| FAR INFRARED THERAPY TREATMENTS FOR EDEMA, SWELLING, ARTHRITIS, CARPAL TUNNEL, SPORTS INJURY & AGING ARE SAFE, EFFECTIVE & NATURAL MEDICAL AIDS. Do You Suffer From Swollen Feet And Legs? Is It Painful To Walk, Even Short Distances? Thermomedic Health Fact File Swollen feet and legs, referred to medically as edema, occur when fluid is retained in the spaces between body cells. Edema typically affects the feet, ankles and lower legs, but can also impact any area of the body. Thermomedic Therapy Ankle Braces and Far Infrared socks provide compressive support and comforting warmth to help relieve the painful symptoms of edema. What Are The Causes of Swollen Feet And Legs? Swollen feet and legs may be caused by the impaired function of the kidney, heart, liver or blood vessels, but there are other factors that can contribute. These include: • Eating a diet high in salt and carbohydrates • Excessive use of laxatives • Over use of diuretics • Taking drugs • Taking birth control or hormone replacement therapy pills • Pregnancy and PMS • Sodium retention • Varicose veins • Allergic reactions • Neuromuscular disorders • Trauma What Are The Symptoms Of Edema? Initial symptoms generally occur during the day as your feet and legs become increasingly swollen and uncomfortable. As the condition worsens, swelling will occur early in the morning and continue to increase throughout the day. Long- term edema can sometimes cause skin ulcerations. Further symptoms that may develop include: • Elevated blood pressure • Headaches • Increased need to urinate • Heart Palpitations • Swollen hands and wrists • Puffy eyes • Weight gain Relief and Prevention Of Edema The recommended treatment to reduce swelling is the use of compressive Thermomedic Therapy ankle, leg and wrist supports and therapy gloves and therapy socks. Elevate your legs above the level of your heart to reduce pressure on the backs of your knees, thighs and lower back. Thermomedic Therapy Garments, for use at home or at work, are specially designed to help reduce swelling and discomfort associated with edema while assisting you to enjoy your normal routine. How Can Thermomedic Therapy Garments Help Me? The human body has a complex and highly efficient set of mechanisms to assure the adequate flow of blood through-out the body. These processes, if disturbed by sickness or injury, may be restored or relieved by the use of effective therapeutic thermal and compressive devices by THERMOMEDIC Therapy Garments. Specially designed to be easy and comfortable to wear while imparting soothing support to swollen feet, legs or other affected areas, these therapy garments are safe, natural and affordable. They work well as an adjunct to support prescribed medical treatments by enhancing your body's natural recuperative ability. Thermomedic Therapy Socks and bio-ceramic joint supports are available in various levels of compression, depending on the pressure you require, as well as various lengths. Thermomedic Therapy Garments support your swollen ankles and legs, assisting you to safely undertake remedial exercises to help decrease edema. Thermomedic Therapy Ankle Brace and Socks assist recuperative techniques to help reduce swelling by supporting increased muscle activity from gentle walking, firmly support lower limbs during periods of standing and help fluid return to blood vessels when affected area is elevated during rest. Thermomedic Therapy Knee Body Bands assist relieve knee osteoarthritis symptoms. When investing in your health and wellbeing, it is so important to choose far infrared therapeutic products that will really deliver the benefits you require, as comfortably, safely and effectively as possible. Good health is about attention to quality and commitment to delivering value that you can trust. Thermomedic guarantee it. Important Information If edema persists or continues to worsen, please consult your doctor. Information on foot, leg and health conditions provided by Far Infrared Thermomedic Therapy Garments, dedicated to your well-being and excellence in musco-skeletal health. |

