Education: Conditions and Available Treatments
Lymphedema: The treatment of lymphedema is known as Complete (Complex) Decongestive Therapy or CDT. Phase I treatment involves decongestion of swelling through the use of short stretch bandage applications and Manual Lymphatic Drainage. Once the swelling is removed the individual is then (and only then) fitted for the appropriate compression garments. Phase II is the part of treatment where the patient transitions from therapist care to self management. The patient will be educated in all aspects of self management including: Use of compression garments, Self MLD, Pneumatic Compression Pump, Exercise, and good skin care.
Lymphedema, if left untreated or poorly managed, can lead to a range of complications that affect both physical health and quality of life. One of the most common risks is recurrent infections, such as cellulitis or lymphangitis, due to stagnant fluid creating an environment where bacteria can grow. Over time, lymphedema can cause the skin to become thickened, hardened, or discolored — a condition known as fibrosis. In advanced stages, the swelling may become permanent and more difficult to manage. The affected limb may feel heavy, painful, or tight, leading to reduced mobility and function. Chronic swelling can also contribute to wound-healing issues, increasing the risk of ulcers or delayed recovery after injury or surgery. Beyond the physical effects, lymphedema often causes emotional distress, anxiety, and reduced self-esteem due to its visible and persistent nature. Early diagnosis and proper treatment are key to avoiding these complications and improving long-term outcomes.
Vascular Health: The most common cause of lymphedema is Chronic Venous Insufficiency (CVI) also known as “leaky veins”. This is when your blood in your lower legs has difficulty leaving through your veins. This causes a redden color (hemosiderin staining) to the lower legs, varicose veins, deep throbbing pain, ulcerations (wounds) that are hard to heal, and swelling. The treatment is very similar to CDT with some modifications as required. If the swelling is treated your wounds will most likely heal significantly faster. Long term management is use of appropriate compression and the use of a Pneumatic pump.
Manual Lymphatic Drainage (MLD): is a gentle, hands-on therapy that helps move fluid through your lymphatic system. It’s often used to reduce swelling, improve circulation, and support your body’s natural healing process. MLD can be especially helpful after surgery, for chronic conditions like lymphedema, or simply to promote general wellness. The technique is soothing and relaxing, and it helps your body remove waste and excess fluid more efficiently.
Post Surgical Healing: Manual Lymphatic Drainage (MLD) is a gentle, specialized technique that offers significant benefits during post-surgical recovery. It helps reduce swelling by directing excess lymphatic fluid away from the surgical site, which can speed up healing and improve overall comfort. MLD also assists in minimizing bruising by encouraging the body to reabsorb trapped blood and waste products more efficiently. By enhancing lymphatic circulation, it supports the immune system and promotes faster tissue repair. Patients often experience reduced pain and a noticeable decrease in post-operative tightness and pressure. MLD can also improve the appearance and texture of scars by preventing hardening and fibrosis in healing tissues. In cosmetic and reconstructive procedures, it aids in contouring and reduces the risk of fluid buildup. For individuals recovering from orthopedic or oncologic surgeries, MLD supports range of motion and reduces stiffness. It helps prevent complications associated with stagnant lymph fluid, such as seromas or infections.
Scar Management: a specialized treatment approach designed to help improve the appearance, flexibility, and comfort of scar tissue following surgery, injury, or trauma. Scar tissue can sometimes become tight, raised, thickened, or painful, affecting both movement and confidence. Scar management uses techniques such as manual therapy, lymphatic drainage, soft tissue mobilization, compression, and skin care strategies to support proper healing. These treatments help reduce swelling, soften hardened tissue, minimize discomfort, and improve the overall look and function of the scar. Scar management can be especially helpful after procedures like orthopedic surgery, cancer treatment, cosmetic surgery, or any injury that results in significant tissue repair.
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