Lymphedema Treatments
About Lymphedema
Compression Therapy
Compression therapy is well-established as a component of therapy. Compression of the limb may be applied in various ways including multi-layer bandaging, compression stockings, custom compression garments, and intermittent pneumatic compression devices. Barriers to effective compression include an inability to apply bandages or compression stockings and decreased tolerance to compression. A patient should be thoroughly evaluated to create an effective program to manage symptoms and prevent the progression of swelling.
Complete Decongestive Therapy (CDT)
CDT is a multimodal treatment approach consisting of intensive in-clinic treatment provided by a lymphedema therapist, followed by an at-home treatment program. The focus of in-clinic CDT is to reduce limb volume and fibrosis and provide the patient with tools and knowledge to enable them to succeed with a lifelong successful home management program.
Components of in-clinic CDT may include:
- Education on the lymphatic system, how lymphedema occurs, skin and nail care and other health precautions specific to the condition
- Gradient compression bandaging
- Manual lymphatic drainage therapy (MLD)
- This key component of CDT employs a sequence of hand motions, consistent with established anatomic and physiological principles, which redirect fluid from congested and swollen areas to functioning lymphatic regions.
- Intermittent pneumatic compression (IPC) devices such as the Flexitouch and Entre systems
- Development of a comprehensive at-home Program for effective self-management.
At-Home Self-Management
Ultimately, the patient and/or their caregiver(s) will be responsible for managing LE symptoms at home. Home treatment components should be customized to meet each patient’s needs and may include:
- Compression garments
- Gradient compression bandaging
- Intermittent pneumatic compression device such as the Flexitouch system
- Meticulous skin and nail care
- Daily decongestive exercise
Studies have demonstrated the clinical benefits of enhancing LE treatment with adjunctive PCD treatment to reduce limb volume. Lifelong at-home maintenance therapy with Flexitouch is intended to sustain improvements achieved during the initial intensive phase of CDT in order to limit the progression of the disease.
signs & symptoms
lymphedema management