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Physical therapy for Lymphedema
Complete decongestive
therapy (CDT)
02
Surgery
04
Pneumatic compression pump
01
Elastic support garments
03
Physical therapy for Lymphedema 2
TABLE OF CONTENTS
INTRODUCTION
Physical therapy for Lymphedema
An abnormal accumulation of protein-rich fluid in the interstitium,
causing chronic inflammation and reactive fibrosis of the affected
tissues
Usually in an extremity, but can also occur in the head, neck, genitals,
and abdomen
3
Definition
Treatment Options
Physical therapy for Lymphedema 4
Pneumatic
compressio
n pump
Complete
decongestive
therapy
(CDT)
Elastic
support
garments
Surgery
Advantages
Physical therapy for Lymphedema 5
 Can be used at home by patients
 Fast application
Disadvantages
 Disregards the fact that the ipsilateral can be
 LE edema, the pump can cause genital edema:
UE causebreast edema
 extended use can cause additional fibrosis
 many hours a day with elevated
Complete decongestive therapy (CDT)
 MLD
 Compression bandaging
 Exercise
 Skin and nail care
 Instructions inself care
a gentle manual treatment
which improves the
activity of the lymph vascular
system.
it reroutes the lymph flow around
blocked areas into centrally
located healthy areas which then
can drain into the venous system.
Manual Lymph Drainage
Compression bandaging
Physical therapy for Lymphedema 8
Short stretch bandages are applied
to increase the tissue pressure
in the edematous extremity.
● Prevents re-accumulation of
lymph fluid
● Helps break down fibrous
connective tissue that has
developed
Exercise
Performed with the bandages on or while wearing a compression garment.
Active ROM, stretching, strengthening
Low exertion
Diaphragmatic breathing
• Increase muscle and joint pumping
• Increase lymph vessel activity
• Increase venous and lymphatic return
Skin and Nail Care
Physical therapy for Lymphedema 10
nail care Infection prevention Skin Care
Cut nails straight across. Ing
rown nails cellulitis
should receive expert attention
avoiding injury, cleaning all
injuries immediately, calling
MD at first sign of infection.
Eliminate bacteria and fungal
growth by using medicated
powders
Physical therapy for Lymphedema
• Self-bandaging
• Self-MLD as needed
• Exercise
• Donning and doffing compression garment
• Regular follow-up visits
11
Self Care
Complete decongestive therapy
is a Two-Phase Therapy
Physical therapy for Lymphedema 12
Treatment Phase Meticulous skin/nail care
Manual Lymph Drainage
Compression bandaging
Self care education
Exerciselasts as long as necessary
MaintenancePhase
lifelong maintenance
Compression garments during the day
Bandages at night
Skin and nail care
Daily exercise
Manual Lymph Drainage as needed
Regular follow-up visits
When does CDT
fail?
Malignant lymphedema
Insufficient treatment (only used MLD or improper
bandaging)
Deviation from CDT protocol
Associated illnesses
Lack of compliance
Active cancer
Faulty diagnosis
When does CDT fail?
Compression
garments
Elastic garments are uncomfortable and ineffective if
worn while the limb is edematous.
Garments do nothing to correctthe underlying cause
of the edema.
Garments are needed afterthe Treatment Phase
to prevent refill.
Surgery
Physical therapy for Lymphedema 16
● Microsurgical
techniques
● Liposuction
● Debulking/Reduct
ion procedures
REFERENCES
• https://docs.google.com/presentation/d/1
zJ_FpwN3nO5DOpQeqdPDxwPNc4yPqe
Wc/edit#slide=id.p8
• https://www.avilapt.com/our-services-
physcial-therapy-and-post-mastectomy-
care/treatment-lymphedema
• https://www.avilapt.com/our-services-
physcial-therapy-and-post-mastectomy-
care/treatment-lymphedema
• https://www.innovativeptllc.com/lymphed
ema/
Bashayer Awad
Physical therapy for Lymphedema 18
CONTACT
Does anyone have any questions?
angle1749@Hotmail.com
Physical therapy for Lymphedema 19
THANKS!

