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normally help return blood to your heart. If the blood returns to the heart too slowly, more ﬂuid will leak out of the blood and into the spaces between tissue cells. To prevent your legs from swelling or to reduce edema, you can do the following: Wear compression stockings if they’ve been prescribed for you. These are tight elastic stockings that usually come up to the top of your thigh. They help move blood back up to your heart and keep it from pooling in your legs. Make sure your braces, splints, clothing, and urinary devices are not too tight. Elevate your hands, legs, and feet often if they are aﬀected by edema. Elevate your legs up to or above the level of your heart for 10–15 minutes four to ﬁve times a day. Sleep with your legs slightly elevated, if possible. Do your range-of-motion exercises every day, and make sure you move your legs from one position to another every two to three hours. If you often have swelling, buy shoes one size larger. Make sure there’s plenty of room from top to bottom in your shoe, not just from one end to the other. If the swelling continues in your legs for more than a week despite your eﬀorts to treat it or if you notice a sudden increase in swelling, contact your health-care provider. If the swelling is only in one leg, you may have a blood clot in your leg. These blood clots can break free and travel to other parts of your body. A clot that stays in one place is called a thrombus. A clot that breaks free is called an embolus [plural = emboli]. The most common place for an embolus to go is the lung. This is called a PE. Blood clots are very common after SCI, especially during the ﬁrst two months after injury, when activity is suddenly decreased and the blood is moving slowly through the leg veins. Eventually the risk of blood clots goes down, but it’s always a concern. People can’t avoid some things that increase the risk—like having cancer or broken leg bones, needing surgery, being older, or having heart failure. But you should try to avoid risky conditions that you can control, like weight gain, cigarette smoking, dehydration, and unnecessary inactivity. Pregnancy also increases the risk of blood clots. And if you’ve ever had a blood clot, it’s more likely that you will have another. [ Figure 1.h.3 ] Blood Clot [thrombus] in Leg Blood Clot Blood Clots Blood clots in your legs, arms, or lungs are serious medical problems. Blood tends to stick together and form a clot when it isn’t moving at its usual steady pace. The lack of muscle contraction in your legs slows the blood and allows clots to form. Blood clots begin in veins, especially those in your legs. If it’s in a vein deep inside your leg, it’s called DVT [SEE FIGURE 1.h.3]. Section 1: How SCI Aﬀects Your Body! | [ 57 ]

Yes You Can - Fourth Edition

Table of Contents for the Digital Edition of Yes You Can - Fourth Edition

Yes You Can - Fourth Edition
Table of Contents
Section 1. How SCI Affects Your Body
1.a Anatomy, Physiology, and Research
1.b Skin Care and Pressure Ulcers
1.c Respiratory Care
1.d Bladder Management
1.e Bowel Management
1.f Sexual Health and Reproduction
1.g Muscles and Bones
1.h Circulatory System
1.i Autonomic Dysreflexia
Section 2. Maximizing Your Function
2.a Expected Outcomes
2.b Equipment
2.c Limb Preservation and Posture
2.d Home Modifications
2.e Driver Rehabilitation and Training
2.f Attendant Management
Section 3. Coping and Living with SCI
3.a Transitions
3.b Psychosocial Adjustment
3.c Mental Health Conditions
3.d Community Resources
3.f Financial Planning
3.g Your Rights
3.h Pain
3.i Brain Injury
Section 4. Staying Healthy after SCI
4.a Recreation
4.b Nutrition and Weight
4.c Exercise
4.d Medications
4.e Alcohol and Substance Abuse
4.f Health Care
4.g Aging
4.h Disasters
Appendix A: Range-of-Motion Exercises
Appendix B: Resource Organizations
Glossary
Index
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Yes You Can - Fourth Edition - Section 1. How SCI Affects Your Body
Yes You Can - Fourth Edition - 2
Yes You Can - Fourth Edition - 1.a Anatomy, Physiology, and Research
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Yes You Can - Fourth Edition - 1.b Skin Care and Pressure Ulcers
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Yes You Can - Fourth Edition - 1.c Respiratory Care
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Yes You Can - Fourth Edition - 1.d Bladder Management
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Yes You Can - Fourth Edition - 1.e Bowel Management
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Yes You Can - Fourth Edition - 1.f Sexual Health and Reproduction
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Yes You Can - Fourth Edition - 1.g Muscles and Bones
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Yes You Can - Fourth Edition - 1.h Circulatory System
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Yes You Can - Fourth Edition - 1.i Autonomic Dysreflexia
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Yes You Can - Fourth Edition - Section 2. Maximizing Your Function
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Yes You Can - Fourth Edition - 2.a Expected Outcomes
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Yes You Can - Fourth Edition - 2.b Equipment
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Yes You Can - Fourth Edition - 2.c Limb Preservation and Posture
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Yes You Can - Fourth Edition - 2.d Home Modifications
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Yes You Can - Fourth Edition - 2.e Driver Rehabilitation and Training
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Yes You Can - Fourth Edition - 2.f Attendant Management
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Yes You Can - Fourth Edition - Section 3. Coping and Living with SCI
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Yes You Can - Fourth Edition - 3.a Transitions
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Yes You Can - Fourth Edition - 3.b Psychosocial Adjustment
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Yes You Can - Fourth Edition - 3.c Mental Health Conditions
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Yes You Can - Fourth Edition - 3.d Community Resources
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Yes You Can - Fourth Edition - 3.f Financial Planning
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Yes You Can - Fourth Edition - 3.g Your Rights
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Yes You Can - Fourth Edition - 3.h Pain
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Yes You Can - Fourth Edition - 3.i Brain Injury
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Yes You Can - Fourth Edition - Section 4. Staying Healthy after SCI
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Yes You Can - Fourth Edition - 4.a Recreation
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Yes You Can - Fourth Edition - 4.b Nutrition and Weight
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Yes You Can - Fourth Edition - 4.c Exercise
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Yes You Can - Fourth Edition - 4.d Medications
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Yes You Can - Fourth Edition - 4.e Alcohol and Substance Abuse
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Yes You Can - Fourth Edition - 4.f Health Care
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Yes You Can - Fourth Edition - 4.g Aging
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Yes You Can - Fourth Edition - 4.h Disasters
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Yes You Can - Fourth Edition - Appendix A: Range-of-Motion Exercises
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Yes You Can - Fourth Edition - Appendix B: Resource Organizations
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Yes You Can - Fourth Edition - Glossary
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Yes You Can - Fourth Edition - Index
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