Treatment For Lymphedema
Complete Decongestive Therapy (CDT) is the treatment for lymphedema. Phase I, the Treatment Phase has a goal of edema reduction. Phase II, the Optimization Phase has a goal to maximize and maintain achieved results from Phase I. CDT consists of:
Manual Lymph Drainage (MLD) - A gentle technique to improve the flow and production of lymph by moving fluid out of the tissues and back into the lymphatic system.
Compression Therapy - Phase I short stretch bandages are used to provide external resistance to the pressure exerted on tissues during muscular contractions. This pressure helps to improve the lymph flow, thereby aiding the reduction in the swelling. Bandaging after MLD is necessary to achieve greatest reduction. Phase I bandages should be left in place 24/7, removing only for treatment, cleansing and inspecting the limb. In Phase II of CDT the compression garments are used to maintain and improve the above results. Garments are worn during the day, but bandaging is continued at night. There are nighttime compression options to bandaging for greater ease in the self-management of lymphedema during Phase II.
Skin and nail care - This care is imperative to reduce risk of inflammation and infection. Skin should be kept clean and dried after washing. Lotions with low pH should be used to minimize bacteria /fungus from penetrating the skin. Cuts should be cleansed immediately.
Exercise - Compression should be worn during exercise. Movement during exercise enhances the effectiveness of compression therapy, increasing lymph production and flow. Exercise should be performed twice daily.
Self-management - Since there is no cure for lymphedema, self-management is a key component to a successful CDT program. Self-management is stressed from day 1 of treatment through educating those with lymphedema on how to bandage, exercise, care for skin, recognize signs of infection, self-MLD and monitoring of limb size.
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