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Custom-Made Garments For The Foot
Custom-made pressure garments maintain effective pressure for 2-3 months and then must be replaced. Alternating between several garments will aid in lengthening the life of the garments, although, in some cases of weight change, or spurts of rapid growth in children, more frequent re-measurement and replacement may be necessary.
Common Options for Custom Foot Garments
Standard Foot Closure
Self Toe
Soft Toe
Open Toe
The standard foot garment with closed toe is made with a “Soft toe” closure. Request a “Self toe” when you want the toe to be made from the same material as the rest of the garment.
Check “Open” on the Foot Measurement Chart to leave the foot open and do not enter a measurement for g (leave it blank).
Specialty Foot Closure
Foot Glove
Foot Gauntlet
Foot Mitten
These are considered separate garments which would be attached to another foot garment, including #12 Stocking to Knee, #13 Stocking to Thigh, #17 Leg & Chap to Waist, #18 Leg & Panty to Waist, etc.
These specilaty foot garments may be worn serparately from the stocking. Order a custom stocking with standard Open Toe (as above) to fit over and hold in place the separate Foot Glove, Gauntlet, or Mitten.
Just like a custom hand garment, the separate toe sleeves may be open or closed tipped.
Inserts
An “Anterior Ankle Insert” is a circular piece of soft stretchy Insert Material positioned over the front of the ankle. This helps prevent bunching of the regular garment fabric at the ankle.
Heel Inserts are made of a layer of Insert Material from about the middle of the plantar foot surface to approximately two inches above the ankle. The heel insert assists the patient in pulling the stocking over the heel and it may be used to avoid the standard seam over the bottom of the foot.
Linings
Any part of the foot may be lined with Lining Material for patient comfort. Linings work especially well to prevent soreness resulting from rubbing, such as the back of the heel, or the dorsum of the foot.
Expansion Panels
Expansion panels, constructed of soft stretchy Insert Material, are normally installed posteriorly in a lower extremity garment. Lateral expansion panels are occasionally requested. A posterior expansion panel in a stocking includes the back of the leg, the heel, and the plantar foot surface. It is a comfortable means to allow for growth of the patient, facilitate donning the garment, and avoid the posterior/plantar garment seam.
Zippers
For some patients a zipper may be needed in a lower extremity garment so the patient can get it over the foot. Zippers may be lateral or medial, and normally end at a level even with Point Y. Anterior or posterior zippers are technically feasible, but should only be requested in extreme cases where the lateral and medial surfaces are too painful or otherwise involved.
Fabric Content
The fabrics described below are Nylon® Lycra® or Dorlastan® spandex and contain no latex. All pressure ranges are available in all fabric types, however, each fabric has its own stretch properties. A soft fabric with high stretch will “give” more as the patient moves, and may, therefore, be less suitable for large circumferences or very active patients. A heavier stretch-resistant fabric will tend to maintain a more consistent pressure, but may be irritating to sensitive skin. Be sure to indicate the diagnosis on the Order Form.
Regular Material
Default material for adults and children 11 years or older (except head and neck and hand garments, see below). This is a heavy open weave, with a maximum stretch resistance. Regular Material is available in all 30 Bio-Concepts garment colors.
Close Knit Material
Default material for children 10 and under and for elderly patients 75 and older. Also the default fabric for face masks, chin straps, and hand garments. This fabric is very similar to the Regular Matierial, however, the threads are much finer and the weave is slightly more open. Close Knit Material is available in all 30 Bio-Concepts colors.
LuxFab™
Our new LuxFab™ is a wonderful fabric for the vascular patient. It has great three-way stretch and durability. Many patients will benefit from a LuxFab garment in their lymphedema management program.
Soft Material
Patients with extremely sensitive areas of skin may not be ready for Regular Material or even Close Knit fabric. The skin side of our Soft Material is very smooth and the fabric is very light as well. We often construct whole garments of Soft Material for small children and the very elderly. Soft Material is available in all 30 Bio-Concepts colors.
Lining Material
We normally use Lining Material to line the inside of the garment over particularly sensitive areas, such as elbows, axillae, and knees. We can line entire garments as well. The lining material is very soft. Lining Material is available in all 30 Bio-Concepts colors.
Insert Material
Insert Material stretches well in every direction and conforms extremely well to irregular surfaces. Elbows, knees, chins, tops of heads, heels, abdomens, and other sites are good places for inserts. Because Insert Material conforms so well, we also use it to cover stumps and to end a mitten. Insert Material is available in all 30 Bio-Concepts colors.
Silon-TEX®
A revolutionary new material that we incorporate directly into the garment. Silon-TEX is a medical-grade silicone elastomer sheet bonded to a Lycra Spandex fabric. Silon-TEX may be sewn into the garment in virtually any configuration needed to treat troublesome hypertrophic and keloid scars. Typically, Silon-TEX is used as a lining, sewn into the inside of the material of the rest of the garment. Silon-TEX is available only in white.
Forms / Instructions
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