Lymphedema Management

Who can benefit?

Patients with excessive edema in arm(s), leg(s) and/or abdomen

Some diagnoses that may result in lymphedema:
  • Post-surgical
  - most common in patients following lumpectomy or
  mastectomy
  - unresolved edema following any surgery
  • Peripheral vascular disorders
  • Trauma - burn, radiation, physical injury
  • Idiopathic or primary lymphedema

Therapeutic treatment options
  • Skin care
  • Patient education
  • Manual lymphatic drainage
  • Bandaging for compression
  • Exercise – ROM, stretching, strengthening (low weight),
    conditioning
  • Recommendations for custom versus off-the-shelf
    compression garments

Contra-indications to manual lymph drainage
  • Malignant tumors (untreated)
  • Acute infection or active infection (bacterial or viral)
  • Cardiac decompensation (CHF)
  • Thrombosis (DVT)
  • Non-therapeutic levels with use of blood thinners
    (Coumadin)
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