Lymphedema Care
Readymade & Custom Garments, Wraps, Night Garments and More!
JOBST® Relax Sarah’s story
By Your Side Through Every Step of Lymphedema Care
Meet your teammates in Lymphedema Treatment:
Supporting you through your lymphedema care isn't just what we do - it's what we love. We want you to feel like you have a team beside you in your journey.
Every person's experience with lymphedema is unique, and not all compression garments work the same for everyone. What fits (and works well) for one patient perfectly may not be effective for another. That's why at Heide's, we're committed to finding the solution that fits YOU best. With every major brand available, and a half-dozen Lymphedema Master Fitters between our two locations, we have the resources - and the passion- to tailor to your specific needs. Working closely with your lymphedema therapist, we'll help create a garment and device plan that balances effectiveness and comfort, so you can feel supported every step of the way.
Heide's Approach
Phase 1: Reduction & Wrapping
If you’re starting with significant swelling, fibrotic tissue, or skin changes, your journey begins with Complete Decongestive Therapy (CDT). During this phase, you’ll see a certified lymphedema therapist regularly for manual lymph drainage (MLD), skin care guidance, and wrapping techniques.
At Heide’s, we work hand-in-hand with your therapist to give you the tools you need to succeed at home. This typically includes:
-
Short-stretch Velcro wraps for immediate and ongoing support
-
A pneumatic compression device (introduced after about one month of treatment) to further assist in reducing fluid buildup
Why Velcro Wraps?
We recommend short-stretch Velcro wraps as an essential tool in lymphedema care because:
-
They’re simple and easy to apply, making at-home care more manageable than traditional spiral bandaging.
-
They save your therapist valuable time, allowing more focus on hands-on MLD rather than unwrapping and rewrapping.
-
They’re adjustable throughout the day, so you can gently tighten them every few hours for the best possible daily reduction.
For more advances stages:
During the reduction phase, your wraps should be worn every day and gently tightened throughout the day to keep swelling down. After about a month of consistent wrapping and manual lymph drainage (MLD), most patients are ready to take the next step: adding a pneumatic compression device at home.
Most patient will qualify under their insurance plans for a home use pneumatic compression device if their lymphedema persists after a month.
Phase 1: Pneumatic Compression Device
Pneumatic Compression Devices — often called “lymphedema pumps” are a highly effective tool for both reducing and maintaining lymphedema. They work by gently mimicking the effects of manual lymph drainage (MLD). The process is simple: a comfortable sleeve is placed over the affected limb, and once the session begins, its chambers inflate and deflate at a pressure set by your provider. Built-in sensors ensure the right amount of compression is delivered every time, no matter the size or shape of the limb.
When combined with Complete Decongestive Therapy (CDT) - including MLD, compression garments, elevation, and exercise - pumps can help patients move into the maintenance phase more quickly and with greater comfort.
Phase 2: Maintenance - Compression Garments
Even as you move into maintenance, your compression pump remains an important daily tool. It helps with any additional reduction that may still be possible, keeps lymph moving through hard-to-reach channels, and lowers your risk of cellulitis.
Now comes the next step: being measured for a custom flat-knit compression garment. Unlike “one-size-fits-all” solutions, lymphedema care requires garments that are designed for you.
Flat knit is considered the gold standard in lymphedema compression wear. Because it has very little stretch compared to circular knit, it provides stronger containment and helps maintain the progress you’ve achieved.
Custom garments aren’t just about size - they involve hundreds of possible adjustments: compression levels, fabric choices, border finishes, toe and foot modifications, and even varying compression along different parts of the garment. That’s why it’s essential to work with a Lymphedema Master Fitter. At Heide’s, our specialists - Katie, Drea, Kathy, Valerie, Liz, Lacey, Sherri, and Nicole - will carefully measure, fit, and fine tune your garment until it’s right for you.
The fitting process may take a 10+ days, so don’t wait too long once your swelling has reduced. Remember: wraps reduce, flat knit contains.
Phase 2: Maintenance - Night Garments
Daytime garments and pumps do a lot of the work - but what happens when you sleep? That’s where nighttime compression comes in. These specially designed garments help keep fluid from re-accumulating while you rest, so you can wake up with less swelling and more comfort.
Unlike daytime flat knit, nighttime garments are softer, more padded, and easier to put on and take off. They’re designed for extended wear during sleep or rest periods, giving your lymphatic system support around the clock.
At Heide’s, we carry leading options including:
-
Tribute Night® : custom, quilted garments that gently massage and soften tissue while you sleep.
-
Jobst Relax® : comfortable, ready-to-wear garments with breathable fabric for overnight use.
-
Medi Profile® : custom options with foam inserts that target fibrotic or hardened areas.
Nighttime compression isn’t just about comfort, it’s an important part of maintaining the progress you’ve made during the day.
Together with your fitter, we’ll help you choose the option that fits your lifestyle and goals.
Phase 3: Further Care - Medically Complex Edema
Some patients face additional challenges with lymphedema - such as fibrotic tissue, swelling that doesn’t stay reduced overnight, or the presence of lobes. In these cases, extra tools may be needed to keep progress moving forward.
Nighttime garments like the Solaris Tribute® or Jobst Relax® can help keep lymph moving through the night and prevent fluid from returning.
For fibrosis, targeted solutions such as JoviPak® cherry pit packs can provide gentle massage to soften hardened areas of tissue.
At Heide’s, we know every case is unique. We regularly work with a wide range of complex conditions and special circumstances, and our team thrives on finding the right custom solutions. As fitting specialists, we embrace the challenge of tailoring care for medically complex cases - because every patient deserves comfort, relief, and confidence in their daily life.
Jovi PitPak
Juzo Night
Wear Ease Compression Shirt with L&R Swell Spot
