Treatment for lymphedema, lymphedema compression therapy

Health Description
Health Consultation Description: What is the Treatment for Lymphedema?


Expert Reply

Condition analysis:
After an initial medical examination by Doctor Iker, an individual treatment plan is developed. This includes Manual Lymphatic Drainage (MLD) which is a gentle and specific technique that empties and decompresses obstructed vessels.

Compression bandaging follows, which prevents the reaccumulation of fluid. Measurements are taken regularly during the course of treatment to ensure that the specific techniques used are effected.

Once reduction of the swollen limb has been achieved, a custom-fit support garment is provided to maintain pressure after the treatment period ends.

A sequential, pressure-gradient compression pump may also be used as an aid to limb reduction, but only after alternative lymph pathways have been opened by MLD. If a pump is used aggressively at the onset of the disorder without prior opening of the fluid channels, it can make the condition worse, causing further lymph vessel blockage.

On the average, you will receive up to 60 minutes of daily treatments for a period of two to three weeks. Once improvement has been demonstrated, treatments are reduced as needed. Regular follow-up with your physician is recommended.

Instructions:
Compression Therapy: Compression therapy is well-established as a cornerstone of lymphedema therapy. Compression to the limb may be applied in various ways including multi-layer bandaging, elastic compression stockings, custom compression garments and intermittent pneumatic compression devices. Barriers to effective compression, including difficulty in self-application of bandaging and compression stockings as well as inability to tolerate some forms of compression, must be thoroughly evaluated so each patient is provided with a compression therapy that is effective and compatible with the individual’s self-care ability.



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 Key words:  Lymphedema

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