Lymphedema

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The primary goals of the lymphedema treatment are to:

  • Move stagnant lymph out of the tissues.
  • Assist in the reduction of swelling.
  • Help control swelling.
  • Soften fibrotic tissue.
  • Improve the patient's general health.

These goals are achieved through the use of treatment is known as Complete Decongestive Therapy (CDT), Complex Decongestive Therapy, or Complete Decongestive Physiotherapy (CDP). Although the names vary slightly, and therapist training programs teach slight variations on these components, however most lymphedema treatment plans include these major elements.

Manual Lymph Drainage

Manual Lymph Drainage, which is referred to as M-L-D, is based on a technique that is said to be, as gentle as a butterfly kiss. This is the reason that a butterfly is often used as a symbol of lymphedema and its treatment. This gentle massage technique is performed by a qualified lymphedema therapist.

Compression Methods

The use of compression, at all times, is an important factor in maximizing gains between professional visits.

The goals of compression are to:

  • Retain the progress made in reducing swelling during the MLD treatment.
  • Prevent, or minimize, additional swelling.
  • Support natural draining of lymph from the tissues.

Self-Management Techniques

After initial treatment plan, the number of professional visits is greatly reduced yet lymphedema is present 24 hours a day. Therefore it is important that the patient, or care-giver be able to follow through on a self-management program at home.

Self-massage is a form of MLD that is performed daily at home.

Compression needs vary depending on the stage of the lymphedema and its treatment. The patient must learn how to manage this at home.

Skin care is to maintain the health of the skin to prevent deterioration and to prevent infections. To learn more, read Self-Care: Healthy Skin, Self-Care: Healthy Feet, and Nail Care.

Daily exercise is essential to maintain the flow of lymph, increase mobility, control weight, and improve the patient's general health and sense of well-being.

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