From the Guidelines
To manage weeping lymphedema, treat with manual lymphatic drainage and, if tolerated, compressive bandaging, such as an Unna boot, as recommended by recent guidelines 1. When ordering an Unna boot, it is essential to contact a healthcare provider who will need to write a prescription for this medicated compression bandage. The Unna boot typically contains zinc oxide, calamine, and glycerin embedded in a cotton bandage.
- Key considerations when ordering an Unna boot include:
- Specifying the affected limb, usually the lower extremity
- Indicating the severity of the lymphedema
- Noting any skin sensitivities The healthcare provider will determine the appropriate size and application frequency, typically applied weekly and left in place for 5-7 days.
- Insurance coverage often requires documentation of medical necessity, including:
- Failed prior treatments
- Presence of weeping or drainage Unna boots work by providing firm compression that reduces fluid accumulation while the zinc oxide helps heal weeping skin lesions.
- The semi-rigid nature of the boot when dry helps maintain compression between applications. Patients should be prepared for regular follow-up visits for removal and reapplication, as these boots cannot be removed at home and must be cut off by a healthcare professional, as part of a comprehensive approach to managing lymphedema, which may also include manual lymphatic drainage and other therapies 1.
From the Research
Ordering an Unna Boot for Weeping Lymphedema
To order an Unna boot for weeping lymphedema, consider the following steps:
- Determine the correct size: Measure the affected limb to ensure a proper fit 2.
- Choose the right type: Select a boot that is designed for weeping lymphedema, which may require a more absorbent material 3.
- Consider the compression level: The compression level will depend on the severity of the lymphedema and the patient's individual needs 4, 5.
- Consult with a healthcare professional: A healthcare professional can help determine the best course of treatment and recommend a specific Unna boot for weeping lymphedema 6.
Key Considerations
When ordering an Unna boot, keep in mind:
- The boot should be used as part of a comprehensive treatment plan, which may include manual lymphatic drainage, exercise, and skin care 5, 3.
- The boot may need to be replaced regularly, depending on the level of weeping and the patient's individual needs 2.
- It is essential to follow the manufacturer's instructions for application and removal of the boot to ensure proper use and minimize complications 4.