The patient is a 36-year-old male, who was involved in an explosion at work where he suffered significant burns injuries. The patient’s initial management of scarring included multiple theatre visits and split skin/meek grafting. The patient’s left leg remained a problem due to the exposure of the left Achilles tendon.
Case Study Focus: Left Lower Limb
Samantha used a scar assessment tool (POSAS) 3 months post-injury to begin the next stage of his treatment.
Samantha’s scar rehabilitation programme
- Stretches and Exercises
- Pressure Garments
- Positive Pressure Therapy
- Emollients and Silicone
- Negative Pressure Therapy – LymphaTouch
The main indications for using LymphaTouch
- Significant tethering to his scaring, specifically around the upper thigh
- Adhesions that restricted his range of movement
- Reduced elasticity
- Reduced pliability
- Hypersensitivity – the patient was distressed with the injury
- Neuropathic pain included itching & nerve pain in his legs
- Significant oedema to the left lower foot and ankle
- Daily treatment sessions for 4 weeks (Monday to Friday)
- Weekly sessions for 2 months
- Legs/hands
- Treatment to adjacent areas – (caution areas)
- Static & Dynamic use
Results
Initial observations:
- Improved hydration
- Increase in localised erythema
- Improvement in elasticity/flexibility
Patient outcomes:
- Reduction in pruritus
- Reduction in hypersensitivity
- Improvement in skin pliabilityImprovement in range of movement
Samantha used the scar assessment tool (POSAS) 8 months post-injury to review his results.
Conclusion to using LymphaTouch for the management of scarring
- Utilise in combination with a plethora of treatment for scar management -Anecdotal evidence of improvement in pruritus and pliability
- Supports lymphatic drainage
- Combination of static and dynamic limb positioning
- Non-invasive pain-free treatment
- Positive patient feedback
Samantha continues to support patients from the acute setting through to the rehabilitation stage. This has been an invaluable part of her development and understanding of how the lifelong impact that burns scars have upon survivors and how therapy can have a substantial difference in the long term. LymphaTouch has certainly helped Samantha and many other clinicians across the UK to achieve the best possible results for their patients.
