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Lymphedema

We are pleased to introduce to you an important service of the Nicolla Center for Oncology Rehabilitation. For the first time, we will be offering a specialized treatment for Lymphedema, a devastating condition which is estimated to affect between two and three million Americans. Our state-of-the-art facility is designed to promote relaxation and comfort for our patients as they receive one-on-one attention during their 60-90 minute treatment session of Complete Decongestive Therapy (CDT), performed by a Certified Lymphedema Therapist.

WHAT IS COMPLETE DECONGESTIVE THERAPY?

Lymphedema is an accumulation of lymphatic fluid that causes swelling, most often seen in the arms and legs. Treatment for this debilitating condition is daily and consists of manual lymph drainage, bandaging, exercise, and skin care. Our treatment rooms are designed to maximize comfort, with cable television and spa-quality treatment tables.

As you may know, there is currently no cure for lymphedema. The goal of therapy is to reduce the swelling and to maintain the reduction of volume. For the majority of patients, this can be achieved through skillful application of Complete Decongestive Therapy (CDT), which consists of two phases and the following treatment techniques:

Manual Lymph Drainage: This gentle, manual treatment technique increases the activity of specific lymph vessels and manually moves interstitial fluid. This technique is applied daily during the first phase of treatment.

Compression Therapy: In order to prevent re-accumulation of fluid, it is necessary to apply sufficient compression to the affected extremity. Compression Therapy increases the ability of skeletal muscles to “pump” fluid out of the limb, helps to reduce fibrotic tissue, and promotes venous and lymphatic return. In the first phase of CDT, short stretch bandages are applied and removed only while the patient is in the clinic. Once the limb has been decongested (Phase II), the patient wears a compression garment during the day. In some cases, the patient may need to wear special bandages at nights.

Exercises: The patient will receive a customized exercise program, to be performed while the patient is wearing their bandages. These exercises promote drainage of the edema through joint and muscle pumping.

Skin Care: The skin of a lymphedema patient is typically dry and very susceptible to infection. The patient will be educated in proper skin care management to help manage this issue.

 
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