Frequently Asked Questions
Having double pressure in the wrist from the glove or gauntlet and the arm sleeve can result from improper graduation in the compression and increased swelling. That’s why the glove and gauntlet were specially designed to have no overlapping compression at the wrist when worn with a sleeve.
It is the belief of our medical board that it is best for lymphedema patients to protect their hand with a compression gauntlet or glove to be worn along with their compression sleeve. If a sleeve is worn without a gauntlet or glove then the pressure from the sleeve can push lymphatic fluid into the hand instead of up toward your body. When you wear a sleeve and a glove or gauntlet together you can protect yourself against the risk of this happening.
It is best to consult your doctor or lymphedema therapist about which level of compression is best to manage your swelling. A doctor or therapist will assess your arm for swelling and develop a plan with you to manage and/or reduce your lymphoedema. Each plan is individually tailored for each patient, self-management lymphoedema care often includes wrapping, manual lymph drainage massage and wearing a properly fitted compression garment. As a basic rule of thumb, Class 1 (20-30 mmHg) is generally for preventative wear for those at risk for swelling and for minor swelling and Class 2 (30-40 mmHg) is for more severe oedema.
Class 1 compression provides 20 to 30 millimeters of mercury (mmHg) pressure at the wrist (and/or fingers and palm, depending on whether you wear a gauntlet or glove), the compression will reduce as the garment goes up your arm toward the body. Ideally a 20-30mmHg sleeve will have 20-30 mmHg pressure at the wrist (or fingers/palm), then a gradual reduction in pressure of at least 5 mmHg per measuring point. The reduction in pressure will help push the lymphatic fluid up to circulate toward your body.
Class 2 compression provides 30 to 40 millimeters of mercury (mmHg) pressure at the wrist (and/or finger and palm, depending on whether you wear a gauntlet or glove), the compression will reduce as the garment goes up your arm toward the body. Ideally a 30-40 mmHg sleeve will have 30-40 mmHg pressure at the wrist (or fingers/palm),then a gradual reduction in pressure of at least 5 mmHg per measuring point. The reduction in pressure will help push the lymphatic fluid up to circulate toward your body.
If you’re curious what compression you’ll be getting in our sleeve and gauntlet/glove, try our iOS Fitter’s Aid app. Our Fitter’s Aid app is able to provide the compression curve for any set of arm measurement and compression class combination.
As a basic rule of thumb, Class 1 (20-30 mmHg) is generally for preventative wear for those at risk for swelling and for minor swelling and Class 2 (30-40 mmHg) is for more severe edema. Your doctor and/or therapist will recommend a garment you will actually wear and that will benefit you more as a part of your self-care and management plan. Please consult your doctor and/or therapist when deciding which compression class you need to manage your existing swelling or lymphedema risk.
Can I Request a custom made sleeve?
If you’re interested in a custom sleeve design, we would love to work with you to create the compression sleeve of your dreams. Please email us with your request. Unfortunately, we do not offer custom made compression garments at this time.
LympheDIVAs products are completely medically correct. Our garments are registered with and approved by the FDA. The graduated compression is tested multiple times using the best state-of-the-art equipment available. As long as your sleeve is accurately fitted, LympheDIVAs garments are made to manage your lymphoedema without sacrificing style or comfort.
There are a few ways to determine your LympheDIVAs size:
Doctor or Lymphoedema Therapist:
The best way to determine your size is to consult with your doctor or therapist to work with you to find a garment size and compression combination that will best manage your edema. You can find a certified lymphoedema therapist through the Lymphology Association of North America (LANA).
You can get fitted by a certified fitter, you can search for a store location that sells our products through our store locator. Be sure to call ahead to see if the store has a fitter on staff and to schedule an appointment with them.
Have a friend help you measure:
If you do not have access to a doctor, therapist or certified fitter, you can use our sizing chart and fitting instructions to assist you in determining your size.
Get a sizing recommendation from the Fitter’s Aid app:
If you’re an iOS user, download our Fitter’s Aid app and enter your measurements and compression class to receive a sizing recommendation.
A properly fitting sleeve is essential in a self-care management regimen! If you have any questions, don’t hesitate to email us or call us with your measurements for a sizing recommendation. It is especially important to speak to your doctor, therapist, certified fitter or us if you’re in between sizes.
If you do not fit into our sleeves, send us an email, we’re constantly developing our product offerings and hope to expand to add more sizes in the future!
Our sleeves come in a Short and a Long length. Please don’t be put off by the length names, we don’t have a “Regular” length anymore because we don’t believe that there is a standard arm length, just like there isn’t a standard arm size, by only offering a Short or Long option we hope it will inspire our customers to measure their arm and get the sleeve that will fit them the best. To determine length, measure your arm length from wrist to the top of the bicep; the Short sleeve length accommodates arms 37-44 cm and the Long sleeve length accommodates arms 43-56cm. Please refer to our sizing chart for more information. The length formally known at Regular is now called Long.
Yes! Many of our options are for DUDES as well!
All LympheDIVAs sleeves come with a gripper band option called the DIVA Diamond Band. The DIVA Diamond Band offers a hypoallergenic, latex-free and silicone-free gripper, which is applied directly on the inside top cuff of the sleeve. The DIVA Diamond Band will keep your sleeve in place without irritating the skin.
While only your Medical Aid company can tell you what your plan does or does not cover, we are registered with MediKredit and have Nappi Codes for all our products. It is best to call your medical aid provider and ask them whether they cover medical, graduated compression garments for the treatment and/or management of lymphoedema. If you order through us directly, please note that we do not process insurance but we do provide insurance codes on our invoices that can be used for reimbursement through your medical aid company.
Have no fear, Lower Extremity Lymphies!! We know you are out there and we look forward to serving you. What we like to say is that we are “working our way down the body.” We began with what we know (upper extremity) and look forward to expanding what we have learned regarding lymphoedema to lower extremity in the future.
Phone, Email, Whatsapp… Courier Pigeon… However you can send us your order, we’ll be happy to fulfill it. Just send us your correct details as well contact information where we can get back to you and we’ll be happy to process your order.
Yes, please review our refund & exchange policy and contact us for a Return Merchandise Authorization (RMA). You are responsible for return or exchange shipping postage to us, but we will mail out the exchange to you at our cost. Due to the high cost of shipping abroad, international customers are responsible for the shipping costs on exchanges.