TREATMENTS
Since there is no cure for lymphedema, the goal is reducing the swelling and maintain the reduction. This can be achieved by Manual Lymph Drainage with a certified Combined Decongestive Therapist, graduated compression garments or bandages, meticulous skin care, and therapeutic exercises.
Outline of the intensive treatments – to decrease the swelling to a manageable size before fitting for compression garments
Phase 1
- Intensive (4 weeks)
- Manual Lymph Drainage
- Compression bandaging
- Exercise Therapy
- Skin Care
Phase 2
- Manual Lymph Drainage (less frequent)
- Measured and fitted for Compression Garment
- Exercise Therapy
- Skin Care
Compressions
Once the patient has gone through at least a full month of treatment with a Certified Combined Decongestive therapist, and the swelling is reduced, the patient is fitting for a graduated compression garment.
Compression garments are necessary to maintain the reduced limb. They are to be worn daily, even during activity (i.e. swimming).
Classifications
Primary LE
This occurs when a person is born with a faulty lymphatic system. Symptoms may be present from birth or develop later; Pregnancy.
Secondary LE
This occurs when there has been damage to the lymphatic system; which include surgeries, radiation therapy or severe injuries (burn or skin infection).
Once damage has occurred to the lymphatic system, the transport capacity in the affected region is permanently compromised, creating a lifelong risk of lymphedema. Lymphedema has even been known to develop several decades after the initial training
Indications for Compression Garments
- Lymphedema
- Pregnancy
- Swelling in limbs
- Venous insufficiency
- Varicose veins
- Tired achy legs
- Travelling
- Prolonged sitting
- Aid in recovery post-surgery
