Lymphedema
Complete Decongestive Therapy

What to Expect:
Each session includes a thorough consultation and review of medical history, an evidence-based manual lymphatic drainage protocol, education on proper home care, and a customized treatment plan to help clients meet their goals for decreased swelling and improved physical function. We offer packages to make paying for and booking your appointments as easy and financially accessible as possible.

What is lymphedema?
Lymphedema is a chronic condition where protein-rich fluid build-up occurs in the body's tissues. There are two types of lymphedema: primary and secondary. Primary lymphedema is caused by chemical imbalances (often due to other illnesses like congestive heart failure, kidney dysfunction, or liver disease). Secondary lymphedema is caused by reduced function of the lymphatic system due to things like lymph node removal (surgery), radiation, or parasites. 

What are the 3 stages of lymphedema?

• Stage 1 Reversible: swelling occurs but subsides with elevation of the affected limb.

• Stage 2: Spontaneous Irreversible: fibrotic (hardened) tissue is present, with no-pitting edema, and frequent skin infections.

• Stage 3 Lymphostatic Elephantiasis: presents with extreme swelling, skin fibrosis (hardening), and can be treated but not cured

How is lymphedema managed?

Lymphedema can be managed with Complete Decongestive Therapy (CDT), the gold standard treatment in lymphedema management. CDT has 2 phases: Decongestion and Maintenance.

The goals of Phase 1 Decongestion are to decrease limb swelling and improve skin integrity. There are four components: manual lymph drainage, compression therapy, exercises, and skin care. Manual lymph drainage is a type of light massage that stimulates lymph flow. Compression therapy includes the use of short-stretch bandages and soft materials such as cotton and foam-based products to create padding and prevent skin breakdown. Lymphedema exercises include ankle pumps, upper and lower extremity strengthening, and functional mobility. Skincare uses acidic soaps and lotions to maintain the low pH of normal skin. 

The goal of Phase 2 Maintenance is to maintain the limb size achieved during Phase 1 and prevent excessive swelling using skincare, self-MLD, and wearing special compression garments. The patient is also encouraged to continue with the exercise routine from Phase 1. During Phase 2, an intermittent pneumatic compression device may also be recommended for use.

Why is it important to see a Certified Lymphedema Therapist?

It is imperative that lymphedema patients receiving CDT be treated by a Certified Lymphedema Therapist (CLT). CLTs have completed specialized training and board certifications to treat lymphedema. Many complications can arise from untrained individuals attempting to treat lymphedema. Just because a therapist is qualified to do manual lymphatic drainage does not mean they are qualified to provide complete decongestive therapy.

What else does a CLT do?

CLTs advocate for patients when there are limited resources to manage their condition. Available resources include the Florida Breast Cancer Foundation, the National Lymphedema Network, the Academy of Lymphatic Studies, Norton School, and the Lymphology Association of North America (LANA), to name a few.

Still have questions? We’re here to help! Book a free consultation to learn more!