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Stump shrinkers are used to reduce, prevent or control swelling (edema) in the below knee
residual limb. Shrinkers are designed to fit snugly and apply pressure to the soft tissues of the
stump.
The shrinker can be applied over dressings as necessary. It is important that this pressure be
greatest at the end and gradually lessens towards the thigh. If the shrinker is loose at the
lower end then the tighter area higher can stall circulation and actually increase swelling
(edema). Turn the shrinker inside out and stretch it open to contact the end of the stump. This
should minimize any tension on the suture line.
Stretch the lower half of the shrinker firmly up towards the knee. Then let the material relax.
This should ensure maximum compression at the end. The top half of the shrinker can now be
pulled up into position. This should not be stretched as much as the lower half.
The shrinker will tend to slide down and should be checked regularly. Amputees should be
instructed whenever possible to make certain the shrinker is in proper position.
Stump shrinkers, like ace wraps, should apply even pressure that gradually lessens at the top.
They should always extend past the knee to minimize window edema at the knee. Most
amputations are the result of poor or otherwise compromised circulation. In some cases, even
light pressure can cause skin breakdown especially over thinly padded bony prominences, such
as your knee cap or cut end of the tibia. If redness or other signs of excessive pressure are
noticed, discontinue use and contact your physician or prosthetist.
Prosthetic Sock Shrinker Information
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