Lymphedema Management
Lymphedema is an excessive accumulation of lymphatic fluid resulting in swelling of a body part, usually an arm or a leg. Lymphedema occurs, in both men and women, when lymph nodes and vessels are blocked, removed by surgery, or damaged by radiation during cancer treatment.Signs or symptoms of lymphedema may include: a full sensation in the limb(s), skin feeling tight, decreased flexibility in the hand, wrist or ankle, difficulty fitting into clothing in one specific area, or ring/watch/bracelet tightness. Swelling from lymphedema can also cause infection. Signs and symptoms of infection include red and blotchy skin, itching, discoloration, pain, a feeling of heaviness, an increase in skin temperature, and in many cases fever and chills. If you notice persistent swelling, it is very important that you seek immediate medical advice. Early diagnosis and treatment improves both the prognosis and the condition.
Lymphedema management or therapy starts with an evaluation by a licensed therapist to determine the proper and individualized course of treatment. Treatment includes:
Manual lymph drainage- A gentle massage that stimulates the lymphatic system to decrease the swelling
Medical compression bandaging- Facilitates lymph flow and assists in maintaining positive effects of the manual lymph drainage between treatments
Sequential pumping- Used as needed to assist in lymph drainage in combination with manual lymph drainage and medical compression bandaging
Client education- In areas of skin care, self massage, exercise and precautions to assist in making positive lifestyle choices
Exercise program- A personalized exercise program to assist in improving range of motion, strength and ability to perform every day activities
Reference:
National Lymphedema Network:
http://www.lymphnet.org/lymphedemaFAQs/overview.htm\