Lymphedema Massage & Treatment

What is Manual Lymph Drainage (MLD)/

Complete Decongestive Therapy (CDT)?

 

What can you expect during the initial consultation?

During the initial visit we will conduct a thorough medical history and physical evaluation of the lymphedema.  We discuss the components of Complete Decongestive Therapy and come up with a treatment plan. We demonstrate self massage techniques and talk about precautions and life style changes which will limit risk. 

What is a typical session like?

A typical session takes about an hour.  It will incorporate any or all of the following

    1. Manual Lymph Drainage (MLD): a light manual technique which stimulates the superficial lymph vessels and enhances lymph drainage. It is gentle, light, slow and rhythmic and very relaxing and pleasant.
    2. Compression bandaging:  short stretch bandages are applied after MLD to prevent return of fluid to the limb.  In addition, bandages help break down fibrosis and soften the skin.  During the initial phase of treatment, bandages should be worn 23 out of 24 hours.  With proper application they should not be painful.
    3. Exercises which utilize the muscle pump to enhance lymph drainage through the limb against the resistance of compression.
    4. Education in skin care to prevent infection, cellulitis and dermatological changes.  Education also includes review of self massage and self bandaging techniques.  Our objective is to help you learn to manage the condition with a great degree of self-sufficiency. 
    5. Maintenance phase:  We are available to address any changes in condition, answer questions for doctors and patients and assist in the maintenance of volume reduction and optimal compliance with the program.