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| Ankle Pain/Swelling Ankle pain is a common problem that generally occurs secondary to acute or chronic injury or degenerative joint disease. Ankle sprains, most commonly due to traumatic inversion injury, are the most common cause of ankle pain. In cases of trauma, the Ottawa rules are used to decide whether X-rays are indicated and have been shown to improve the cost effectiveness of radiologic evaluation without compromising quality of care. Bilateral ankle swelling suggests cardiac or vascular etiologies (e.g., CHF) rather than intrinsic foot/ankle disease. Inversion sprain (85% of ankle sprains) –Results in pain, swelling, and ecchymosis of the lateral malleolar area –Damage occurs to the three ligaments of inferior fibula (anterior and posterior talofibular and calcaneofibular ligaments) and peroneal muscle Degenerative joint disease –Pain is present upon waking in the mornin and may be relieved by mild activity –Grinding/popping occurs with motion Inversion/eversion injury of subtalar joint –Results in pain while walking on uneven ground Syndesmosis injury (“high ankle sprain”) –Stretching of the interosseous membrane –Results in pain at the lower leg Avulsion fracture of the distal fibula –Results in persisting lateral malleolar pain –Difficult to differentiate from the epiphyseal line on X-ray Repetitive injury with disruption of the ankle retinaculum –Results in chronic pain of the posterior aspect of the ankle Poor shoe alignment Bimalleolar fracture Trimalleolar fracture: Bimalleolar fracture plus a fracture of the lateral aspect of the distal tibia Neoplasm Peroneal nerve entrapment Diabetic (Charcot's) arthropathy History and physical examination –Ankle, foot, and lower leg examination –Always evaluate neurovascular status, including pulses, color, and capillary refill –Observation of bones and soft tissues, color, swelling –Anterior/posterior drawer test: Ankle is held in one hand and the lower tibia is pushed and pulled to evaluate for instability –Range of motion should be evaluate both actively and passively (grinding or popping suggests DJD) Ottawa ankle rules are used to determine whether an X-ray of the ankle is necessary following trauma –Tenderness of the distal 6 cm of the fibula or tibia –Tender navicular area –Tender proximal fifth metatarsal –Cannot bear weight (at least four steps) Standard three-view ankle X-rays, stress views (inversion or eversion), and consider foot series or lower leg series Lateral X-rays in plantar- or dorsiflexion may help evaluate for anterior or posterior impingement CT or MRI may be indicated to clarify findings on plain films and to evaluate cartilage, nerves, tendons, ligaments Muscle strength and range of motion testing –Protection from additional strain/injury –Relative rest (stretching is okay) ±crutches –Ice for initial 24–48 hours after trauma –Compression (elastic wrap or ankle support) –Elevation of foot (higher than the pelvis) Casting is often indicated for fractures and significant ankle sprains Short-term bracing may reduce risk of reinjury Surgery may be indicated (e.g., bimalleolar fracture, trimalleolar fracture) Physical therapy referral to improve strength, range of motion, and proprioceptionOther aids include:• Leg wedges to elevate the feet while sleeping. • Thermomedic Support socks and stocking. Thermomedic Support socks and stockings come in various gradients depending on the pressure needed, and various lengths depending on the level of the edema. • Proper fitting shoes and socks. Go out to buy new shoes in the afternoon to get the best fit. Techniques to help decrease swelling: • Increase muscle activity with walking. • Avoid standing in place for long period of time. • Avoid sitting with the feet dependent. • Limit salt intake. docortho • Do not abuse diuretics, but a short-term course may be helpful. • Do not abuse laxatives. • Drink plenty of water. Avoid contraceptive pills and hormone replacement therapy if possible.Use a compression to help fluid return to the blood vessels. THERMOMEDIC THERAPY GARMENTS ARE SAFE, EFFECTIVE NATURAL ORTHOPAEDIC TREATMENTS USING THE SCIENTIFIC PRINCIPLES OF FAR INFRARED THERMAL ENERGY. |

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| Thermomedic Thermal Therapy Garments Gilligans Road, Dural. 2158 NSW Correspondence To: P.O. Box 1250 Wahroonga 2076 NSW AUSTRALIA Phone: 61 2 9651 3000 Email: medical.devices@thermomedic.com |
| Arthritis Treatment Carpal Tunnel Syndrome Raynauds Disease Back Pain Tendonitis Ankle Edema Ankle Sprain Supination Swollen Ankle Knee Injury FARINFRARED THERAPY GLOVES docortho |

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