LCPTI is Now Offering Complete Decongestive Therapy For Lymphedema
What is lymphedema? A primary or secondary disorder characterized by the accumulation of lymph in soft tissue and swelling, caused by inflammation, obstruction or removal of lymph channels.
Staging of Lymphedema:
- Stage 0 – no visible/palpable swelling but subjective complaints of achiness/heaviness.
- Stage 1 – visible swelling, usually responds to elevation, subjective complaints of achiness/heaviness.
- Stage 2 – visible, chronic swelling; elevation usually has little effect.
- Stage 3 – visible, chronic swelling; fibrosis, skin changes and cellulitis and elevation ineffective.
What will LCPTI offer to patients?
Complete Decongestive Therapy
- Manual Lymphatic Drainage (MLD)
- Compression Bandaging
- Skin and Nail Care
- Patient Education and Self Care Instruction
Manual Lymphatic Drainage (MLD)
- Hands-on treatment provided by certified Lymphedema therapists.
- Helps to improve lymph capillary uptake.
- Increases the lympho-angio-activity.
- Does have a soothing effect.
- Does have an analgesic effect using the “gate-control theory”.
- Re-directs fluid around blocked areas in lymphatic system via collateral pathways.
- Bandaging provided by certified Lymphedema therapists.
- Increases tissue pressure to reduce filtration and prevent further edema.
- Prevents re-accumulation of fluid.
- Breaks up lymphstatic fibrosis.
- Enhances muscle and joint pump to improve venous and lymphatic return.
- Exercise promotes muscle, joint and vascular pumping to stimulate lymph vessels.
- Deep abdominal breathing promotes transport of lymph.
- Assists in the maintenance of normal tissue hydrostatic pressure.
- Hygiene is of the utmost importance to decrease dermal fungus and bacteria colonization and prevent possible infection.
- Prevent reoccurrences and infections through education.
- Self bandaging instruction and self MLD instruction as needed to maintain initial reduction of lymphedema.
Complete Decongestive Therapy (CDT) Research
- The gold standard for treatment for lymphedema is CDT1.
- Large study of CDT reported examination of 299 patients undergoing CDT for both UE and LE lymphedema found average reduction in limb volume of 59.1% for UE lymphedema and 67.7% in LE lymphedema2.
- With adherence to maintenance phase both UE and LE patients with lymphedema did retain 90% of initial reduction, whereas non adherent patients regained on average 33% of initial reduction2.
Non Profit Lymphedema Resources
- International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema; Consensus document of the International Society of Lymphology. International Society of Lymphology. Available at: http://www.u.arizona.edu/~witte/ISL.htm Accessed June 26, 2012.
- Ko DS, Lerner R, Klose G,Cosimi AB. Effective treatment of lymphedema of extremities. Arch Surg. 1998; 133: 452-458.