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Physical therapy for lymphedema

  • 1. Physical therapy for Lymphedema
  • 2. Complete decongestive therapy (CDT) 02 Surgery 04 Pneumatic compression pump 01 Elastic support garments 03 Physical therapy for Lymphedema 2 TABLE OF CONTENTS
  • 3. INTRODUCTION Physical therapy for Lymphedema An abnormal accumulation of protein-rich fluid in the interstitium, causing chronic inflammation and reactive fibrosis of the affected tissues Usually in an extremity, but can also occur in the head, neck, genitals, and abdomen 3 Definition
  • 4. Treatment Options Physical therapy for Lymphedema 4 Pneumatic compressio n pump Complete decongestive therapy (CDT) Elastic support garments Surgery
  • 5. Advantages Physical therapy for Lymphedema 5  Can be used at home by patients  Fast application Disadvantages  Disregards the fact that the ipsilateral can be  LE edema, the pump can cause genital edema: UE causebreast edema  extended use can cause additional fibrosis  many hours a day with elevated
  • 6. Complete decongestive therapy (CDT)  MLD  Compression bandaging  Exercise  Skin and nail care  Instructions inself care
  • 7. a gentle manual treatment which improves the activity of the lymph vascular system. it reroutes the lymph flow around blocked areas into centrally located healthy areas which then can drain into the venous system. Manual Lymph Drainage
  • 8. Compression bandaging Physical therapy for Lymphedema 8 Short stretch bandages are applied to increase the tissue pressure in the edematous extremity. ● Prevents re-accumulation of lymph fluid ● Helps break down fibrous connective tissue that has developed
  • 9. Exercise Performed with the bandages on or while wearing a compression garment. Active ROM, stretching, strengthening Low exertion Diaphragmatic breathing • Increase muscle and joint pumping • Increase lymph vessel activity • Increase venous and lymphatic return
  • 10. Skin and Nail Care Physical therapy for Lymphedema 10 nail care Infection prevention Skin Care Cut nails straight across. Ing rown nails cellulitis should receive expert attention avoiding injury, cleaning all injuries immediately, calling MD at first sign of infection. Eliminate bacteria and fungal growth by using medicated powders
  • 11. Physical therapy for Lymphedema • Self-bandaging • Self-MLD as needed • Exercise • Donning and doffing compression garment • Regular follow-up visits 11 Self Care
  • 12. Complete decongestive therapy is a Two-Phase Therapy Physical therapy for Lymphedema 12 Treatment Phase Meticulous skin/nail care Manual Lymph Drainage Compression bandaging Self care education Exerciselasts as long as necessary MaintenancePhase lifelong maintenance Compression garments during the day Bandages at night Skin and nail care Daily exercise Manual Lymph Drainage as needed Regular follow-up visits
  • 14. Malignant lymphedema Insufficient treatment (only used MLD or improper bandaging) Deviation from CDT protocol Associated illnesses Lack of compliance Active cancer Faulty diagnosis When does CDT fail?
  • 15. Compression garments Elastic garments are uncomfortable and ineffective if worn while the limb is edematous. Garments do nothing to correctthe underlying cause of the edema. Garments are needed afterthe Treatment Phase to prevent refill.
  • 16. Surgery Physical therapy for Lymphedema 16 ● Microsurgical techniques ● Liposuction ● Debulking/Reduct ion procedures
  • 17. REFERENCES • https://docs.google.com/presentation/d/1 zJ_FpwN3nO5DOpQeqdPDxwPNc4yPqe Wc/edit#slide=id.p8 • https://www.avilapt.com/our-services- physcial-therapy-and-post-mastectomy- care/treatment-lymphedema • https://www.avilapt.com/our-services- physcial-therapy-and-post-mastectomy- care/treatment-lymphedema • https://www.innovativeptllc.com/lymphed ema/
  • 18. Bashayer Awad Physical therapy for Lymphedema 18
  • 19. CONTACT Does anyone have any questions? angle1749@Hotmail.com Physical therapy for Lymphedema 19