic performance of neuromuscular electrical stimulation (NMES) during recovery from total hip arthroplasty

Broderick

Breathnach

Condon

et al. 2013

Journal of Orthopaedic Surgery and Research

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BackgroundPatients post total hip arthroplasty (THA) remain at high risk of developing Deep Vein Thrombosis (DVT) during the recovery period following surgery despite the availability of effective pharmacological and mechanical prophylactic methods. The use of calf muscle neuromuscular electrical stimulation (NMES) during the hospitalised recovery period on this patient group may be effective at preventing DVT. However, the haemodynamic effectiveness and comfort characteristics of NMES in post-THA patients immediately following surgery have yet to be established.MethodsThe popliteal veins of 11 patients, who had undergone unilateral total hip replacement surgery on the day previous to the study, were measured using Doppler ultrasound during a 4 hour neuromuscular electrical stimulation (NMES) session of the calf muscles. The effect of calf muscle NMES on peak venous velocity, mean venous velocity and volume flow were compared to resting values. Comfort was assessed using a 100mm non-hatched visual analogue scale taken before application of NMES, once NMES was initiated and before NMES was withdrawn.ResultsIn the operated limb NMES produced increases in peak venous velocity of 99% compared to resting. Mean velocity increased by 178% compared to resting and volume flow increased by 159% compared to resting. In the un-operated limb, peak venous velocity increased by 288%, mean velocity increased by 354% and volume flow increased by 614% compared to basal flow (p<0.05 in all cases). There were no significant differences observed between the VAS scores taken before the application of NMES, once NMES was initiated and before NMES was withdrawn (p=.211).ConclusionsNMES produces a beneficial hemodynamic response in patients in the early post-operative period following orthopaedic surgery. This patient group found extended periods of calf-muscle NMES tolerable.Trial registrationClinicalTrials.gov NCT01785251

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Section: Discussionmentioning

confidence: 99%

Haemodynamic performance of neuromuscular electrical stimulation (NMES) during recovery from total hip arthroplasty

Broderick

Breathnach

Condon

et al. 2013

Journal of Orthopaedic Surgery and Research

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“…Conversely, studies have shown no differences in VTE rates when foot pumps were added compared to chemoprophylaxis alone, but this has only been reported following THA [54,[56][57][58][59]. A single institution prospective randomized clinical trial comparing foot pumps to LMWH found no difference in DVT incidence following THA at 6-day follow-up (18% versus 13%; P = 0.25) [54].…”

Section: Foot Pumpmentioning

confidence: 99%

A Current Review of Mechanical Compression and Its Role in Venous Thromboembolic Prophylaxis in Total Knee and Total Hip Arthroplasty

Pierce

Cherian

Jauregui

et al. 2015

The Journal of Arthroplasty

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“…Intravenous lidocaine is not effective for many patients with AD; topical analgesics provide modest relief; and the immunosuppressive combination of infliximab and methotrexate risks complications, such as infection, and has only shown benefit in a single case to date. External pneumatic compression is known to relieve pain associated with edema 13,14. Although whole body external pneumatic compression is available,15 the neck and head are not treated raising a concern for increasing fluid in these areas and exacerbating the fatigue, cognitive changes, and sleep disturbances in AD.…”

Section: Introductionmentioning

confidence: 99%

Pilot study: rapidly cycling hypobaric pressure improves pain after 5 days in adiposis dolorosa

Herbst

Rutledge²

2010

JPR

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Adiposis dolorosa (AD) is a rare disorder of painful nodular subcutaneous fat accompanied by fatigue, difficulty with weight loss, inflammation, increased fluid in adipose tissue (lipedema and lymphedema), and hyperalgesia. Sequential compression relieves lymphedema pain; we therefore hypothesized that whole body cyclic pneumatic hypobaric compression may relieve pain in AD. To avoid exacerbating hyperalgesia, we utilized a touch-free method, which is delivered via a high-performance altitude simulator, the Cyclic Variations in Altitude Conditioning™ (CVAC™) process. As a pilot study, 10 participants with AD completed pain and quality of life questionnaires before and after 20–40 minutes of CVAC process daily for 5 days. Participants lost weight (195.5 ± 17.6–193.8 ± 17.3 lb; P = 0.03), and bioimpedance significantly decreased (510 ± 36–490 ± 38 ohm; P = 0.01). There was a significant decrease in scores on the Pain Catastrophizing Scale (P = 0.039), in average (P = 0.002), highest (P = 0.029), lowest (P = 0.04), and current pain severity (P = 0.02) on the Visual Analogue Scale, but there was no change in pain quality by the McGill Pain Questionnaire. There were no significant changes in total and physical SF-36 scores, but the mental score improved significantly (P = 0.049). There were no changes in the Pain Disability Index or Pittsburgh Sleep Quality Index. These data present a potential, new, noninvasive means of treating pain in AD by whole body pneumatic compression as part of the CVAC process. Although randomized, controlled trials are needed to confirm these data, the CVAC process could potentially help in treating AD pain and other chronic pain disorders.

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Sequential foot compression reduces lower limb swelling and pain after total knee arthroplasty

Cited by 29 publications

References 14 publications

Haemodynamic performance of neuromuscular electrical stimulation (NMES) during recovery from total hip arthroplasty

Haemodynamic performance of neuromuscular electrical stimulation (NMES) during recovery from total hip arthroplasty

A Current Review of Mechanical Compression and Its Role in Venous Thromboembolic Prophylaxis in Total Knee and Total Hip Arthroplasty

Pilot study: rapidly cycling hypobaric pressure improves pain after 5 days in adiposis dolorosa

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