Shivangi Dave, MS,OTR/L, CLT
Lymphatic system
Components & Functions
Components of Lymphatic System:
 Lymph vessels
 Lymph nodes
 Spleen
 Thymus gl...
Lymphatic system
Components & Functions
Functions :
 Transports proteins and fluid from
the tissues to cardiovascular
sys...
Lymph Vessels
Re: Kublik Re: Weissleder
Lymphatic drainage
Picture: Kublik
What is Lymphedema?
 Lymphedema is the swelling
of a body part(s), most often
arm(s) or leg(s) as a result of
lymphatic f...
Types of Lymphedema
 Primary lymphedema-
Born with insufficient or compromised lymphatic system
 Secondary lymphedema-
M...
Signs and Symptoms of
Lymphedema
 Swelling starts gradually and may be preceded by a
feeling of heaviness or fullness in ...
Early detection and lowering risk
for Lymphedema
 Educate about lymphedema- “ spread the word”
 Specialized clinicians c...
Management of Lymphedema
 Complete Decongestive Therapy (CDT) as the method of
choice- includes two phases
 Decongestion...
Components of CDT
 Manual lymphatic drainage (MLD)
 Compression Bandaging
 Exercise
 Skin and nail care
 Instructions...
About MLD
• lymphatic uptake
•  lymph vessel pulsation
• Promotes movement of fluid from
edematous areas to regions
of n...
Does it work?
Pictures: Providence St. Peter Hospital,
Lymphedema Clinic, Olympia, WA
Short Stretch bandaging &
MLD (CDT)
Re-klosetraining.com
Compression garments
 Essential after decongestive treatment
 Custom Made vs. Ready to Wear Garments
 Various compressi...
References
 Textbook of Lymphology by M. Foeldi, E. Foeldi, S. Kubik (EDS.)
Urban Fisher Verlag, 2003
ISBN: 0-9729535-0-7...
Infrastructure for Lymphedema Program
 Private Room- to make patients feel comfortable
 Hi-Low Table -to make therapist ...
Questions ?
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A preview of lymphedema treatment and management

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A preview of lymphedema treatment and management

  1. 1. Shivangi Dave, MS,OTR/L, CLT
  2. 2. Lymphatic system Components & Functions Components of Lymphatic System:  Lymph vessels  Lymph nodes  Spleen  Thymus gland  Tonsils  Lymphocytes
  3. 3. Lymphatic system Components & Functions Functions :  Transports proteins and fluid from the tissues to cardiovascular system  Transports fat from intestinal lymph vessels to cardiovascular system  Has important immunological functions Re: Benjamin Cummings
  4. 4. Lymph Vessels Re: Kublik Re: Weissleder
  5. 5. Lymphatic drainage Picture: Kublik
  6. 6. What is Lymphedema?  Lymphedema is the swelling of a body part(s), most often arm(s) or leg(s) as a result of lymphatic failure.  It is an abnormal accumulation of proteins in the body’s tissue ( unlike dependent edema).  Over the period, lymphedema causes tissue proliferation of the affected areas. Re- compressionstore.com
  7. 7. Types of Lymphedema  Primary lymphedema- Born with insufficient or compromised lymphatic system  Secondary lymphedema- May be a result of : Surgery and/or radiation for cancer, Cancer, Filariasis, Trauma, Infection, Chronic Venous insufficiency or Obesity
  8. 8. Signs and Symptoms of Lymphedema  Swelling starts gradually and may be preceded by a feeling of heaviness or fullness in the affected area  Rings, bracelets, clothing or a watchband may feel tighter than normal  Pitting Edema  Decreased ROM/ mobility  Recurrent cellulitis infections
  9. 9. Early detection and lowering risk for Lymphedema  Educate about lymphedema- “ spread the word”  Specialized clinicians can diagnose on the basis of clinical examination  Early assessment of unilateral UE Lymphedema with use of L-DEX  Eat healthy and strive to be as normal body weight as possible  Be active and exercise; if uncertain about the right kind of exercise, check with your CLT
  10. 10. Management of Lymphedema  Complete Decongestive Therapy (CDT) as the method of choice- includes two phases  Decongestion phase  Maintenance phase  Blue indicates Phase I = intensive phase  Green indicates Phase II = maintenance phase Re-FÖLDI M., FÖLDI E., KUBIK S., Textbook of Lymphology
  11. 11. Components of CDT  Manual lymphatic drainage (MLD)  Compression Bandaging  Exercise  Skin and nail care  Instructions in self care
  12. 12. About MLD • lymphatic uptake •  lymph vessel pulsation • Promotes movement of fluid from edematous areas to regions of normal lymphatic drainage • Promotes relaxation • Analgesic effect Re-klosetraining.com
  13. 13. Does it work? Pictures: Providence St. Peter Hospital, Lymphedema Clinic, Olympia, WA
  14. 14. Short Stretch bandaging & MLD (CDT) Re-klosetraining.com
  15. 15. Compression garments  Essential after decongestive treatment  Custom Made vs. Ready to Wear Garments  Various compression grades and styles  Flat knit, circular knit, cut & sew  Prophylactic benefit  Proper compression grade  Ensure good fit Re-klosetraining.com
  16. 16. References  Textbook of Lymphology by M. Foeldi, E. Foeldi, S. Kubik (EDS.) Urban Fisher Verlag, 2003 ISBN: 0-9729535-0-7  Lymphedema Diagnosis and Therapy by H. Weissleder, Ch. Schuchhardt, 3rd Edition, Viavital Verlag, 2001 ISBN: 3-934371-24-8  A Primer on Lymphedema by Deborah Kelly, Prentice Hall, 2001 ISBN: 0-13-022410-3  Modern treatment of lymphoedema (5th ed.) by Casley-Smith J.R. & Casley-Smith J.R.(1997). Adelaide Australia: The Lymphedema Association of Australia  Introduction and Treatments for Lymphedema by Sabrina S. Selim, BA, Francine Manuel, RPT, Cheryl Ewing, MD, Ernest Roseenbaum, MD www.medsalsupplier.com/lymphguide.html  Additional Website Links at: www.klosetraining.com
  17. 17. Infrastructure for Lymphedema Program  Private Room- to make patients feel comfortable  Hi-Low Table -to make therapist comfortable  http://www.pattersonmedical.com/app.aspx?cmd=getProduct&key=IF_921022485 http://www.pattersonmedical.com/app.aspx?cmd=getProduct&key=IF_97701  Disposable gowns/Medical gowns - http://www.pattersonmedical.com/app.aspx?cmd=getProduct&key=IF_921020678  Disposable Gloves  Arm bandages  Compression garments- need to find local resources/fitters  Eucerin/ Aquaphor  Micropore Tape  Bolster  Hoyer lift if legs to be treated
  18. 18. Questions ?

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