Nicole Baldridge, PT, DPT, CLT Certified Lymphedema Therapist Women ’ sRehab Men ’ s Health Physical Therapy Resident for Centers for Rehab Services. Lymphedema. Diagnosis and Therapy. Lymphedema. Secondary Lymphedema Primary Lymphedema. Lymphedema .
Certified Lymphedema Therapist
Women’sRehab Men’s Health
Physical Therapy Resident
for Centers for Rehab Services
Physical exam and history
are most important.
from iliac crest to ankles
Prevalent in 3rd world countries;
Can still be treated successfully with CDT.
Most therapists in the US will never encounter Filariasis.
Emil Vodder, Ph.D., P.T.
discovered that massage therapy boosted people’s immune systems. They began to massage swollen lymph nodes and noticed common colds improving. He created his first publication of this and coined the term MLD (manual lymph drainage).
Michael Foeldi, M.D. and Ethel Foeldi, M.D.
In the 1980’s, Prof. Foeldi advanced
lymphedema considerably by combining MLD,
skin and nail care into
“Complete Decongestive Therapy.”
MLD is a gentle manual treatment
which improves the
activity of the lymph vascular system.
In lymphedema, it reroutes the lymph flow around blocked areas into centrally
located healthy areas which then can drain into the venous system.
Short stretch bandages (Rosidal, Comprilan) are applied to increase the tissue pressure in the edematous extremity.
Phase 1 (Treatment Phase)
** lasts as long as necessary
**life long maintenance
Before After resection
Increased risk of post-op complications such as infection
Reduced muscle pumping efficiency within loose tissues
Additional fat deposits contribute to arm volume
Deep lymph channels are separated by subcutaneous fat
**Significant correlation between weight loss and arm volume reduction regardless of the dietary group
**unaffected arm also showed volume reduction