Background: Lymphedema treatment begins with an evaluation, which should focus not just on limb volume, but should identify functional goals and limitations, and clarify the course of treatment. Ideal treatment is known as complete decongestive therapy, or CDT. The elements of CDT are: diagnosis, manual lymphatic drainage MLD , multilayered compression bandaging, compression garments, therapeutic exercises, and self-care.
Adjuncts to CDT often include use of pneumatic pumps that substitute for MLD, Kinesio tape applied to the skin so it channels lymph to reduce swelling, and aquatic therapy. The ideal therapist is accessible, experienced, works with appropriate oversight and is well equipped to treat a chronic disease. Unfortunately, there are many barriers to the ideal:.
Strive for empowerment: when you learn to control your lymphedema, and you overcome the stigma of the disease. This essential guide encompasses the core principles of Manual Lymph Drainage and Complete Decongestive Therapy for a wide range of pathologies across the age continuum.
Key elements from the prior edition are incorporated, such as color-coded sections for anatomy, physiology, and pathophysiology.
Advances in the field are reflected in expanded chapters and efficacy meta-analyses, updates on genetics, refinements in manual compression, and new insights on fat disorders and edema. This is a must-have resource on the diagnosis, treatment, and management of lymphedema and lymphatic insufficiency. Its unique practicality will enable educators to teach techniques and clinicians to adeptly incorporate a wide range of treatment strategies into practice.
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It is this seamless integration of theoretical and practical components, while in a relaxed and intimate setting, that makes the course an invaluable and unforgettable experience for Norton School alumni. Post mastectomy lymphedema and other related conditions respond extremely well to this gentle, non-invasive, and highly effective therapy.
CDT consists of the following four steps:. MLD is a very gentle manual treatment that improves the function of the lymphatic system throughout the body. In the s the techniques of MLD were first introduced by Dr. MLD is becoming widely recognized in the United States as a treatment for many pathologies including post-surgical swelling, post traumatic edema e.
MLD is further used to promote general relaxation and for cleansing detoxification of the skin and superficial fascia. In lymphedema therapy MLD is used to reroute the lymph flow around blocked areas into healthy lymph vessels, which drain into the venous circulation.
Compression therapy, through the use of multilayered bandages, increases tissue pressure and is applied between treatments to prevent the re-accumulation of evacuated edema fluid. Request an Appointment Online. Visiting Louisville on a business trip, Rob Priest thought he might have come down with a terrible case of food poisoning.
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