An excellent post, Ed. Very informative and helpful. Thanks. You should post 
more often.

Sent from my iPad

Begin forwarded message:

> Resent-From: [email protected]
> From: Ed Tessier <[email protected]>
> Date: November 3, 2014 at 10:13:04 PM EST
> To: RONALD L PRACHT <[email protected]>
> Cc: "[email protected]" <[email protected]>
> Subject: Re: Fwd: [QUAD-L] adema or swollen feet
> 
> swollen feet is something that I have dealt with for years. There are all 
> kinds of treatments that can mitigate the problem. What frustrates me most, 
> about any ailment, is a desire to understand the cause. Age and time since 
> injury aren't satisfactory explanations, especially when the condition seems 
> to arise so suddenly. You are sure SOMETHING is causing the problem.  All too 
> often doctors aren't interested in  exploring what might be the source 
> problem when age and quadriplegia as such convenient scapegoats. So we have 
> to become our own expert researchers into ourselves. Slowly vary possible 
> contributing factors. Document severity and frequency of the problem over 
> time. Read everything about the problem in mainstream medical literature and 
> then beyond, if need be.
> 
> I have had several bad flareups of feet swelling. By researching myself I 
> have identified three different source causes. In one case, it was kidney 
> stones that was having a global effect on water retention and circulation. 
> Another time it was changes in circulation due to using a different 
> wheelchair and cushion – – they dramatically slowed down lower extremity 
> circulation. The third time I documented a growing intolerance for salt that 
> probably is related to aging.
> 
> The various treatments I would experiment with:
> 
> Lower salt intake – – much of the American diet is smothered in  added salt
>  daily cardio exercise – – I use weight cuffs every morning for about 20 
> minutes
> compression socks
> slightly elevating my legs at night – – I have an adjustable bed
> be prepared to spend more time in bed or go back to bed with greater frequency
> Passive activity for lower extremities – – this helped quite a bit but it is 
> difficult to get my attendants to do it regularly
> 
> The single greatest treatment was repeated fulltilt pressure relief in my 
> chair during the day. I left my beloved Ibot and moved into a permobile which 
> I use to do a full pressure relief tilt every 90 minutes or so. It's a 
> hassle, especially when working or when I'm out with my wife and sons. I hate 
> doing it in public.  I hate how the need to do it barges into anything else 
> I'm doing. Funny enough, I didn't set out to treat my edema this way. The big 
> change in the wheelchair and seating system was triggered by chronic skin 
> breakdown.  
> 
> ed
> 
> 
>> On Mon, Nov 3, 2014 at 3:53 PM, RONALD L PRACHT <[email protected]> 
>> wrote:
>> For the first 12 years of my injury I had access to a pool and a sci-fit 
>> bike where my feet were strrapped in and propelled around by my arm 
>> movement. I had no idea how much good that was doing me. In the three years 
>> I have been doing nothing but handcycling my body is worse off and my feet 
>> swell all the time. It really sucks, but there isn't much I can do about it 
>> sitting here at home. My primary said in ten years my feet would turn red 
>> and turn into a pumpkin
>> 
>> Ron
>> 
>> 
>> On Monday, November 3, 2014 3:49 PM, Larry Willis <[email protected]> 
>> wrote:
>>  
>> 
>> 
>> You could be right, Ron. Let's hope it isn't his heart. Some exercise might 
>> help as well. My problem -- I don't have anyone to move them and certainly 
>> can't afford a therapist. Like most of us, I reside up fecal creek much of 
>> the time.
>> 
>> Sent from my iPad
>> 
>> Begin forwarded message:
>> 
>>> Resent-From: [email protected]
>>> From: RONALD L PRACHT <[email protected]>
>>> Date: November 3, 2014 at 12:21:27 PM EST
>>> To: "[email protected]" <[email protected]>
>>> Subject: Re: Fwd: [QUAD-L] adema or swollen feet
>>> Reply-To: RONALD L PRACHT <[email protected]>
>>> 
>>> I would bet a thousand dollars his heart is fine. If one foot is bigger 
>>> than the other that could be something. He needs passive motion of his legs 
>>> and feet. Rubbing them could help if you do it enough.
>>> 
>>> 
>>> On Monday, November 3, 2014 10:41 AM, Larry Willis <[email protected]> 
>>> wrote:
>>> 
>>> 
>>> Danny, wheel could be right about the heart. My wife has heart problems 
>>> (weak) and her feet swell something terrible. I would certainly ask the doc 
>>> about it. Good luck, my friend.
>>> 
>>> ---------- Forwarded message ----------
>>> From: <[email protected]>
>>> Date: Sunday, November 2, 2014
>>> Subject: [QUAD-L] adema or swollen feet
>>> To: [email protected], [email protected]
>>> 
>>> 
>>> Dan, it appears to be a circulation issue.  I'd consider a heart 
>>> specialist.  You might need a referral from your primary doc.
>>>  
>>> Best Wishes
>>>  
>>> In a message dated 11/2/2014 6:34:20 P.M. Central Standard Time, 
>>> [email protected] writes:
>>> I know some of us deal with swollen legs and feet,  but about 2 months ago 
>>> my feet have swollen real bad-I can only wear soft house slippers now..in 
>>> the past we just had to elevate my legs some at night and they got better 
>>> but now they stay very swelled up, my family doc. had me try Lasik A water 
>>> pill I think plus had me try wearing compression hose stockings, but that 
>>> did not help a whole lot, does anyone know what can be done or what type 
>>> doctor can treat this?? We are not sure if is even treatable? Anyway's 
>>> thanks for any information from any of you that deal with this or know any 
>>> more that can be done/ ?  thank you ! Dan H**
>>> 
>>> 
>>> 
>> 
>> 
> 

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